Mortalidade neonatal no Amazonas um estudo epidemiológico

Abstract

To analyze the panorama of neonatal deaths in relation to infant mortality in the Ama-zones. Method: Epidemiological, descriptive and ecological study, based on secondary data from the Mortality Information System (SIM) and Information System on Live Births (SINASC), through the Department of Analysis and Data Tabulation of the National Health System (DATASUS ). Data from all neonatal deaths and their causes were used, as well as data on live births from the state of Amazonas, from 2006-2015. The data were tabulated in a spreadsheet in Excel, later described in figures and tables. The values ​​were presented in absolute and / or relative frequencies, means and rates, by descriptive level. Results: There were 7,835 neonatal deaths, of which 4,503 occurred in the capital (Manaus) and 3,330 in the state. The neonatal mortality rate was 10.20 deaths per thousand live births, close to the general average of mortality rates (neonatal, neonatal and infant) in the same period. In the sociodemographic profile, higher rates were observed for women with extremes of age, multiple gestation and with no schooling. In the neonatal characteristics, the high rates were for the shortest gestational time, extreme low birth weight, indigenous, and less than one week old. The northern mesor region was highlighted in the neonatal mortality rates of the Amazon. The main causes of death were acquired from some conditions in the perinatal period. Conclusion: Neonatal mortality rates are considered low, however, the state of Amazonas still faces challenges in relation to reporting deaths. However, perinatal care has the potential to change neonatal outcomes