Mortality among children under the age of one: analysis of cases after discharge from maternity *

Authors

  • Elieni Paula dos Santos Universidade Estadual de Londrina; Centro de Ciências da Saúde
  • Rosângela Aparecida Pimenta Ferrari Universidade Estadual de Londrina; Centro de Ciências da Saúde; Departamento de Enfermagem
  • Maria Rita Bertolozzi Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem em Saúde Coletiva
  • Alexandrina Aparecida Maciel Cardelli Universidade Estadual de Londrina; Centro de Ciências da Saúde; Departamento de Enfermagem
  • Christine Bacarat de Godoy Universidade Estadual de Londrina; Centro de Ciências da Saúde; Departamento de Enfermagem
  • Flávia Françoso Genovesi Universidade Estadual de Londrina; Centro de Ciências da Saúde

DOI:

https://doi.org/10.1590/S0080-623420160000400003

Keywords:

Infant Mortality, Health Services, Health Care, Underlying Cause of Death, Pediatric Nursing

Abstract

OBJECTIVE To analyze infant death after discharge from maternity in the time period between 2000 and 2013. METHOD A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p <0.05. RESULTS Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p =0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p =0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. CONCLUSION Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

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Published

2016-06-01

Issue

Section

Original Article

How to Cite

Santos, E. P. dos, Ferrari, R. A. P., Bertolozzi, M. R., Cardelli, A. A. M., Godoy, C. B. de, & Genovesi, F. F. (2016). Mortality among children under the age of one: analysis of cases after discharge from maternity *. Revista Da Escola De Enfermagem Da USP, 50(3), 390-398. https://doi.org/10.1590/S0080-623420160000400003