Natimortalidade

Idiomas

  • Posted on: 25 October 2018
  • By: claudio

Mature – 1,3% (231)

Premature – 13% (132)

General population – 2,4% (419)

Infant Mortality Coefficients by Regions

Brazil 1980 - 1990 - 1996

Regions

1980

1990

1996

Variation 80-90

Variation 90-96

Brazil

85,6

47,8

37,5

-44,1%

-21,5%

North

83,6

44,6

36,1

-46,6%

-19,5%

Northeast

120,5

74,3

60,4

-38,3%

-19,1%

Southest

61

31,2

25,9

-48,8%

-6,9%

South

55,5

27,6

22,9

-50,2%

-17%

Midwest

66,4

31,2

25,8

-53%

-22,8%

Source: Sistema de Informação de Mortalidade/MS. Cálculo de Celso Simões (IBGE)

Perinital Mortality Rate by Regions of the World - 1996 

Region

Estimation of Perinatal Mortality by 1000 NV (1993)

Estimation of Perinatal Mortality by 1000 NV (1995)

World

58

53

Africa

81

75

Asia

61

53

Europe

14

13

Latin America

54

39

North American

13

9

Oceania

52

44

Source: OMS, Perinatal Mortality, 1996, P.4 

Percent Distribution and Mortality Coefficient by Age of Deaths Under 1 Year

Brazil 1990 - 1996

Years

< 1 dia to 6 days

7 to 27 days

28 to < 1 year

Total

 

%

CMI

%

CMI

%

CMI

 *

1990

35.876

37,5

17,9

11.017

11,5

5,5

48.583

50,8

24,3

95.476

1991

34.904

40,5

18,3

10.108

11,8

5,3

40.431

47,3

21,3

85.443

1992

33.474

39,7

17

9.213

10,9

4,7

41.639

49,3

21,2

84.326

1993

34.040

38,8

15,9

9.781

11,1

4,5

43.772

49,9

20,5

87.593

1994

35.683

41,1

16,2

9.728

11,2

4,4

41.286

47,6

18,8

86.697

1995

36.403

44,7

17,2

9.594

11,8

4,5

35.300

43,2

16,5

81.297

1996

35.046

46,9

17,6

8.984

12

4,5

30.678

41,1

15,4

74.711

* Less deaths with unknown age

Source: Sistema de Informação de Mortalidade SIM / CNEP / FNS / MS

Main Causes of Neonatal Mortality

Brazil 1990 - 1992 - 1996

Causes

1990

1992

1994

%

%

%

Diarrhea

1.140

2,4

654

1,6

594

1,3

Pneumonia

1.774

3,7

1.544

3,6

1.419

3,1

Perinatal Conditions

33.851

72,2

30.934

72,5

34.383

73,2

Congenital Anomalies

4.068

8,7

4.173

9,7

4.699

9,9

Other Causes

3.208

6,8

3.047

7,1

3.137

6,6

Poorly Defined Causes

2.852

6,1

2.335

5,5

1.765

4,0

Total

46.893

100

42.687

100

45.997

100

 Neonatal Deaths from Perinatal Conditions (Major Causes)

Brazil 1990 - 1995

CAUSES

1990

1992

1995

%

%

%

Other Respiratory Distress

8.917

26,3

8.729

26,0

9.876

28,7

Hyaline Menbrane Disease

6.103

18

6.458

19,3

7.196

21

Prematurity and Low Birth Weight

5.430

16

5.043

15,0

4.434

13

Specific Infection in the Perinatal Period (except Tetanus)

3.781

11,2

3.698

11,0

4.378

12,7

Hypoxia Asphyxia

4.197

12,4

3.794

11,3

3.702

11.7

Other Causes

1.904

5,6

2.938

8,8

4.797

14,0

Other Malignant Disorders

3.519

10

2.849

8,5

2.947

9

TOTAL

33.851

-

33.509

-

37.330

-

Source: Sistema de Informação de Mortalidade SIM / CNEP / FNS / MS 

NATIMORTALITY AND TYPE OF BIRTH 

 

Congenital Defects

It occurred in the proportion of 1:152 and the most frequent occurance is classified as malformation, followed by congenital cardiopaty, rocker bottom feet, acetabular dysplasia, cleft lip palate, hydrocephaly, anencephaly, mielomeningocelis, Down’s syndrome, and others.

 

Mothers Mortality

Mothers mortality happened in the proportion of 51 per 100.000 cases of alive newborns.

C-section: bleeding (1), eclampsy (2), peritonitis (1), premature rupture of membranes (1)

Peridural anesthesia previous to C-section (1).

Squatting position: heart failure in patient who had heart surgery before (1), lung emboly (1)  

Forceps delivery: heart failure after forceps and labor induction (1)

First stage: non accurate diagnosis (1)

The present mother’s mortality rate is a little bit under the rate showed by Faundes (1979-1983) of 57: 100.000 in Campinas, and it is a sixth part of the rate showed by Belfort (1960-1983) of 315: 100.000 at Santa Casa da Misericórdia do Rio de Janeiro.

 

Conclusion

There have been many problems during this work which are peculiar to it and problems which are related to what happens in our country. Watching the results herein, we realize they are the results in the medical literature.

Other aspects are under the Brazilian average levels, such as: C-section occurrence, forceps, labor induction, utilization of tranquilizers, etc…

We should ask what can the difference be imputed to.

And in the answer first paragraph will appear the position of delivery which encourages mother’s participation and consciousness of whom participates in the process.