Gestational risks determinants of mothers of newborns in neonatal death
Determinantes de risco gestacional de mães de recém-nascidos em óbito neonatal

Acta sci., Health sci; 37 (1), 2015
Publication year: 2015

Describes the socio-economic, reproductive and obstetric characteristics of mothers of newborn children that had neonatal death in Londrina, Paraná State, Brazil. The quantitative descriptive retrospective research is based on data retrieved from the declaration of live birth, death certificate and infant death investigation form, between 2000 and 2009. During a period of 10 years, 537 newborn children died; 50.5% of mothers were nulliparous; 60.0% were between 12 and 27 years old; 30.8% had less than seven years of schooling; 55.2% had an income of more than two minimum wages. Over 90.0% of mothers had previous history of infant death prior to pregnancy. Further, 91.4% attended prenatal courses and all of them showed some type of disease during pregnancy which, in most cases, led to the death of the newborn child in the early neonatal period (p<0.05). Most maternal characteristics investigated could be detected early and controlled in prenatal care.
Descrever as características socioeconômicas, reprodutivas e obstétricas das mães de recém-nascidos que tiveram óbito neonatal, em Londrina, Paraná, Brasil. Pesquisa quantitativa descritiva retrospectiva, com base na declaração de nascido vivo, declaração de óbito e ficha de investigação do óbito infantil, entre 2000 e 2009. Nos dez anos de estudo ocorreram 537 óbitos, 50,5% das mães eram nulíparas, 60.0% tinham idade entre 12 e 27 anos, 30,8% com menos de sete anos de estudo, 55,2% com mais de dois salários-mínimos. Mais de 90.0% havia história de morte infantil anterior à gestação. Do total, 91,4% realizaram o acompanhamento pré-natal e todas apresentaram algum tipo de afecção na gestação que, em sua maioria, teve óbito no período neonatal precoce (p<0,05). A maioria das características maternas investigadas poderia ser detectada precocemente e controlada durante o acompanhamento pré-natal.

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