Abstract
The aim of this study was to improve the completion of item 34 on birth certificates at four maternity hospitals in the city of São Paulo, Brazil, in the year 2008. The database of the Municipal Health Department's Information System on Live Births was used to monitor trends in reporting birth defects. An electronic web-based medical record was used to refer indeterminate cases to a leading medical genetics referral center. The electronic medical record contained the patient history, physical examination, and photographs of the newborn. Four maternity hospitals were assessed, with a total of 10,000 births during the year. None of the four hospitals had a staff geneticist. According to the Information System on Live Births, there was an increase in the number of birth defects reported by the four maternity hospitals when compared to previous years and to records for the city of São Paulo as a whole. Based on the findings, the web-based referral and counter-referral method proved efficient.
Highlights
Os defeitos congênitos dos seres humanos atingem cerca de 2% a 3% de todos os nascidos vivos
Do ponto de vista biológico, representam um grupo heterogêneo de distúrbios do desenvolvimento embrio-fetal, sendo cerca de 60% dos casos de causa desconhecida
Em 1999, tornouse possível o relato dessas informações nas de Nascido Vivo (DNV) por meio da introdução do campo de número 34 “Detectada alguma malformação congênita e/ ou anomalia cromossômica?”, específico para o registro de tais condições [8,9]
Summary
Os defeitos congênitos dos seres humanos atingem cerca de 2% a 3% de todos os nascidos vivos. Http:// www.datasus.gov.br) para acompanhar a evolução do preenchimento do sim, não, sem informação e ignorado do campo 34 da DNV nas quatro maternidades atuantes no estudo e nas demais maternidades do Município de São Paulo.
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