Fatores associados ao NEAR MISS neonatal em uma maternidade de Sergipe, Brasil: um estudo caso-controle no período de 1 ano

Abstract

The fight against infant mortality and the development of practices of care for pregnant women integrate challenging questions regarding maternal and child health. The understanding of the idea of near miss neonatal (NMN) comes as a tool to study the quality of indicators that has a strong influence on infant morbidity and mortality, as well as pointing out solutions to the challenges surrounding this issue. The present study aims to explore the risk factors for neonatal near miss in a maternity hospital of high complexity in the city of Aracaju / Sergipe / Brazil. A case-control study was carried out, whereby for each recognized case two controls were chosen. In the period of October 2014 and September 2015, cases of neonatal near miss in a high-risk maternity hospital in the city of Aracaju were recognized through interviews and medical records collection. The criteria for neonatal near miss classification were: very low birth weight; gestational age less than 32 weeks and Apgar score less than 7 in the fifth minute of life. The results showed that newborns from nonpregnant mothers demonstrated a higher risk for near miss neonatal, compared with those from pre- natal mothers (OR = 0.16, 95% CI: 0.07-0.37 ). The information obtained in the present study corroborates the fact that prenatal care requires more resources to reach a greater number of pregnant women. This may reduce maternal and infant morbidity and mortality rates.