title: [Association between prenatal care and neonatal deaths, 2000-2009, Londrina-PR].
abstract: The study aimed to analyze the prenatal care for mothers of infants who died in the neonatal period, in Londrina-PR, through a quantitative retrospective cohort study, between 2000 and 2009. Almost all women held the prenatal care (91.4 %), with 55.1 % up to six consultations. In ten years, the low number of visits (≤ 6) predominated. There was a statistically significant relationship between the number of prenatal visits and maternal sociodemographic variables (p < 0.004) and characteristics of the labor and the newborn (p < 0.001). The surgical delivery was predominant among women with ≥ 7 queries (71.3 %). Among women with ≤ 6 prenatal visits, 65.9 % of births occurred before 32 weeks of gestation, 79.8 % of the newborns had Apgar scores ≤ 6 at 1 minute and 51.7 % weight ≤ 1000 grams. Most deaths occurred in the early neonatal period (72.6 %). We highlight the necessity of qualitative and integrative prenatal care in this city, considering beyond biological conditions but also maternal socio-economic conditions in order to reduce neonatal deaths.
authors: Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Estadual de Londrina, Londrina, PR, Brasil.
authors: Rosângela Aparecida Pimenta
authors: RA
authors: Ferrari
authors: Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
authors: Maria Rita
authors: MR
authors: Bertolozzi
authors: Departamento de Estatística, Centro de Ciências Exatas, Universidade Estadual de Londrina, Londrina, PR, Brasil.
authors: José Carlos
authors: JC
authors: Dalmas
authors: Departamento de Ciências Farmacêuticas, Centro de Ciências da Saúde, Universidade Estadual de Londrina, Londrina, PR, Brasil.
authors: Edmarlon
authors: E
authors: Girotto
mesh_terms: D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001938:Brazil / Q000453:epidemiology; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D066087:Perinatal Death; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D055815:Young Adult