Estudo da mortalidade perinatal em Cataguases, Minas Gerais

Abstract

The infant mortality rate has decreased every year in Brazil but still remains at high levels, having perinatal mortality as main component. About 80% of infant deaths occur by perinatal causes, considered preventable through proper management of assistance. The aim of this study was to describe perinatal mortality in Cataguases-MG, by newborn and mother characteristics, classifying deaths as avoidance potential. Were analyzed by information systems, SIM and SINASC, 2972 births and 45 perinatal deaths occurred in the year 2008 to 2011. Eleven cases in 2011 had the reports investigated by primary care, secondary care, tertiary care, pregnant documents and interview. The results were: divergence between records in database and patient records, lost data on deaths and patient records, difficulty to access documents and high levels of fetal deaths, 58% of perinatal deaths. Over the years, cases of asphyxia have increased in the first and fifth minutes. In 2011 low weight reached 9%, 10% of premature births, and there were higher mortality rates in four years: infant (21.7/1000), perinatal (22.7/1000) and post-neonatal (9.0/1000). The classification of the death avoidance revealed possible failures in three levels of care. Failures were related in primary care to access information and to identify the gestational risk. In secondary care has been identified service failed timely in childbirth, and difficulty in access high risk care.