Análise da mortalidade perinatal na região do Médio Paraíba, Estado do Rio de Janeiro, de 2005 a 2009

• Autor(a) principal: Galdino, Cíntia Valéria
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4137
• topic: Perinatal mortality; Fetal mortality; Early neonatal mortality; Avoidable causes of death; Mortalidade perinatal; Mortalidade fetal; Mortalidade neonatal precoce; Mortalidade por causas evitáveis; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA

The perinatal mortality rate (PMR) is an important health indicator that reflects the quality of health care provided during pregnancy, childbirth and to the newborns. The PMR has two components: the fetal mortality rate and the early neonatal mortality rate. The objective of this study was to analyze the perinatal mortality in the Médio Paraíba region, Rio de Janeiro state, Brazil between 2005 and 2009, according to the underlying cause of deaths, components of the perinatal period and criteria of avoidability. Data regarding fetal and early neonatal deaths and live births was provided by the National Death (SIM) and Live Birth (SINASC) Information Systems, respectively. The PMR in the region was 18.4 deaths per thousand total births. Fetal and early neonatal mortality rates reached 10.7 deaths per thousand total births and 7.7 deaths per thousand live births, respectively. The PMR declined during the five year period, associated with the fall of its early neonatal component, remaining stable the fetal component. The main underlying causes of perinatal deaths, according to the ICD Mortality List for use in Brazil - ICD BR, were certain conditions originating in the perinatal period (89%) and congenital malformations, deformations and chromosomal abnormalities (10,5%). Using the criteria of avoidability according to Ortiz, for early neonatal infant deaths was observed that over 41% were avoidable through early diagnosis and treatment . Efforts aimed at improving health care during pregnancy and childbirth are needed in order to reduce perinatal mortality levels in the Médio Paraíba region.