Causas de óbitos neonatais reduzíveis por adequado controle na gravidez em campo Grande - MS

Abstract

This is a retrospective, descriptive and explanatory work, based on data from the Sistema de Informação de Mortalidade e Sistema de Informação sobre Nascidos Vivos (Mortality Information System and Alive-born Information System). The goal was to identify newborn death causes that could be avoided by convenient pregnancy monitoring in residents from Campo Grande-MS municipality in the period between 2004 and 2006. For such, causes of deaths were classified according to the International Statistical Classification of Diseases and Health Disorders (CID-10) and then evaluated by the Criteria of Death Avoidance proposed by the Fundação Sistema Estadual de Análise de Dados do Estado de São Paulo (FSEADE) (Sao Paulo State Data Analysis System Foundation). Results show that 10 (38,5%), from the 26 new-born evaluated, died from maternal disorders which were not necessarily related to the current pregnancy (P00); 8 (30,8%) died because of disorders related to the short pregnancy and low birth weight (P07); 6 (23,1%) died because of mother complications in the pregnancy (P01). The other two deaths were caused, one by hazardous influences transmitted through the placenta or milk, (P04) which corresponded to 3,8% of the total; the other death was caused by ABO immunization of the fetus or new-born (P55.1), which also corresponded to 3,8% of the total. When death causes were demonstrated by categories and characters, it was found that 3 (11,5%) were caused by mother’s high blood pressure disorders (P00.0); 5 (19,2%) caused by mother’s infectious and parasitary diseases (P00.2); 6 (23,1%) by extreme low weight (P07.0); and 5 (19,2%) by premature membrane rupture (P01.1). It can be concluded that in despite of the good performance of SIM/SINASC, there are still deficiencies in filling up documents that feed the system. This study, in agreement with other authors, showed also that focusing on educative strategies is still being crucial for allowing women and their families, according to individual circumstances, to understand the importance of self-care, since improvement of new-born health indicators requires women and public health services working closely together.