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- Title
NEONATAL DEATH IN PUBLIC MATERNITY OF REFERENCE: ASSOCIATED FACTORS.
- Authors
Stabnow Santos, Floriacy; Graepp Fontoura, Iolanda; Rodrigues da Silva, Rosivane; Pascoal, Lívia Maia; Hunaldo dos Santos, Leonardo; Santos Neto, Marcelino
- Abstract
Objective: to investigate maternal and neonatal factors associated with neonatal deaths in a reference maternity hospital in southwestern Maranhão. Method: quantitative, observational retrospective study, with documental analysis in medical records. Medical records of 677 neonates born in a hospital in southwest Maranhão, in 2016 were selected. Results: of the 677 medical records of admitted newborns, there were 14.2% of deaths and 85.8% of discharges, prematurity was the diagnosis among 42.4%, followed by 41.9% of respiratory disorders. The adjusted analysis of the model showed that neonatal death was associated with height <35cm (OR: 38.40; p<0.001) and 35-39cm (OR: 6.65, p<0.002), head circumference <22 cm (OR: 38.58; p<0.002) and Apgar in the 5th. minute <3 (OR: 5.91; p<0.001). Results: Of the 677 medical records of newborns admitted, there were 96 deaths (14.2%) and 581 discharges (85.8%), with prematurity being the most frequent diagnosis 287 (42.4%), followed by respiratory disorders 284 (41, 9%). The adjusted analysis of the model showed that neonatal death was associated with height <35cm (OR: 38.40; p <0.001), height of 35-39cm (OR: 6.65, p <0.002), head circumference <22 cm (OR: 38.58; p <0.002) and Apgar in the 5th. minute <3 (OR: 5.91; p <0.001). Conclusion: prematurity and respiratory disorders were the main causes of hospitalization. There is a need to review access to health services, as well as the implementation of qualified interventions in prenatal care, childbirth and birth.
- Subjects
BRAZIL; PERINATAL death; MATERNAL health services; SCIENTIFIC observation; HEALTH services accessibility; QUANTITATIVE research; RETROSPECTIVE studies; RISK assessment; PUBLIC hospitals; DESCRIPTIVE statistics; CEPHALOMETRY; INFANT mortality; ODDS ratio; APGAR score
- Publication
Revista de Pesquisa: Cuidado é Fundamental, 2022, Vol 14, Issue 1, p1
- ISSN
1809-6107
- Publication type
Article
- DOI
10.9789/2175-5361.rpcfo.v14.11264