Analysis of the avoidability of infant and fetal death in a medium-sized municipality in Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.17120

Keywords:

Maternal and Child Health; Health Status Disparities; Health care.

Abstract

Objective: To analyze the avoidability of infant and fetal deaths and the quality of research as indicators of iniquity in a medium-sized municipality in Brazil. Method: This is a documentary and quantitative study, with analysis of secondary data from the Mortality Information System (SIM) for the municipality of Caicó, in Rio Grande do Norte, reported in the period 2010 to 2015, with investigation of 58 infant deaths and fetal. SIM data were compared with data from the municipality's Mortality Committee based on the death certificate. Results: A low investigation of cases was identified (45.3%). Preventable deaths predominated (64.8%), evidenced by preventable deaths, if  adequate attention was given to women during childbirth. There was a high degree of disagreement between the evaluation made in this study and the municipal investigation: fetal deaths, five cases (29.4%) presented agreement and, of infant deaths, only two (12.5%) Cases. Conclusion: There are weaknesses in the surveillance of death and in the performance of the municipal mortality committee. It is necessary to recognize the relevance of the investigation to the knowledge of these deaths as a tool to reduce health inequities.

References

Araujo Filho, A. C., Sales, I. M., Araújo, A. K., Almeida, P. D., & Rocha, S. S. (2017). Aspectos epidemiológicos da mortalidade neonatal em capital do nordeste do Brasil. Rev Cuid, 8(3), 1767-1776. http://dx.doi.org/10.15649/cuidarte.v8i3.417

Black, R. E., Levin, C., Walker, N., Chou, D., Liu, L., Temmerman, M. et al. (2016). Reproductive, maternal, newborn, and child health: key messages from disease control priorities. The Lancet, 388(10061), 2811-2824. https://doi.org/10.1016/S0140-6736(16)00738-8

Brasil. Ministério da Saúde. (2010). Portaria nº72, 11 de janeiro de 2010. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/Matrizes Consolidacao/comum/6044.html

Brown, H. L., Small, M. J., Clare, C. A., & Hill, W. C. (2020). Black women health inequity the origin of perinatal health disparity. J Natl Med Assoc, S0027-9684(20), 30421-1. https://doi.org/10.1016/j.jnma.2020.11.008

Caldas, A. D., Santos, R. V., Borges, G. M., Valente, J. G., Portela, M. C., & Marinho, G. L. (2017). Mortalidade infantil segundo cor ou raça com base no Censo Demográfico de 2010 e nos sistemas nacionais de informação em saúde no Brasil. Cad. Saúde Pública, 33(7), e00046516. http://dx.doi.org/10.1590/0102-311x00046516

Carvalho, G. M., Saldanha, R. R., & Munekata, L. Y. (2016). Breves considerações sobre a mistanásia e o caso do Hospital Universitário Evangélico de Curitiba – PR. Brasil. Opin. Jurid, 15(29), 223-242. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1692-25302016000100012&lng=en&tlng=pt

Chao, F., You, D., Pedersen, J., Hug, L., & Alkema, L. (2018). National and regional under-5 mortality rate by economic status for low-income and middle-income countries: a systematic assessment. Lancet Glob Health, 6(5), e535-e547. https://doi.org/10.1016/S2214-109X(18)30059-7

Delnord, M., & Zeitlin, J. (2019). Epidemiology of late preterm and early term births - An international perspective. Semin Fetal Neonatal Med, 24(1), 3-10. https://doi.org/10.1016/j.siny.2018.09.001

Dias, B. A., Santos, Neto, E. T. & Andrade, M. A. (2017). Classificações de evitabilidade dos óbitos infantis: diferentes métodos, diferentes repercussões. Cad. Saúde Pública, 33(5), e00125916. https://doi.org/10.1590/0102-311x00125916

Ferreira, A., Andrade, S. R., Ruoff, A. B., Brehmer, L. C., & Xavier, A. C. (2019). Evitabilidade do óbito infantil e fetal: interlocução entre comitê e atenção primária à saúde. Cogitare enferm, 24, e56649. dx.doi.org/10.5380/ce.v24i0.56649

Geremew, A. B., Boke, M. M., & Yismaw, A. E. (2020). The effect of antenatal care service utilization on postnatal care service utilization: a systematic review and meta-analysis study. J Pregnancy, 2020, 7363242. https://doi.org/10.1155/2020/7363242

Hedstrom, A., Perez, K., Umoren, R., Batra, M., & Engmann, C. (2019). Recent progress in global newborn health: thinking beyond acute to strategic care? J Perinatol, 39(8), 1031-1041. https://doi.org/10.1038/s41372-019-0384-z

Huff, K., Rose, R. S., & Engle, W. A. (2019). Late preterm infants: morbidities, mortality, and management recommendations. Pediatr Clin North Am, 66(2), 387-402. https://doi.org/10.1016/j.pcl.2018.12.008

Jacques, N., Mola, C. L., Joseph, G., Mesenburg, M. A; & Silveira, M. F. (2019) Prenatal and postnatal maternal depression and infant hospitalization and mortality in the first year of life: A systematic review and meta-analysis. J Affect Disord, 243, 201-208. https://doi.org/10.1016/j.jad.2018.09.055

Leal, M. C., Szwarcwald, C. L., Almeida, P. V., Aquino, E. M., Barreto, M. L., Barros, F. et al. (2018). Saúde reprodutiva, materna, neonatal e infantil nos 30 anos do Sistema Único de Saúde (SUS). Ciênc. saúde coletiva, 23(6), 1915-1928. https://doi.org/10.1590/1413-81232018236.03942018

Liu, L., Oza, S., Hogan, D., Chu, Y., Perin, J., Zhu, J. et al. (2016). Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. The Lancet, 388(10063), 3027-3035. http://dx.doi.org/10.1016/S0140-6736(16)31593-8

Moreira, K. F., Bicalho, B. O., Santos, L. C., Amaral, F. M., Órfão, N. H., & Cunha, M. P. (2017). Perfil e evitabilidade de óbito neonatal em um município da Amazônia legal. Cogitare Enfermagem, 22(2), e48950. http://dx.doi.org/10.5380/ce.v22i2.48950

Murguía-Peniche, T., Illescas-Zárate, D., Chico-Barba, G., & Bhutta, Z. A. (2016). An ecological study of stillbirths in Mexico from 2000 to 2013. Bull World Health Organ, 94(5), 322-330A. https://www.who.int/bulletin/volumes/94/5/15-154922.pdf

Oliveira, C. M., Bonfim, C. V., & Medeiros, Z. M. (2017). Mortalidade infantil e sua investigação: reflexões sobre alguns aspectos das ações da vigilância do óbito. Rev enferm UFPE on line, 11(Supl.2), 1078-85. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/13479

Pels, A., Beune, I. M., van Wassenaer-Leemhuis, A. G., Limpens, J., & Ganzevoort, W. (2020). Early-onset fetal growth restriction: a systematic review on mortality and morbidity. Acta Obstet Gynecol Scand, 99(2), 153-166. https://doi.org/10.1111/aogs.13702

Pessini, L., & Ricci, L. A. (2017) O que entender por Mistanásia? In Godinho, A.M., Leite, G.S., & Dadalto, L. (Org.). Tratado brasileiro sobre o direito fundamental à morte digna. (pp.167-191). Almedina.

Picoli, R. P., Cazola, L. H., & Nascimento, D. D. (2019). Mortalidade infantil e classificação de sua evitabilidade por cor ou raça em Mato Grosso do Sul. Ciênc. saúde coletiva, 24(9), 3315-3324. https://doi.org/10.1590/1413-81232018249.26622017

Rêgo, M. G., Vilela, M. B., Oliveira, C. M., & Bonfim, C. V. (2018). Óbitos perinatais evitáveis por intervenções do Sistema Único de Saúde do Brasil. Rev Gaúcha Enferm, 39, e2017-0084. https://doi.org/10.1590/1983-1447.2018.2017-0084

Reno, R., & Hyder, A. (2018). The evidence base for social determinants of health as risk factors for infant mortality: a systematic scoping review. J Health Care Poor Underserved, 29(4), 1188-1208. https://doi.org/10.1353/hpu.2018.0091

Vieira, F. M., Kale, P. L., & Fonseca, S. C. (2020). Aplicabilidade da Lista Brasileira de Causas de Mortes Evitáveis por intervenção do Sistema Único de Saúde, para análise de óbitos perinatais em municípios dos estados Rio de Janeiro e São Paulo, 2011. Epidemiol. Serv. Saúde, 29(2), e201942. https://doi.org/10.5123/s1679-49742020000200019

Watterberg, K. (2020). committee on fetus and newborn. providing care for infants born at home. Pediatrics, 145(5), e20200626. https://doi.org/10.1542/peds.2020-0626

Published

10/07/2021

How to Cite

PEREIRA, L. K. M.; MELO, R. H. V. de; SILVA, J. A. da; BARBOSA, M. H. P. A.; ROSENDO, T. M. S. de S.; AMORIM, K. P. C. Analysis of the avoidability of infant and fetal death in a medium-sized municipality in Brazil. Research, Society and Development, [S. l.], v. 10, n. 8, p. e21010817120, 2021. DOI: 10.33448/rsd-v10i8.17120. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17120. Acesso em: 12 nov. 2024.

Issue

Section

Health Sciences