dos Santos Hellen Geremias, de Andrade Selma Maffei, Silva Ana Maria Rigo, Mathias Thais Aidar de Freitas, Ferrari Lígia Lopes, Mesas Arthur Eumann
Cien Saude Colet. 2014 Mar;19(3):907-16. doi: 10.1590/1413-81232014193.01182013.
Avoidable infant mortality was compared in the cohorts of live births in 2000/20001 and 2007/2008 in Londrina in the state of Paraná. Data on live births and infant deaths were matched in a single database and the underlying causes of death were classified according to the Brazilian List of Avoidable Causes of Mortality of the Brazilian Unified Health System. The proportional variations of death rates were calculated and the technique of correspondence analysis was used. The proportions of avoidable deaths were 71.6% in 2000/2001 and 65.5% in 2007/2008. Avoidable mortality rate due to "care of the woman during pregnancy" was the most frequent in the two biennials with an increase of 16.7%. There was a decline in avoidable mortality rates due to other causes. In 2000/2001, correspondence analysis revealed a profile of deaths characterized mainly by causes avoidable by "care of the woman during labor" and "health promotion/care" while, in 2007/2008, by causes avoidable by "care of the woman during pregnancy," particularly among low birth weight newborns and "not clearly avoidable," among those with adequate weight. Despite a reduction in some avoidable causes of deaths, improvements in prenatal care are required.
对巴拉那州隆德里纳市2000/2001年和2007/2008年活产队列中的可避免婴儿死亡率进行了比较。活产和婴儿死亡数据在一个单一数据库中进行匹配，死亡根本原因根据巴西统一卫生系统的巴西可避免死亡原因清单进行分类。计算了死亡率的比例变化，并使用了对应分析技术。2000/2001年可避免死亡的比例为71.6%，2007/2008年为65.5%。在这两个两年期内，“孕期妇女护理”导致的可避免死亡率最为常见，增长了16.7%。其他原因导致的可避免死亡率有所下降。2000/2001年，对应分析显示死亡特征主要是由“分娩期妇女护理”和“健康促进/护理”可避免的原因导致的，而在2007/2008年，是由“孕期妇女护理”可避免的原因导致的，特别是在低出生体重新生儿中，以及在体重正常的新生儿中由“不太明确可避免”的原因导致的。尽管一些可避免死亡原因有所减少，但仍需要改善产前护理。
