Abstract
Describes the socio-economic, reproductive and obstetric characteristics of mothers of newborn children that had neonatal death in Londrina, Parana State, Brazil. The quantitative descriptive retrospective research is based on data retrieved from the declaration of live birth, death certificate and infant death investigation form, between 2000 and 2009. During a period of 10 years, 537 newborn children died; 50.5% of mothers were nulliparous; 60.0% were between 12 and 27 years old; 30.8% had less than seven years of schooling; 55.2% had an income of more than two minimum wages. Over 90.0% of mothers had previous history of infant death prior to pregnancy. Further, 91.4% attended prenatal courses and all of them showed some type of disease during pregnancy which, in most cases, led to the death of the newborn child in the early neonatal period ( p <0.05). Most maternal characteristics investigated could be detected early and controlled in prenatal care.
Highlights
Pregnancy is a time of many changes in women, caused by the inter-relationships between hormonal and psychological factors
Experiences during this period are complex and many items should be taken into account, such as the personal history of the pregnant woman, the timing the pregnancy occurred, the characteristics of its evolution, the socioeconomic factors and health care (MALDONADO, 2002)
Since women experience several changes during pregnancy, prenatal care becomes essential because it meets the unique needs of women during this period
Summary
Pregnancy is a time of many changes in women, caused by the inter-relationships between hormonal and psychological factors. Experiences during this period are complex and many items should be taken into account, such as the personal history of the pregnant woman (psychosexual, gynecologicalobstetric and her relationship with her mother), the timing the pregnancy occurred (type of relationship with partner, age of the mothers episodes of abortion), the characteristics of its evolution (risk of fetal loss or death to the mother), the socioeconomic factors (financially able to care for the child) and health care (quality of care professionals in the prenatal period) (MALDONADO, 2002). Several studies point towards policies to expand coverage of prenatal monitoring and implementation of measures that provide improved care quality and Maringá, v. 37, n. 1, p. 41-46, Jan.-June, 2015 disease control (MALDONADO, 2002; GAMA et al, 2004; WHO, 2008; SCHOEPS et al, 2007; VIDAL, 2008; BRASIL, 2010)
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