Neonatal mortality: the need for teaching strategies directed to the protection and promotion of children's health

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.25865

Keywords:

Epidemiological monitoring; Infant Mortality; Newborn.

Abstract

The proper registration of cases of deaths and their analysis contribute to give visibility to the real gaps and demands of health services. The monitoring and the analysis of the Infant Mortality Rate (IMR) and its characteristics are paramount for the development of health policies and interventions aimed at the promotion and protection of child health. Thus, we aimed to characterize neonatal deaths recorded in Palmas, Tocantins, Brazil, in the period from 1999 to 2018, according to sex, weight and age of newborns, maternal age, and municipality of occurrence. There were 800 deaths of children aged up to 27 days of life in the municipality of Palmas from 1999 to 2018, with a statistical difference in the proportion of neonatal deaths according to the occurrence of the event, gender, and weight, with a higher proportion of early neonatal deaths when their occurrence was in Palmas. Although the municipality of Palmas has recorded advances in infant mortality indicators, specifically in the neonatal component, considering that Brazil proposes to reduce newborn mortality to a maximum of five per thousand live births by 2030, advances will be necessary to qualify perinatal care in the region in order to avoid preventable infant deaths. Thus, an urgent demand is the improvement of prenatal and maternal-infant care services in the municipality in order to favor maternal and infant indicators.

References

Bonita, R., Beaglehole, R. & Kjellström, T. (2010). Epidemiologia básica. (2a ed.), Santos

Bouzas, I. C. S., Cader, D. A. & Leão, L. (2014) Gravidez na adolescência: uma revisão sistemática do impacto da idade materna nas complicações clínicas, obstétricas e neonatais na primeira fase da adolescência. Adolesc. Saude, 11(3), 7-21.

Brasil. (2009). Manual de vigilância do óbito infantil e fetal e do comitê de prevenção do óbito infantil e fetal. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/manual_obito_infantil_fetal_2ed.pdf

Brasil. (2002). Programas e Projetos da Saúde da Criança: responsabilidades compartilhadas em benefício das crianças brasileiras. Rev. Bras. Saude Mater. Infant. 2(2), 193-200. https://doi.org/10.1590/S1519-38292002000200013

Brito, L. C. S. et al. (2021). Epidemiological aspects of child mortality. Rev. Enferm. UFPE on line: 15(1), 1-12. https://doi.org/10.5205/1981-8963.2021.244656

Burstein, R. et al. (2019). Mapping 123 million neonatal, infant and child deaths between 2000 and 2017. Nature, 574(1), 353-358. https://doi.org/10.1038/s41586-019-1545-0

Cha, S. & Jin, Y. (2019). Have inequalities in all-cause and cause-specific child mortality between countries declined across the world? International Journal for Equity in Health. 19(1), 1-13. https://doi.org/10.1186/s12939-019-1102-3

Dandona, R. et al. (2020). Subnational mapping of under-5 and neonatal mortality trends in India: the Global Burden of Disease Study 2000–17. The Lancet, 395(10237), 1640-1658. https://doi.org/10.1016/S0140-6736(20)30471-2

Dias, B. A. S., Santos, E. T. N & Andrade, M. A. C. (2017). Classification systems for avoidability of infant deaths: different methods, different repercussions? Cad. Saúde Pública. 33(5), 1-15. https://doi.org/10.1590/0102-311X00125916

França, E. B. et al. (2017). Leading causes of child mortality in Brazil, in 1990 and 2015: estimates from the Global Burden of Disease study. Rev Bras de Epidemiol. 20(1), p.46-60. https://doi.org/10.1590/1980-5497201700050005

Furtado, M. C. C. et al. (2010). The evaluation of newborn care in the relationship between maternity hospital and basic health net. Rev. Eletr. Enf. 12(4), 640-6. https://doi.org/10.5216/ree.v12i4.7625

Gaíva, M. A. M., Monteschio, C. A. C., Moreira, M. D. A & Salge, A. K. M. (2018). Child growth and development assessment in nursing consultation. Av. enferm. 36(1) 9-21. https://doi.org/10.15446/av.enferm.v36n1.62150

Gama, S. G. N., Thomaz, E. B. A. F. & Bittencourt, S. D. A. (2021). Advances and challenges in healthcare for delivery and childbirth in the Unified Health System (SUS): the role of Rede Cegonha. Ciênc. saúde coletiva, 26(3) https://doi.org/10.1590/1413-81232021262.41702020

Hanzen, I. P., Zanotelli, S. S., & Zanatta, E. A. (2019). Diagnostics, interventions and nursing results to subsidy the nursing consultation of the child. Enferm. Foco., 10(7), 16-21. https://doi.org/10.21675/2357-707X.2019.v10.n7.2683

Instituto Brasileiro de Geografia e Estatística. (IBGE). (2019). Panorama Brasil. Palmas. Rio de Janeiro: IBGE, 2019.

Justino, D. C. P., Lopes, M. S., Santos, C. D. C & Andrade. F. B. (2019). Historical evaluation of children's public health policies in Brazil: integrative review. Revista Ciência Plural, 5(1), 71-88, 2019. https://doi.org/10.21680/2446-7286.2019v5n1ID17946

Kang, J. H., Son, H., Byun, S. Y, & Han G. (2021). Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit. J Korean Acad Nurs. 51(1), 119-132. https://doi.org/10.4040/jkan.20240

Lucena, D. B. A. et al. (2018). First week of integral health for the newborn: nursing actions of the Family Health Strategy. Rev Gaúcha Enferm. 39(e2017-0068), 1-8. https://doi.org/10.1590/1983-1447.2018.2017-0068

Maia, L. T. S., Souza, W. V. & Mendes, A. C. G. (2020). Individual and contextual determinants of infant mortality in Brazilian state capitals: a multilevel approach. Cad. Saúde Pública. 36(2), 1-19, 2020. https://doi.org/10.1590/0102-311X00057519

Manjavidze, T., Rylander, C., Skjeldestad, F. C., Kazakhashvili, N & Anda, E. E. (2019). Incidenceand Causes of Perinatal Mortality in Georgia. J EpidemiolGlob Health, 9(3), 163-168. https://doi.org/10.2991/jegh.k.190818.001

Maranhão, A. G. K., Nogales, V. A. M., Lopes, D. & Elizabeth, F. (2011). Mortalidade infantil no Brasil: tendências, componentes e causas de morte no período de 2000 a 2010. In: Brasil. Ministério da Saúde. Saúde Brasil 2011: uma análise da situação de saúde e da agenda nacional e internacional de prioridades em saúde. Brasília: Ministério da Saúde. http://portalsaude.saude.gov.br/portalsaude/arquivos/pdf/2013/Fev/21/saudebrasil2011_parte1_cap6.pdf

Martin, A. J. et al. (2021). Nascimentos: dados finais para 2019. Natl Vital Stat Re70(2), 1-51. https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-02-508.pdf

Mcdorman, M. F. & Atkinson, J. O. (1998). Estatísticas de mortalidade infantil do conjunto de dados de nascimentos / óbitos vinculados - dados do período de 1995. Mon Vital Stat, 26(46), 1-22. https://pubmed.ncbi.nlm.nih.gov/9524421/

Melo, C. M., Aquino, I. S., Soares, M. Q. & Bevilacqua, D. (2017). Death surveillance as an indicator of the quality of health care for women and children Ciênc. saúde colet. 22 (10), 3457-3465. https://doi.org/10.1590/1413-812320172210.19652017

Miller, L. & Contreras-Urbina, M. (2021). Exploring the determinants and outcomes of intimate partner violence during pregnancy for Guyanese women: results from a nationally representative cross-sectional household survey. Ver Panam Salud Publica. 45(3), 1-11. https://doi.org/10.26633/RPSP.2021.6

Murphy, S. L. et al. (2021). Deaths: Final Data for 2018. Natl Vital Stat Re69(13), 1-83. https://www.cdc.gov/nchs/data/nvsr/nvsr69/nvsr69-13-508.pdf

Ogbo, F. A. et al. (2019) Determinantsoftrends in neonatal, post-neonatal, infant, childandunder-fivemortalities in Tanzaniafrom 2004 to 2016. BMC Public Health. 19(1) 1-12, 2019. https://doi.org/10.1186/s12889-019-7547-x

Rodrigues, O. M. R. & Bolsoni-Silva, A, T. (2011). Effects of the prematurity on the development of lactentes. Rev. Bras. Cresc. E Desenv. Hum, 21(1), 111-121. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-12822011000100011&lng=pt&tlng=pt

Saltarelli, R. M. F., Prado, R. R., Monteiro, R. A. & Malta, D. C. (2019). Trend in mortality from preventable causes in children: contributions to the evaluation of the performance of public health services in the Southeast Region of Brazil. Rev. bras. epidemiol. 22(1) 1-15. https://doi.org/10.1590/1980-549720190020

Sankar, M. J. et al. (2016). When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries. Journal of Perinatology. 36(1), 1-11. https://doi.org/10.1038/jp.2016.27

Santos, L. F. et al. (2016). epidemiological profile of hospitalizations in a neonatal intensive care unit. Rev enferm UFPE on line. 10(8), 2965-73. https://doi.org/10.5205/1981-8963-v10i8a11366p2965-2973-2016

Santos, L. F. et al. (2020). Physical examination in nurses' hospital practice. Research, Society and Development, 9(7), 1-15. https://doi.org/10.33448/rsd-v9i7.3794

Sleutjes, F. C. M., Parada, C, M, G, L., Carvalhaes, M. A. B. L. & Temer, M. J. (2018). Risk factors for neonatal death in an inland region in the State of São Paulo Brazil. 23(8), 2713-2720. https://doi.org/10.1590/1413-81232018238.15142016

Soares, A. R et al. (2020). Ideal time for home visits to newborns: an integrative review. Ciênc. saúde coletiva. 25(8), 3311-3320. https://doi.org/10.1590/1413-81232020258.25492018

Tashiro, A., Yoshida, H. & Okamoto, E. (2019). Infant, neonatal, and post neonatal mortality trends in a disaster region and in Japan, 2002–2012. a multi-attribute compositio nalstudy. BMC Public Health. 19(1085), 1-13. https://doi.org/10.1186/s12889-019-7443-4

United Nations Children’s Fund (UNICEF). (2019). Levels & Trends in Child Mortality: Report 2019, Estimates developed by the United Nations Inter-agency Group for Child Mortality Estimation. New York: UNIGME. https://www.unicef.org/media/60561/file/UN-IGME-child-mortality-report-2019.pdf

Veloso, F. C. S. et al. (2019) Analysisof neonatal mortalityriskfactors in Brazil: a systematicreviewand meta-analysisofobservationalstudies. J Pediatr. 95(5), 519-530. https://doi.org/10.1016/j.jped.2018.12.014

Vieira, D, S. et al. (2019). Work process of nurses in child development surveillance. Rev Min Enferm. 23(e-124), 1-7. http://dx.doi.org/10.5935/1415-2762.20190090

Xu, H. & Xu, (2021). Efficacy analysis of diferente pulmonar surfactants in premature infants with respiratory distress syndrome. "Zhonghua Wei Zhong Bing Ji Jiu Yi Xue"[jour]. 33(2): 174-179. https://doi.org/10.3760/cma.j.cn121430-20201009-00660

Yoon, S. J. et al. (2021) Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study. Int. J. Environ. Res. Public Health. 18(3), 1-11. https://doi.org/10.3390/ijerph18031206

Zhang, Y. M., Shao, S. M., Zhang, X. R., Liu, J. & Zeng, C.M. (2021). [Perinatal conditions of late preterm twins versus early term twins]. Zhongguo Dang dai er ke za zhi = Chinese Journal of Contemporary Pediatrics. 23(3), 242-247. https://doi.org/10.7499/j.issn.1008-8830.2011126

Downloads

Published

31/01/2022

How to Cite

SANTOS, L. F. .; NASCIMENTO, V. F. M. .; SILVA, M. da V. F. B. .; EVANGELISTA, D. R. .; SÁ, E. S. de .; SILVA, J. B. da .; CARVALHO, L. de P. A. O.; BRITO, R. C. da C.; SILVA, S. S. e .; NUNES, D. P. . Neonatal mortality: the need for teaching strategies directed to the protection and promotion of children’s health. Research, Society and Development, [S. l.], v. 11, n. 2, p. e44911225865, 2022. DOI: 10.33448/rsd-v11i2.25865. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25865. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences