In the 2018/2019 biennium, it was found that about 64% of infant deaths in the State of Espírito Santo, Brazil, resulted from obituary causes common to fetal deaths, qualifying them as typical mutually exclusive events, in which the occurrence of one of them symptomatically excludes the occurrence of the other for the same obituary cause, thus establishing an inexorable relationship of excluding interdependence, inversely associating the occurrences between them. Raising the question about the implications of this relationship in the analytical perspective of the phenomenon of infant mortality, a question that became the guiding principle in the conduct of this work. From which he formulated the objective of analyzing this relationship with a view to revealing the complexity of the phenomenon of infant mortality, bringing to light new elements hitherto unknown. In this sense, as a methodological basis for the empirical analysis, focused on the State of Espírito Santo, it formulated a theoretical/conceptual model enabling the simultaneous analysis of the two events, considering them conceptually differentiated, however, interrelated, demonstrating empirically the existence of a cyclical dynamic intrinsic to the phenomenon, sustained by endogenous forces originating from the excluding interdependence relationship, resulting from the sharing of obituary causes between infant and fetal deaths. Hence, in response to the guiding question, it was concluded that there was an urgent need to rethink the analysis of infant mortality, breaking the tradition restricted only to the deaths of children aged 0 to 1 year, at the risk of gross errors in the interpretation of reality. According to the objective outlined, it analyzed the interaction between this endogenous dynamics and exogenous forces emanating from restrictive structural factors (poverty, sanitation, etc.), revealing new elements inherent to the complexity of the phenomenon, such as, for example, on the hybrid action of exogenous and endogenous factors in determining infant mortality rates, among others. Finally, tying together the various points discussed, this work demonstrates the validity of the thesis that identifies in the interaction between fetal deaths and infant deaths from common obituary causes, the origin of autonomous endogenous forces, supporting an endogenous cyclical dynamic, through which it radiates its harmful effects throughout the universe of infant mortality, systematically altering scenarios of reality.
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