Prenatal (41 variables) |
Number of prenatal doctor visits (exact) |
9,6 |
0,8 |
7,9 |
1,9 |
Where prenatal care was carried out (health unit) |
8,7 |
2,2 |
7,1 |
2,8 |
Week or month of pregnancy in whichprenatal care was begun |
9,7 |
0,9 |
8,0* |
3,0* |
Pregnancy card (visits and dates) |
Date ofvisits |
9,4 |
1,0 |
7,0* |
3,0* |
Weeks of pregnancy (amenorrhea) |
9,6 |
0,8 |
7,4 |
2,7 |
Weight (kg) |
9,4 |
1,1 |
7,0* |
3,0* |
Blood pressure (mmHg) |
9,9 |
0,3 |
8,0* |
3,0* |
Uterineheight (cm) |
9,1 |
1,3 |
6,8 |
2,9 |
Fetal heartbeats (Batimentos cardíacos fetais - BCF) |
9,6 |
1,0 |
7,0* |
3,2* |
Complementary exams (if done, dates, results) |
Urine tests |
9,7 |
0,8 |
7,5 |
2,7 |
Urine sample in the case of urinary tract infection (UTI) |
9,8 |
0,6 |
7,5 |
2,7 |
Fasting glycaemia |
9,8 |
0,5 |
7,3 |
2,7 |
Hb/ Hematocrit |
9,3 |
1,4 |
7,3 |
2,7 |
Blood classification |
9,7 |
0,6 |
7,5 |
2,7 |
VDRL test |
10,0 |
0,2 |
8,4 |
2,4 |
Anti-HIV test |
9,9 |
0,4 |
8,5 |
2,5 |
Other serology tests |
8,9 |
1,3 |
7,7 |
2,6 |
Obstetric/fetal ultrasound |
9,6 |
0,8 |
7,6 |
2,7 |
Adequate vaccine plan against tetanus at the end of pregnancy |
9,3 |
1,2 |
9,0* |
3,0* |
Maternal complications in the pregnancy |
Hypertension |
9,8 |
0,5 |
8,0 |
2,1 |
Hemorrhage |
9,7 |
0,6 |
7,5 |
2,1 |
Diabetes |
9,8 |
0,4 |
7,9 |
2,1 |
Anemia |
9,4 |
0,9 |
7,5 |
2,1 |
Heart disease |
9,6 |
0,7 |
7,2 |
2,3 |
Urinary infection |
9,9 |
0,3 |
8,0 |
2,2 |
Vulvovaginitus |
9,7 |
0,8 |
7,7 |
2,2 |
Syphilis |
10,0 |
0,2 |
8,8 |
1,9 |
Rubella |
9,5 |
1,5 |
8,2 |
2,3 |
Respiratory infection |
8,6 |
1,8 |
6,6 |
2,8 |
Threat of premature birth |
9,8 |
0,4 |
7,8 |
2,1 |
Obesity |
9,0 |
1,5 |
7,2 |
2,5 |
Alcohol use |
9,3 |
1,0 |
8,1 |
1,8 |
Smoking |
9,4 |
1,0 |
8,1 |
1,9 |
Illicit drugs |
9,5 |
0,8 |
8,5 |
1,8 |
Use of medication (what type) |
9,3 |
1,1 |
8,3 |
1,9 |
Treatment of prenatal complications (which and when) |
9,9 |
0,3 |
8,0 |
2,4 |
In areas covered by PSF or PACS |
Received a visit from a Community Health Agent (Agente Comunitário de Saúde- ACS) during pregnancy |
9,2 |
2,1 |
8,0* |
3,3* |
Number of ACS visits during pregnancy |
9,5 |
1,0 |
8,0* |
3,0* |
Pregnancy history (including the child that died) |
Number of pregnancies |
8,6 |
2,2 |
7,5 |
2,9 |
Number of vaginal and cesarean births |
8,6 |
1,6 |
6,0* |
3,1* |
Number of live births, stillbirths, and abortions |
9,5 |
1,2 |
8,0 |
2,7 |
Pregnancy and childbirth (23 variables) |
Where did the birth occur (health unit/name, home, other) |
9,4 |
1,2 |
8,0 |
2,3 |
A partogram was used during labor |
9,0 |
2,1 |
5,0* |
3,1* |
Labor was induced |
9,2 |
1,3 |
7,1 |
2,6 |
Quick test for syphilis (VDRL) was carried out |
9,9 |
0,4 |
8,6 |
2,2 |
Quick test for HIV was carried out |
9,7 |
0,9 |
8,4 |
2,3 |
Gestational age (exact) |
9,5 |
1,0 |
8,8 |
1,6 |
Type of pregnancy (single, double, triple, or more) |
9,3 |
1,2 |
8,2 |
1,8 |
Type of birth |
9,4 |
1,2 |
8,3 |
2,1 |
If cesarean, did the intervention occur before labor started? |
9,3 |
1,7 |
7,3 |
2,8 |
When did the rupture of membranes occur? |
9,7 |
0,8 |
7,8 |
2,2 |
Odor of amniotic fluid |
9,7 |
0,7 |
7,8 |
2,2 |
Aspect of amniotic fluid |
9,7 |
0,7 |
7,6 |
2,1 |
Weight at birth |
9,9 |
0,4 |
9,6 |
1,1 |
Apgar score |
9,7 |
0,8 |
9,6 |
0,6 |
Length of stay of the newborn in the maternity ward |
9,6 |
0,7 |
9,4 |
1,2 |
In case they stayed more than 48h in maternity or in the transfer health unit |
Reason |
9,7 |
0,6 |
9,2 |
1,6 |
Discharge in maternity/transfer unit before the death occurrence? |
9,1 |
2,2 |
8,7 |
2,5 |
Clinical history before the discharge/death |
9,8 |
0,7 |
9,3 |
1,5 |
Treatment |
9,7 |
0,7 |
9,3 |
1,5 |
Exams |
9,7 |
0,6 |
8,9 |
2,0 |
Procedures |
9,7 |
0,6 |
8,9 |
1,9 |
In indication of ICU/mechanical ventilation –was it given in a timely manner? |
9,7 |
0,9 |
8,7 |
2,1 |
In case of need for transferal – was one granted in a timely manner? |
9,7 |
0,9 |
8,7 |
2,2 |
Childcare (11 variables) |
The child had monitoring via childcare |
NA |
9.8 |
0.5 |
Local where monitoring took place (health unit) |
NA |
8.8 |
1.7 |
Time of exclusive breastfeeding |
NA |
9.9 |
0.4 |
Number of visits between birth/death |
NA |
9.6 |
0.8 |
Received a visit from ACS (for an area covered by PSF or PACS) |
NA |
9.6 |
0.8 |
Child’s Card |
Did they have a Child’s Card? |
NA |
9.5 |
0.8 |
Vaccination on schedule |
NA |
9.8 |
0.6 |
Weigh/age curve |
NA |
9.9 |
0.4 |
Development (normal for age or evidence of delay) |
NA |
9.7 |
0.7 |
History of previous illnesses |
NA |
9.8 |
0.5 |
Hospital internment |
NA |
9.8 |
0.5 |
Family characteristics (13 variables) |
Private health insurance plan |
6,5 |
2,5 |
6,5 |
2,6 |
Monthly Family income in the period of the death |
8,3 |
2,0 |
9,0 |
1,3 |
Number of persons living in the home in the period of the death |
7,7 |
1,8 |
8,7 |
1,3 |
Number of children less than five years old |
7,5 |
2,4 |
8,3 |
2,2 |
Number of rooms used as a bedroom |
7,1 |
2,5 |
8,3 |
2,2 |
Type of housing (owned, rented, donated, or occupied) |
7,8 |
1,6 |
8,6 |
1,2 |
Dominant construction material of the home |
7,9 |
2,1 |
8,6 |
1,8 |
Source of water supply |
7,9 |
2,2 |
9,2 |
1,0 |
Type of sanitation system |
8,1 |
2,2 |
9,4 |
0,8 |
Destination for garbage/domestic refuse |
7,9 |
2,1 |
9,2 |
0,9 |
Distance to health services |
8,1 |
2,5 |
8,3 |
2,9 |
Availability of doctor visits |
8,3 |
2,8 |
9,1 |
1,6 |
Who cared for the child |
NA |
8,8 |
2,2 |
Occurrence of death (12 variables) |
Place where the death occurred (health unit/name, home, other) |
9,5 |
1,1 |
9,6 |
1,1 |
Death at a health unit |
Time of hospitalization in the unit where the death occurred |
9,5 |
0,9 |
9,4 |
0,9 |
Sector of the death occurrence |
9,4 |
1,0 |
9,4 |
1,0 |
The child arrived by transfer from another unit/which? |
9,0 |
2,3 |
9,5 |
1,1 |
Diagnostic hypothesis of entry at the unit where the death occurred |
9,7 |
0,8 |
9,7 |
0,8 |
Clinical history/physical exam |
9,9 |
0,4 |
9,9 |
0,4 |
Weight during hospitalization |
9,3 |
2,1 |
9,7 |
0,6 |
Development/treatment |
9,8 |
0,6 |
9,8 |
0,6 |
Exams |
9,7 |
0,7 |
9,7 |
0,7 |
Final diagnosis |
9,7 |
0,6 |
9,8 |
0,6 |
Autopsy carried out |
9,5 |
1,1 |
9,6 |
1,1 |
Description of the autopsy report |
9,6 |
0,9 |
9,6 |
0,8 |
Conclusions and recommendations (20 variables) |
After the investigation, the death was discussed? |
9,7 |
0,9 |
9,7 |
0,9 |
The discussion occurred in and Expandedor Restricted Technical-Management? |
8,8 |
2,3 |
8,8 |
2,3 |
The investigation validated or altered one or more of the filled-out variables of the DNV or the DO? If so, which? |
9,3 |
1,4 |
9,3 |
1,4 |
The investigation validated/altered the sequence of causes of death?If so, describe the causes of death after the investigation |
9,4 |
1,1 |
9,4 |
1,1 |
In relation to healthcare, the investigation furnished sufficient elements to identify successes and problems in: a: |
Family planning |
8,6 |
2,4 |
8,0 |
2,4 |
Coverage of primary care |
8,9 |
2,2 |
9,4 |
1,2 |
Prenatal |
9,7 |
0,9 |
8,2 |
2,1 |
Assistance during birth |
9,6 |
0,9 |
8,2 |
1,8 |
Assistance to the newborn in the maternity ward |
9,6 |
1,0 |
8,0 |
2,1 |
Assistance to the child in the Health Center/UBS/PSF/PACS |
NA |
9,7 |
0,9 |
Assistance to the child in urgent care / emergency room |
NA |
9,2 |
2,3 |
Assistance to the child in the hospital |
9,1 |
2,3 |
9,5 |
1,0 |
Reference and counter-reference |
9,1 |
2,3 |
9,5 |
1,2 |
Bed at ICU – high-risk pregnancy |
9,2 |
2,2 |
2,0* |
3,1* |
Bed at ICU Neonatal |
9,7 |
0,9 |
8,3 |
2,6 |
Center of regulation |
9,0 |
1,8 |
8,6 |
2,2 |
Pre- and inter-hospital transport |
8,8 |
2,3 |
9,3 |
1,3 |
Blood banks |
9,2 |
1,3 |
9,0 |
1,7 |
The information from the investigation was sufficient for the group to classify the death as avoidable? |
9,3 |
1,3 |
9,3 |
1,2 |
The discussion of the death generated specific recommendations for the inherent problems identified at the health sector |
9,5 |
1,0 |
9,5 |
1,0 |