Mortalidade perinatal e as suas relações com os processos socioespaciais
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/23711 |
Resumo: | The Perinatal Mortality Rate is considered an expressive indicator of the conditions of prenatal care, childbirth, and the newborn, in addition to access to health services. The objective was to analyze the relationship between socio-spatial processes and perinatal mortality. This is an epidemiological study, of an ecological and retrospective type, which included the deaths of the 4th regional health coordinator of the southern state of Brazil, with data collection from medical records. The sample consisted of early fetal and neonatal deaths, by occurrence in the municipality of Santa Maria, from 2011 to 2018. Data were analyzed in a descriptive, inferential, and spatial manner. It was appreciated by the Ethics and Research Committee of the Federal University of Santa Maria, with opinion approved under number 4,206,244. The results showed that most women did not receive prenatal care properly; stillborn or newborns were male, with very or extremely low birth weight and presented extreme prematurity. Regarding neonatal deaths, most occurred on the first day of life. The main manner of delivery was vaginal. Most live births had Apgar in the 1st minute suggestive of precarious conditions at birth or severe asphyxia. Premature labor was the most prevalent complication. In the bivariate analysis, there was a statistically significant relationship between the variable’s previous pregnancy losses and use of drugs. In the spatial analysis, 261 deaths were georeferenced. Regionally, the areas with the highest perinatal mortality rates were pointed out in the municipalities of Toropi, São João do Polêsine, Mata, Silveira Martins and Faxinal do Soturno. In the cartographic representation of clusters, there was the presence of neighboring areas with clusters of deaths. In Santa Maria-RS, the Kernel map showed high density areas in the west and Midwest regions. The concentration of deaths presents a path that follows areas of irregular occupation and the railway line, which are regions of intense vulnerability and poverty in the city, but geographically close to health services. Furthermore, deaths happened in areas of high or very high social deprivation. |
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2022-02-22T18:32:11Z2022-02-22T18:32:11Z2021-12-10http://repositorio.ufsm.br/handle/1/23711The Perinatal Mortality Rate is considered an expressive indicator of the conditions of prenatal care, childbirth, and the newborn, in addition to access to health services. The objective was to analyze the relationship between socio-spatial processes and perinatal mortality. This is an epidemiological study, of an ecological and retrospective type, which included the deaths of the 4th regional health coordinator of the southern state of Brazil, with data collection from medical records. The sample consisted of early fetal and neonatal deaths, by occurrence in the municipality of Santa Maria, from 2011 to 2018. Data were analyzed in a descriptive, inferential, and spatial manner. It was appreciated by the Ethics and Research Committee of the Federal University of Santa Maria, with opinion approved under number 4,206,244. The results showed that most women did not receive prenatal care properly; stillborn or newborns were male, with very or extremely low birth weight and presented extreme prematurity. Regarding neonatal deaths, most occurred on the first day of life. The main manner of delivery was vaginal. Most live births had Apgar in the 1st minute suggestive of precarious conditions at birth or severe asphyxia. Premature labor was the most prevalent complication. In the bivariate analysis, there was a statistically significant relationship between the variable’s previous pregnancy losses and use of drugs. In the spatial analysis, 261 deaths were georeferenced. Regionally, the areas with the highest perinatal mortality rates were pointed out in the municipalities of Toropi, São João do Polêsine, Mata, Silveira Martins and Faxinal do Soturno. In the cartographic representation of clusters, there was the presence of neighboring areas with clusters of deaths. In Santa Maria-RS, the Kernel map showed high density areas in the west and Midwest regions. The concentration of deaths presents a path that follows areas of irregular occupation and the railway line, which are regions of intense vulnerability and poverty in the city, but geographically close to health services. Furthermore, deaths happened in areas of high or very high social deprivation.A Taxa de Mortalidade Perinatal é considerada um indicador expressivo das condições da assistência pré-natal, ao parto e ao recém-nascido, além do acesso aos serviços de saúde. Objetivou-se analisar a relação entre os processos socioespaciais e a mortalidade perinatal. Trata-se de um estudo epidemiológico, do tipo ecológico e retrospectivo, que contemplou os óbitos da 4ª Coordenadoria Regional de Saúde em um estado do sul do Brasil, com a coleta de dados em prontuários. A amostra foi composta pelos óbitos fetais e neonatais precoces, por ocorrência no município de Santa Maria, no período de 2011 a 2018. Os dados foram analisados na forma descritiva, inferencial e espacial. Foi apreciado pelo Comitê em Ética e Pesquisa da Universidade Federal de Santa Maria, tendo parecer aprovado sob nº 4.206.244. Os resultados apontaram que a maioria das mulheres não realizaram o pré-natal de forma adequada; os natimortos ou recém-nascidos eram do sexo masculino, de muito e extremo baixo peso e apresentaram prematuridade extrema. Em relação aos óbitos neonatais, majoritariamente ocorreram no primeiro dia de vida. A principal via de parto foi a vaginal. A maior parte dos nascidos vivos apresentou Apgar no 1º minuto sugestivo de precárias condições ao nascer ou asfixia grave. O trabalho de parto prematuro foi a intercorrência mais prevalente. Na análise bivariada houve relação significativamente estatística entre as variáveis perdas gestacionais anteriores e uso de drogas. Na análise espacial foram georreferenciados 261 óbitos. Regionalmente apontou-se as áreas de maiores taxas de mortalidade perinatal nos municípios de Toropi, São João do Polêsine, Mata, Silveira Martins e Faxinal do Soturno. Na representação cartográfica de clusters houve presença de áreas vizinhas com aglomerados de óbitos. Em Santa Maria- RS o mapa de Kernel demonstrou áreas de alta densidade nas regiões oeste e centro-oeste. A concentração dos óbitos apresenta um caminho que acompanha áreas de ocupação irregular e a linha ferroviária, regiões essas, de intensa vulnerabilidade e pobreza no município, mas geograficamente próximas dos serviços de saúde. Ademais, os óbitos localizaram-se em áreas de privação social alta ou muito alta.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessMortalidade perinatalAnálise espacialProcessos socioespaciaisÓbitos evitáveisPerinatal mortalitySpatial analysisSociospatial processesPreventable deathsCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMMortalidade perinatal e as suas relações com os processos socioespaciaisPerinatal mortality and its relationship to sociospatial processesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisNeves, Eliane Tatschhttp://lattes.cnpq.br/2267710105940770Sehnem, Graciela DutraWilhelm, Laís AntunesFaria, Rivaldo Mauro deLangendorf, Tassiane Ferreirahttp://lattes.cnpq.br/0775722570259493Barros, Amanda Peres Zubiaurre de4004000000006006006006006006b9cb74a-f6ee-4f27-bbad-1ceb257903a5d81388b4-e00f-40e9-ade3-c9c093b2f658c3873787-46e1-4d08-bfe9-b31ab6f08130e74d35bf-15a8-442e-98cc-173745dafc2575fb9e29-f2b2-4d7b-aa44-c025b08d2e70c126b1ae-bdd4-4261-84b6-b39301894abdreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/23711/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/23711/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD53ORIGINALDIS_PPGENFERMAGEM_2021_BARROS_AMANDA.pdfDIS_PPGENFERMAGEM_2021_BARROS_AMANDA.pdfDissertação de mestradoapplication/pdf2420457http://repositorio.ufsm.br/bitstream/1/23711/1/DIS_PPGENFERMAGEM_2021_BARROS_AMANDA.pdfabba210f7b973be6b0cea330832dfbd6MD511/237112022-02-22 15:33:55.123oai:repositorio.ufsm.br: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ório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestopendoar:39132022-02-22T18:33:55Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
dc.title.alternative.eng.fl_str_mv |
Perinatal mortality and its relationship to sociospatial processes |
title |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
spellingShingle |
Mortalidade perinatal e as suas relações com os processos socioespaciais Barros, Amanda Peres Zubiaurre de Mortalidade perinatal Análise espacial Processos socioespaciais Óbitos evitáveis Perinatal mortality Spatial analysis Sociospatial processes Preventable deaths CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
title_full |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
title_fullStr |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
title_full_unstemmed |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
title_sort |
Mortalidade perinatal e as suas relações com os processos socioespaciais |
author |
Barros, Amanda Peres Zubiaurre de |
author_facet |
Barros, Amanda Peres Zubiaurre de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Neves, Eliane Tatsch |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2267710105940770 |
dc.contributor.advisor-co1.fl_str_mv |
Sehnem, Graciela Dutra |
dc.contributor.referee1.fl_str_mv |
Wilhelm, Laís Antunes |
dc.contributor.referee2.fl_str_mv |
Faria, Rivaldo Mauro de |
dc.contributor.referee3.fl_str_mv |
Langendorf, Tassiane Ferreira |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0775722570259493 |
dc.contributor.author.fl_str_mv |
Barros, Amanda Peres Zubiaurre de |
contributor_str_mv |
Neves, Eliane Tatsch Sehnem, Graciela Dutra Wilhelm, Laís Antunes Faria, Rivaldo Mauro de Langendorf, Tassiane Ferreira |
dc.subject.por.fl_str_mv |
Mortalidade perinatal Análise espacial Processos socioespaciais Óbitos evitáveis |
topic |
Mortalidade perinatal Análise espacial Processos socioespaciais Óbitos evitáveis Perinatal mortality Spatial analysis Sociospatial processes Preventable deaths CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Perinatal mortality Spatial analysis Sociospatial processes Preventable deaths |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
The Perinatal Mortality Rate is considered an expressive indicator of the conditions of prenatal care, childbirth, and the newborn, in addition to access to health services. The objective was to analyze the relationship between socio-spatial processes and perinatal mortality. This is an epidemiological study, of an ecological and retrospective type, which included the deaths of the 4th regional health coordinator of the southern state of Brazil, with data collection from medical records. The sample consisted of early fetal and neonatal deaths, by occurrence in the municipality of Santa Maria, from 2011 to 2018. Data were analyzed in a descriptive, inferential, and spatial manner. It was appreciated by the Ethics and Research Committee of the Federal University of Santa Maria, with opinion approved under number 4,206,244. The results showed that most women did not receive prenatal care properly; stillborn or newborns were male, with very or extremely low birth weight and presented extreme prematurity. Regarding neonatal deaths, most occurred on the first day of life. The main manner of delivery was vaginal. Most live births had Apgar in the 1st minute suggestive of precarious conditions at birth or severe asphyxia. Premature labor was the most prevalent complication. In the bivariate analysis, there was a statistically significant relationship between the variable’s previous pregnancy losses and use of drugs. In the spatial analysis, 261 deaths were georeferenced. Regionally, the areas with the highest perinatal mortality rates were pointed out in the municipalities of Toropi, São João do Polêsine, Mata, Silveira Martins and Faxinal do Soturno. In the cartographic representation of clusters, there was the presence of neighboring areas with clusters of deaths. In Santa Maria-RS, the Kernel map showed high density areas in the west and Midwest regions. The concentration of deaths presents a path that follows areas of irregular occupation and the railway line, which are regions of intense vulnerability and poverty in the city, but geographically close to health services. Furthermore, deaths happened in areas of high or very high social deprivation. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-12-10 |
dc.date.accessioned.fl_str_mv |
2022-02-22T18:32:11Z |
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2022-02-22T18:32:11Z |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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