NEONATAL DEATH IN PUBLIC MATERNITY OF REFERENCE: ASSOCIATED FACTORS

• Autor(a) principal: Santos, Floracy Stabnow
• Data de Publicação: 2022
• Outros Autores: Graepp Fontoura, Iolanda, Silva, Rosivane Rodrigues Da, Maia Pascoal, Livia, Santos, LeonardoHunaldo dos, Neto, Marcelino Santos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Pesquisa: Cuidado é Fundamental Online
• DOI: 10.9789/2175-5361.rpcfo.v14.11264
• Texto Completo: https://seer.unirio.br/cuidadofundamental/article/view/11264
• topic: Newborn; Infant Mortality; Intensive Care Units; Risk factors; Neonatal death; Recién nacido; Mortalidad neonatal; Unidades de Cuidados Intensivos Neonatales; Factores de riesgo; Muerte neonatal; Recém-nascido; Mortalidade Neonatal; Unidades de Terapia Intensiva Neonatal; Fatores de risco; Óbito neonatal

Objective: To investigate maternal and neonatal factors associated with neonatal deaths in a reference maternity hospital in southwestern Maranhão. Methodology: Retrospective observational, quantitative study, with documental analysis in medical records. Brazil. Medical records of 677 neonates born in their own hospital 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). Conclusions: 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.