Mortalidade perinatal: análise de necropsias médico-legais no período de 2018 a 2022
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Data
2022-11-09
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso embargado
Editora
Autores
Machado, Maria Eduarda Brígido
Alves, Bruna Fernandes Olivier
Orientador
Fortunato, Jucélia Jeremias
Coorientador
Resumo
Objetivos: caracterizar perfil sociodemográfico da população de estudo; analisar a causa mortis descrita no laudo; identificar os eventos que contribuíram para o óbito; avaliar a qualidade do preenchimento da Declaração de Óbito (DO) e verificar o acompanhamento pré-natal dessas crianças. Métodos: estudo transversal, utilizando dados secundários de laudos de necropsias realizadas nos Serviços de Verificação de Óbito de Criciúma e Tubarão. Incluiu-se indivíduos com óbito entre a 22 semanas de gestação e o sexto dia de vida, excluindo aqueles com mais de 50% do laudo sem preenchimento. Foram avaliadas as informações presentes na DO, nos laudos da necropsia e nos exames complementares. Resultados: foram avaliados um total de 212 laudos de necropsia. Dentre esses, 51,4% correspondiam ao sexo feminino e 87,7% eram brancos. A maioria (85,5%) dos casos analisados eram óbitos fetais, sendo as complicações da placenta, do cordão umbilical e das membranas (CID P02) a causa principal de morte, com 73,1% dos casos. Observou-se falta de preenchimento das causas intermediárias em 84,4%, e das condições significativas que contribuíram para o óbito em 98,5% dos laudos. Quanto ao pré-natal, 89,6% realizaram o acompanhamento. Conclusão: ressalta-se que a mortalidade perinatal é um indicador crucial para avaliação pré-natal e de fatores relacionados à mãe e à gestação. Isso porque será por meio das informações epidemiológicas relacionadas a ela que os recursos públicos serão distribuídos, visando reduzir os agravos perinatais e melhorar os indicadores de saúde
Objectives: characterize the sociodemographic profile of the study population; analyze the cause of death described in the report; identify the events that contributed to the death; evaluate the quality of the completion of the Death Certificate (DC) and verify the prenatal follow-up of these children. Methods: cross-sectional study, using secondary data from necropsy reports performed at the Criciúma and Tubarão’s Death Verification Services. Individuals with death between 22 weeks of gestation and the sixth day of life were included, excluding those with more than 50% of the report without completion. The information present in the DC, necropsy reports and complementary tests were evaluated. Results: a total of 212 necropsy reports were evaluated. Among these, 51,4% corresponded to females and 87,7% were caucasians. The majority (85.5%) of the cases analyzed were fetal deaths, with complications of the placenta, umbilical cord and membranes (ICD P02) being the main cause with 73,1% of the cases. There was a lack of completion of intermediate causes in 84,4%, and significant conditions that contributed to death in 98,5% of the reports. Regarding prenatal care, 89.6% underwent follow-up. Conclusion: it is emphasized that perinatal mortality is a crucial indicator for prenatal evaluation and factors related to mother and pregnancy. This is because it will be through epidemiological information related to it that public resources will be distributed, in order to reduce the diseases and improve health indicators.
Objectives: characterize the sociodemographic profile of the study population; analyze the cause of death described in the report; identify the events that contributed to the death; evaluate the quality of the completion of the Death Certificate (DC) and verify the prenatal follow-up of these children. Methods: cross-sectional study, using secondary data from necropsy reports performed at the Criciúma and Tubarão’s Death Verification Services. Individuals with death between 22 weeks of gestation and the sixth day of life were included, excluding those with more than 50% of the report without completion. The information present in the DC, necropsy reports and complementary tests were evaluated. Results: a total of 212 necropsy reports were evaluated. Among these, 51,4% corresponded to females and 87,7% were caucasians. The majority (85.5%) of the cases analyzed were fetal deaths, with complications of the placenta, umbilical cord and membranes (ICD P02) being the main cause with 73,1% of the cases. There was a lack of completion of intermediate causes in 84,4%, and significant conditions that contributed to death in 98,5% of the reports. Regarding prenatal care, 89.6% underwent follow-up. Conclusion: it is emphasized that perinatal mortality is a crucial indicator for prenatal evaluation and factors related to mother and pregnancy. This is because it will be through epidemiological information related to it that public resources will be distributed, in order to reduce the diseases and improve health indicators.
Palavras-chave
Mortalidade perinatal, Necropsia, Atestado de óbito