Perinatal mortality: epidemiological profile, causes and avoidable factors at a reference public maternity hospital in the State of Santa Catarina, Brazil, 2011–2015

Author:

Hoffmann Carla Beatriz Pimentel Cesar12,Schultz Lidiane Ferreira3,Vaichulonis Carla Gisele4,do Nascimento Iramar Baptistella3,João Caroline Gadotti5,Borges Dayana Caroline5,Silva Jean Carl67

Affiliation:

1. Nurse Management, Darcy Vargas Maternity Hospital, Rua Aubé 1417 , house 1409 – Boa Vista , Joinville 89205-000 , SC, Brazil

2. Health and Environment , University of the Joinville Region (UNIVILLE) , Street Paulo Malschitzki, 10 , Joinville 89219-710 , SC, Brazil

3. Health and Environment, University of the Joinville Region , Street Paulo Malschitzki, 10 , Joinville 89219-710, SC , Brazil

4. Health and Environment, Darcy Vargas Maternity Hospital , Street Paulo Malschitzki , 10, Joinville 89219-710 , SC, Brazil

5. University of the Joinville Region (UNIVILLE) , Joinville , Brazil

6. Darcy Vargas Maternity Hospital, Medical Sciences , O.B.-G.Y.N , Joinville , Brazil

7. University of the Joinville Region , Joinville , Brazil

Abstract

Abstract Background This study aimed to identify the perinatal mortality coefficient, the epidemiological profile, causes and avoidable factors at a reference public maternity hospital in southern Brazil. Methods In this cross-sectional study, 334 medical records of postpartum women and newborns were evaluated between January 1st, 2011 and December 31st, 2015. The Expanded Wigglesworth Classification was used to assess the causes of perinatal mortality and the International Statistical Classification of Diseases and Related Health Problems (ICD-10/SEADE Foundation) was used for the preventable perinatal mortality analysis. Absolute numbers and percentages were used for data analysis. The perinatal mortality formula was used to calculate the perinatal mortality rate. Results The perinatal mortality rate was 13.2/1000 total births, with a predominance of white race/color; mothers were 21–30 years of age, had experienced their first pregnancy and had completed their high school education. Conclusion The main factors associated with perinatal death were antepartum fetal death in 182 (54.49%) cases, and avoidable death through appropriate prenatal care in 234 (70.05%) cases.

Publisher

Walter de Gruyter GmbH

Subject

Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference36 articles.

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2. Lansky S, Friche AAL, da Silva AAM, Campos D, Bittencourt SDA, Carvalho ML, et al. Pesquisa Nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido. Cad Saúde Pública 2014;30(Suppl 1):S192–207.

3. Unites Nations. The Millennium Development Goals Report 2015. New York, 2015. http://www.un.org/millenniumgoals/2015_MDG_Report/pdf/MDG%202015%20rev%20(July%201).pdf. Accessed: January 11, 2018.

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5. Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Síntese de evidências para políticas de saúde: mortalidade perinatal, 2. ed. Brasília: Ministério da Saúde, 2015:40. bvsms.saude.gov.br/bvs/publicacoes/sintese_evidencias_mortalidade_perinatal.pdf.s.

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