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vol.30 suppl.1Incidência do near miss materno no parto e pós-parto hospitalar: dados da pesquisa Nascer no BrasilPesquisa Nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido índice de autoresíndice de assuntospesquisa de artigos
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Cadernos de Saúde Pública

versão impressa ISSN 0102-311X

Resumo

SILVA, Antônio Augusto Moura da et al. Neonatal near miss in the Birth in Brazil survey. Cad. Saúde Pública [online]. 2014, vol.30, suppl.1, pp.S182-S191. ISSN 0102-311X.  http://dx.doi.org/10.1590/0102-311X00129613.

This study used data from the Birth in Brazil survey, a nationwide hospital-based study of 24,197 postpartum women and their newborns, collected between February 2011 and July 2012. A three-stage cluster sampling design (hospitals, days, women) was used consisting of stratification by geographic region, type of municipality (capital or non-capital), and type of hospital financing. Logistic regression was used to identify variables that were potential predictors of neonatal mortality and neonatal near miss indicators. After testing nineteen variables, five were chosen to compose a set of neonatal near miss indicators (birth weight of less than 1,500g, Apgar score of less than 7 in the 5th minute of life, use of mechanical ventilation, gestational age of less than 32 weeks and congenital malformations). The neonatal near miss rate in the Birth in Brazil survey was 39.2 per thousand live births, three and a half times higher than the neonatal mortality rate (11.1 per thousand). These neonatal near miss indicators were able to identify situations with a high risk of neonatal death.

Palavras-chave : Maternal and Child Health; Infant Mortality; Low Birth Weight Infant; Parturition.

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