Fetal and neonatal deaths of children of patients classified as near miss

Rev Bras Enferm. 2017 Jan-Feb;70(1):104-111. doi: 10.1590/0034-7167-2016-0405.
[Article in Portuguese, English]

Abstract

Objective:: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classified with near miss and the factors associated with this outcome.

Method:: a cross-sectional study of 79 women identified with near miss and their newborns. The variables were analyzed using Fisher's exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with significance for p <0.05.

Results:: hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be significant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%).

Conclusion:: prematurity, neonatal asphyxia, and early respiratory distress were significant characteristics for the outcome among newborns.

MeSH terms

  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Hypertension / complications
  • Hypertension / epidemiology
  • Infant
  • Infant Mortality / trends*
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal / organization & administration
  • Intensive Care Units, Neonatal / statistics & numerical data
  • Maternal Mortality / trends
  • Near Miss, Healthcare / statistics & numerical data*
  • Near Miss, Healthcare / trends
  • Perinatal Mortality / trends*
  • Risk Factors