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MORTALIDADE NEONATAL ASSOCIADA A ASFIXIA PERINATAL

(especial para SIIC © Derechos reservados)
A asfixia perinatal ainda contribui de maneira importante para a mortalidade neonatal, que, por sua vez, é um dos principais componentes da mortalidade de crianças menores de 5 anos. Grande parte dos óbitos neonatais precoces associados a processos asfíxicos é evitável.
guinsburg9.jpg Autor:
Ruth Guinsburg
Columnista Experto de SIIC

Institución:
Universidade Federal de São Paulo

Artículos publicados por Ruth Guinsburg
Coautor
Maria Fernanda Branco de Almeida* 
Professora Associada da Disciplina de Pediatria Neonatal, Universidade Federal de São Paulo, São Paulo, Brasil*
Recepción del artículo
12 de Octubre, 2007 		Aprobación
3 de Diciembre, 2007
Primera edición
10 de Enero, 2008 		Segunda edición, ampliada y corregida
7 de Junio, 2021

MORTALIDADE NEONATAL ASSOCIADA A ASFIXIA PERINATAL

Resumen
A mortalidade neonatal precoce, para a qual a contribuição dos processos asfíxicos ocorridos no período periparto gira ao redor de 20%-25%, é um marcador do desenvolvimento humano, nas diversas regiões do mundo. Para diminuir as taxas de mortalidade neonatal precoce, esforços efetivos devem ser feitos no sentido de diminuir as desigualdades sociais, favorecendo o acesso universal da gestante a serviços qualificados de saúde, que incluem além da assistência adequada à mulher durante o período pré-natal, trabalho de parto e parto, o cuidado ao recém-nascido por profissionais treinados a manter e, se necessário, melhorar as suas condições vitais.

Palabras clave
mortalidade neonatal, asfixia neonatal, ressuscitação cardiopulmonar, recém-nascido


Artículo completo
(castellano)
Extensión:  +/-5.3 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

AN AVOIDABLE TRAGEDY: NEONATAL DEATHS ASSOCIATED TO PERINATAL ASPHYXIA

Abstract
Early neonatal mortality is an indicator of human development around the world. Asphyxia contributes to about 20-25% of these early deaths. In order to reduce early neonatal mortality rates, effective efforts should be directed to decrease social inequities by improving the access of pregnant women to health services, including appropriate care during the pre-natal period, labor and delivery. The newborn infants should be assisted by professionals skilled in recognizing the need for life support procedures and in executing them.

Key words
neonatal mortality, asphyxia neonatorum, cardiopulmonary resuscitation, newborn infant

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Pediatría
Relacionadas: Medicina Familiar, Medicina Interna, Obstetricia y Ginecología



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Enviar correspondencia a:
Ruth Guinsburg, Universidade Federal de São Paulo Escola Paulista de Medicina, 01410-020, Rua Vicente Felix 77 apto 09, São Paulo, Brasil
Bibliografía del artículo
1. Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS; Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet 362:65-71, 2003.
2. Bryce J, Terreri N, Victora CG, Mason E, Daelmans B, Bhutta ZA et al. Countdown to 2015: tracking intervention coverage for child survival. Lancet 368:1067-76, 2006.
3. Ngoc NT, Merialdi M, Abdel-Aleem H, Carroli G, Purwar M, Zavaleta N et al. Causes of stillbirths and early neonatal deaths: data from 7993 pregnancies in six developing countries. Bull World Health Organ 84:699-705, 2006.
4. Lawn J, Shibuya K, Stein C. No cry at birth: global estimates of intrapartum stillbirths and intrapartum-related neonatal deaths. Bull World Health Organ 83:409-17, 2005.
5. Fenn B, Kirkwood BR, Popatia Z, Bradley DJ. Inequities in neonatal survival interventions: evidence from national surveys. Arch Dis Child Fetal Neonatal Ed 92:F361-6, 2007.
6. Green A, Gerein N. Exclusion, inequity and health system development: the critical emphases for maternal, neonatal and child health. Bull World Health Organ 83:402, 2005.
7. Lawn JE, Cousens S, Zupan J; Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: when? Where? Why? Lancet 365:891-900, 2005.
8. Ministério da Saúde. Datasus [homepage on the Internet]. Óbitos infantis desde 1979 Brasil [cited 2007 Sep 24]. Available from: tabnet.datasus.gov.br/cgi/deftohtm.exe?sim/cnv/infuf.def.
9. Ministério da Saúde. Datasus [homepage on the Internet]. Nascidos vivos desde 1994 Brasil [citad 2007 Sep 24]. Available from: tabnet.datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvuf.def.
10. Ministério da Saude [homepage on the Internet]. Indicadores e Dados Básicos - Brasil - 2006: C. Indicadores de Mortalidade [cited 2007 Sep 24]. Available from: tabnet.datasus.gov.br/cgi/idb2006/matriz.htm#mort.
11. World Health Organization [homepage on the Internet]. Mortality country fact sheet 2006 [cited 2007 Sep 24]. Available from: www.who.int/whosis/mort/profiles/mort_amro_bra_brazil.pdf.
12. Almeida MF, Guinsburg R, Costa JO, Anchieta LM, Freire LM, Brazilian NRP Investigators. Delivery room care of term neonates across Brazil: a prospective multicenter study. Abstract E-PAS 59:4856.258, 2006. Available from: www.abstracts2view.com/pas/view.php?nu=PAS6L1_1049.
13. Almeida MFB, Guinsburg R, Costa JO, Anchieta LM, Freire LMS; Brazilian NRP Investigators. Material and human resources for neonatal resuscitation in public maternity hospitals of Brazilian State capitals. SP Med J (in press).
14. Almeida MF, Guinsburg R, Costa JO, Anchieta LM, Freire LM, Brazilian NRP Investigators. Teaching neonatal resuscitation at public hospitals in Brazilian state capitals. J Ped (Rio J) 81:233-9, 2005.
15. Daripa M, De Almeida MFB, Guinsburg R, Caldas HMG, Jordani M, Flores LPO et al. Perinatal asphyxia and early neonatal deaths in São Paulo State of Brazil: 2001-2003. Abstract E-PAS 2007; 5911.4. Available from: www.abstracts2view.com/pas/view.php?nu=PAS07L1_242.
16. Drumond EF, Machado CJ, Franca E. Early neonatal mortality: An analysis of multiple causes of death by the Grade of Membership method. Cad Saude Publica 23:157-66, 2007.
17. Lansky S, França E, Kawachi I. Social inequalities in perinatal mortality in Belo Horizonte, Brazil: the role of hospital care. Am J Public Health 97:867-73, 2007.
18. Saving the lives of mothers and newborns. US: Save the Children; 2006. Available from: www.savethechildren.org/publications/mothers/2006/SOWM_2006_final.pdf.
19. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, De Bernis L; Lancet Neonatal Survival Steering Team. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 365:977-88, 2005.
20. The International Liaison Committee on Resuscitation. The International Liaison Committee on Resuscitation (ILCOR) - consensus on science with treatment recommendations for pediatric and neonatal patients: neonatal resuscitation. Pediatrics 117:e978-88, 2006.
21. American Academy of Pediatrics [homepage on the Internet]. Neonatal Resuscitation Program - International: NRP Translations [cited 2007 Aug 20]. Available from: www.aap.org/nrp/intl/intl_translations.html.
22. Almeida MFB, Guinsburg R. Histórico dos cursos de treinamento para a reanimação neonatal. In Rego JD, editor. Reanimação neonatal. São Paulo: Atheneu pp. 173-8, 2004.
23. American Academy of Pediatrics [homepage on the Internet]. Neonatal Resuscitation Program - International: Instructor Update International Articles [cited 2007 Sep 24]. Available from: www.aap.org/nrp/newsletter/2007_springsummer.pdf#page=15.
24. Blond MH, Gold F, Drucker J, Lionnet C, Rondeau C, Guerois M et al. Newborn resuscitation in the delivery room: evaluation of a regional training program conducted in 1990 in the Centre region. J Gynecol Obstet Biol Reprod (Paris) 23:202-8, 1994.
25. Ryan CA, Clark LM, Malone A, Ahmed S. The effect of a structured neonatal resuscitation program on delivery room practices. Neonatal Netw 18:25-30, 1999.
26. Duran R, Aladag N, Vatansever U, Sut N, Acunas B. The impact of Neonatal Resuscitation Program courses on mortality and morbidity of newborn infants with perinatal asphyxia. Brain Dev 2007.
27. Patel D, Piotrowski ZH, Nelson MR, Sabich R. Effect of a statewide neonatal resuscitation training program on Apgar scores among high-risk neonates in Illinois. Pediatrics 107:648-55, 2001.
28. Patel D, Piotrowski ZH. Positive changes among very low birth weight infant Apgar scores that are associated with the Neonatal Resuscitation Program in Illinois. J Perinatol 22:386-90, 2002.
 
 
 
 
 
 
 
 
 
 
 
 
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