DEATHS IN A NEONATAL INTENSIVE CARE UNIT IN THE HOSPITAL AND MATERNITY DONA IRIS

Abstract

Introduction: Currently, it is known that neonatal mortality is associated with the quality of health care, it is the main factor in infant mortality. The neonatal intensive care unit (NICU) appears as an expectation and one of the most effective factors in trying to reduce neonatal mortality in the country. The main causes of deaths are prematurity, congenital malformation, intrapartum asphyxia, perinatal infections and maternal factors. Objective: To describe the incidence profile of the causes found in deaths in the NICU of the Hospital e Maternidade Dona Iris (HMDI) from January 2016 to December 2018. Methods: This is a cross-sectional study, where the number and number of mortality profile at the HMDI NICU, Goiânia, Goiás, from 2016 to 2018. A review of the electronic medical record was carried out. Results: Total number of 126 deaths occurred in the HMDI NICU, with 45 deaths in 2016, with the highest incidence in extremely premature newborns (gestational age <28 weeks). With the total number of deaths less than 28 weeks equal to 20, between 28 weeks and 33 weeks and 6 days 13 deaths, 34 weeks to 36 weeks and 6 days 4 deaths. Among the term newborns (RNT- 37 weeks to 41 weeks and 6 days), 8 deaths and post-term newborns (> 42 weeks) were not registered. In 2017, 34 deaths were recorded, 14 of which in newborns less than 28 weeks of gestational age, 12 deaths between 28 weeks and 33 weeks and 6 days, 1 death between 34 weeks and 36 weeks and 6 days, 7 deaths in RNT and not there was death in a post-term newborn. And in 2018, 47 deaths were recorded, 24 deaths in newborns under 28 weeks, 12 deaths between 28 weeks and 33 weeks and 6 days, 4 deaths between 34 weeks and 36 weeks and 6 days, 7 deaths in RNT and there was no death in post-term newborns. Conclusion: In 2016, 45 deaths were found, with the highest incidence in extremely premature newborns (gestational age <28 weeks). Among the term newborns (RNT- 37 weeks to 41 weeks and 6 days), 8 deaths and post-term newborns (> 42 weeks) were not registered. In 2017, 34 deaths were recorded, 14 of which in newborns less than 28 weeks of gestational age, 12 deaths between 28 weeks and 33 weeks and 6 days, 1 death between 34 weeks and 36 weeks and 6 days, 7 deaths in RNT and not death occurred in post-term newborns. In 2018, 47 deaths were recorded, with 24 deaths in newborns aged less than 28 weeks, 12 deaths between 28 weeks and 33 weeks and 6 days, 4 deaths between 34 weeks and 36 weeks and 6 days, 7 deaths in newborns and not recorded death in post-term newborns.