Project Pró-Natal: population-based study of perinatal and infant mortality in Natal, Northeast Brazil

dc.contributor.authorRamos, Ana Maria Oliveira
dc.contributor.authorMaranhão, Técia Maria de Oliveira
dc.contributor.authorMacedo, Albanita Leite Soares de
dc.contributor.authorPollock, Jon I.
dc.contributor.authorEmond, Alan
dc.date.accessioned2010-09-03T17:25:40Z
dc.date.available2010-09-03T17:25:40Z
dc.date.issued2000
dc.descriptionRAMOS, Ana Maria de Oliveira et al. Project Pró-Natal: population-based study of perinatal and infant mortality in Natal, Northeast Brazil. Pediatric and Developmental Pathology, v.3, n.1, p.29-35, 2000pt_BR
dc.description.abstractThe Pró-Natal project is a collaborative initiative that aims to improve maternal and infant health in a deprived community in Natal, Northeast Brazil. To assess the perinatal and infant mortality in this population of 40,000, we have collected over a 2-year period a consecutive series of 39 autopsy examinations on deaths under 1 year of age. During this period there were 2212 live births in the study population. The 14 perinatal deaths are described using theWrigglesworth classification, and the 25 infant deaths, using a clinicopathological system. The contribution of normally formed stillbirths was small (14%), which probably reflects the underreporting of stillbirths in this community. The most common cause of death in the live births was complications of prematurity (43%). Specific causes (22%) of perinatal deaths were predominantly infections, including one case of congenital syphilis. Perinatal asphyxia was diagnosed in 14%, and there was one case (7%) of a chromosome abnormality. Infant deaths were predominantly due to respiratory (45%) and gastrointestinal infections (28%), with chronic malnutrition as an underlying cause in 80% of cases. Prenatal care could theoretically have prevented three of the perinatal deaths, and a further six deaths could have been avoided by improved management of labor and the immediate neonatal period. Prevention of malnutrition and improved treatment of acute infections would contribute to a reduction in infant mortality in this population. The Pró-Natal project will use these data to design preventative interventions to reduce perinatal and infant mortality in this communitypt_BR
dc.identifier.citationRAMOS, A. M. O.; MARANHÃO, T. M. O.; MACEDO, A. L. S.; POLLOCK, J. I.; EMOND, A. (2000)pt_BR
dc.identifier.urihttps://repositorio.ufrn.br/jspui/handle/1/2955
dc.language.isoporpt_BR
dc.rightsAcesso Aberto
dc.subjectInfant mortalitypt_BR
dc.subjectPerinatal mortalitypt_BR
dc.subjectAutopsypt_BR
dc.subjectMalnutritionpt_BR
dc.subjectMortalidade infantilpt_BR
dc.subjectMortalidade perinatalpt_BR
dc.subjectAutopsiapt_BR
dc.subjectDesnutriçãopt_BR
dc.titleProject Pró-Natal: population-based study of perinatal and infant mortality in Natal, Northeast Brazilpt_BR
dc.typearticlept_BR

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