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Evolução da mortalidade infantil, segundo óbitos evitáveis: macrorregiões de saúde do Estado de Santa Catarina, 1997-2008; Describing infant mortality rate according to death avoidance: Santa Catarina, 1997 2008

Pacheco, Clarice Pires
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 31/01/2011 PT
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INTRODUÇÃO: A busca do entendimento das causas da mortalidade humana está relacionada diretamente ao conhecimento das condições de vida de uma população. Reduzir a mortalidade de crianças é uma das principais metas das políticas de saúde para a infância em todos os países. No Brasil, apesar da redução da mortalidade infantil (MI) observada nos últimos anos, existem, porém, grandes diferenciais do CMI entre algumas populações. OBJETIVO: Estudar a evolução da mortalidade infantil no Estado de Santa Catarina e a tendência de queda dos óbitos infantis evitáveis nas nove Macrorregiões Estaduais de Saúde do Estado, no período de 1997- 2008. METODOLOGIA: Estudo ecológico de séries temporais com cálculo e análise do CMI, segundo componentes e critérios de evitabilidade para óbitos ocorridos nas nove Macrorregiões catarinenses, no período entre 1997-2008. Foram analisadas, por regressão linear simples, as médias trianuais dos óbitos evitáveis, segundo Macrorregiões, no mesmo período. RESULTADOS: analisados 15.146 óbitos ocorridos no primeiro ano de vida, observou-se que 51por cento , aconteceu entre 0 e 6 dias,13,8por cento entre 7 e 27 dias e 35,8por cento , de 28 a 364 dias de vida. O Estado de Santa Catarina registra um dos menores CMIs do país e apresentou queda de 27...

Adaptação transcultural e validação clínica da Neonatal Infant Pain Scale para uso no Brasil

Motta, Giordana de Cássia Pinheiro da
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Dissertação Formato: application/pdf
POR
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Recém-nascidos enfermos experienciam a dor rotineiramente associada a procedimentos invasivos dentro da Unidade de Terapia Intensiva Neonatal. A avaliação da dor tem como objetivo fornecer dados para determinar ações que aliviem a dor do neonato. A Neonatal Infant Pain Scale é uma escala de avaliação da dor para recém-nascidos validada no Canadá e utilizada no Brasil, porém não há um estudo de adaptação transcultural e validação para o país. Este estudo teve o objetivo de realizar a adaptação transcultural e validação clínica do instrumento Neonatal Infant Pain Scale para uso no Brasil. Utilizou-se os passos propostos por Beaton para adaptação transcultural de instrumentos de medida em saúde, envolvendo as etapas de tradução inicial, síntese entre os tradutores, retrotradução, revisão por comitê de especialistas e testagem da versão pré-final a fim de garantir equivalência entre o instrumento original e a tradução. O instrumento final adaptado foi submetido à validação clínica para avaliação da manutenção das propriedades psicométricas de validade, confiabilidade e consistência interna. A amostra consistiu de 60 recém-nascidos a termo e saudáveis submetidos a um procedimento doloroso que foi filmado e avaliado por seis enfermeiros posteriormente...

Infant mortality trends in the state of Rio Grande do Sul, Brazil, 1994-2004 : a multilevel analysis of individual and community risk factors; Tendência da mortalidade infantil no Rio Grande do Sul, Brasil, 1994-2004 : uma análise multinível de fatores de risco individuais e contextuais

Zanini, Roselaine Ruviaro; Moraes, Anaelena Bragança de; Giugliani, Elsa Regina Justo; Riboldi, João
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
ENG
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The aim of this study was to analyze the trend in infant mortality rates in the State of Rio Grande do Sul, Brazil, from 1994 to 2004, in a longitudinal ecological study, by means of panel data analysis and multilevel linear regression (two levels: microregion and time) to estimate factors associated with infant mortality. The infant mortality rate decreased from 19.2‰ (1994) to 13.7‰ (2004) live births, and the principal causes of death in the last five years were perinatal conditions (54.1%). Approximately 47% of the variation in mortality occurred in the microregions, and a 10% increase in coverage by the Family Health Program was associated with a 1‰ reduction in infant mortality. A 10% increase in the poverty rate was associated with a 2.1‰ increase in infant deaths. Infant mortality was positively associated with the proportion of low birthweight newborns and the number of hospital beds per thousand inhabitants and negatively associated with the cesarean rate and number of hospitals per 100 thousand inhabitants. The findings suggest that individual and community variables display significant effects on the reduction of infant mortality rates.

Infant formula and enamel fluorosis A systematic review

Hujoel, Philippe P.; Zina, Livia G.; Moimaz, Suzely A. S.; Cunha-Cruz, Joana
Fonte: Amer Dental Assoc Publicador: Amer Dental Assoc
Tipo: Artigo de Revista Científica Formato: 841-854
ENG
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); Background Researchers have considered infant formula consumption a potential risk factor for enamel fluorosis in the U.S. population. The authors conducted a systematic review of controlled studies regarding the risk of developing enamel fluorosis associated with use of infant formula.Methods. One reviewer independently conducted systematic searches in eight databases. The authors then abstracted information, assessed study quality and combined odds ratios (ORs), when obtainable, by using a random-effects model.Results. After evaluating 969 potentially eligible published studies, the reviewers found that the authors of 41 studies had evaluated the effect of infant formula on enamel fluorosis risk. Authors of 14 of the 41 studies did not report their findings in their results. The authors of the remaining 27 published studies reported the findings of 19 observational studies; authors of 17 of these 19 studies reported ORs and, among these, infant formula consumption was associated with a higher prevalence of enamel fluorosis in the permanent dentition (summary OR 1.8, 95 percent confidence interval [CI] 1.4-2.3). There was significant heterogeneity among studies (I(2) 66 percent) and evidence of publication bias (P=.002). A metaregression analysis indicated that the ORs associating infant formula with enamel analysis indicated by 5 percent for each 0.1-part-per-million increase in the reported levels of fluoride in the water (OR 1.05...

Developmental and evolutionary assumptions in a study about the impact of premature birth and low income on mother–infant interaction

Fuertes, Marina; Faria, Anabela; Soares, Hélia; Crittenden, Patricia
Fonte: Instituto Politécnico de Lisboa Publicador: Instituto Politécnico de Lisboa
Tipo: Artigo de Revista Científica
Publicado em /11/2008 ENG
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In order to study the impact of premature birth and low income on mother–infant interaction, four Portuguese samples were gathered: full-term, middle-class (n=99); premature, middle-class (n=63); full-term, low income (n=22); and premature, low income (n=21). Infants were filmed in a free play situation with their mothers, and the results were scored using the CARE Index. By means of multinomial regression analysis, social economic status (SES) was found to be the best predictor of maternal sensitivity and infant cooperative behavior within a set of medical and social factors. Contrary to the expectations of the cumulative risk perspective, two factors of risk (premature birth together with low SES) were as negative for mother–infant interaction as low SES solely. In this study, as previous studies have shown, maternal sensitivity and infant cooperative behavior were highly correlated, as was maternal control with infant compliance. Our results further indicate that, when maternal lack of responsiveness is high, the infant displays passive behavior, whereas when the maternal lack of responsiveness is medium, the infant displays difficult behavior. Indeed, our findings suggest that, in these cases, the link between types of maternal and infant interactive behavior is more dependent on the degree of maternal lack of responsiveness than it is on birth status or SES. The results will be discussed under a developmental and evolutionary reasoning

Os cursos de Pós-Graduação Lato Sensu em Educação Infantil na Bahia: políticas e práticas da universidade pública; The courses post graduate Lato Sensu in Infant Education in Bahia: policies and practices of the public university

OLIVEIRA, Anatália Dejane Silva de
Fonte: Universidade Federal de Goiás; BR; UFG; Doutorado em Educação; Ciências Humanas Publicador: Universidade Federal de Goiás; BR; UFG; Doutorado em Educação; Ciências Humanas
Tipo: Tese de Doutorado Formato: application/pdf
POR
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This study is integrated to research line of teacher Education and Professionalization of the College of Education, Federal University of Goiás, developed by the Nucleus of Studies and Research of Infancy and Infant Education in Different Contexts. It was investigated the Infant Education, at post graduation courses, Lato Sensu, aiming at analyzing the political nature and the social function of Infant Education at post graduated level of three different universities from the public sector in Bahia. The major assumption underlying this research is that Infant Education at this type of course understands continuing education if it creates the means of a specific training based on a critical and political approach from the process of production condition and of the teacher s work. The investigation was based on the historical and dialectical materialism as a method of knowledge production (MARX, 1977; BARBOSA, 1991, 2004, 2006; SAVIANI, 2008; KUENZER, 2008; KOSIK, 1976). The instruments to gather data were: bibliographic research, document analyses, interviews and questionnaires. During the complex task of analyzing, explaining and exposing, we work with the articulation between three methodological categories (praxis, contradiction and totality) and three conceptual (teacher education...

Aggregate Income Shocks and Infant Mortality in the Developing World

Baird, Sarah; Friedman, Jed; Schady, Norbert
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
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The diffusion of cost-effective life saving technologies has reduced infant mortality in much of the developing world. Income gains may also play a direct, protective role in ensuring child survival, although the empirical findings to date on this issue have been mixed. This paper assembles data from Demographic and Health Surveys (DHS) in 59 countries to analyze the relationship between changes in per capita GDP and infant mortality. The authors show that there is a strong, negative association between changes in per capita GDP and infant mortality- in a first-differenced specification the implied elasticity of infant mortality with respect to per capita GDP is approximately -0.56. In addition to this central result, two findings are noteworthy. First, although there is some evidence of changes in the composition of women giving birth during economic upturns and downturns, the observed changes in infant mortality are not a result of mothers with protective characteristics timing fertility to correspond with the business cycle. Second...

The Effects of Peer Teaching of Infant Massage on General Self-Efficacy and Mother Infant Attachment Among Mothers in a Residential Rehabilitation Facility for Drug Addiction and Substance Abuse

Bango-Sanchez, Vivian M
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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Approximately 200 million people, 5% aged 15-64 worldwide are illicit drug or substance abusers (World Drug Report, 2006). Between 2002 and 2005, an average of 8.2% of 12 year olds and older in the Miami, Fort Lauderdale metropolitan areas used illicit drugs (SAMHSA, 2007). Eight percent of pregnant women, aged 15 to 25, were more likely to have used illicit drugs during pregnancy than pregnant women aged 26 to 44. Alcohol use was 9.8% and cigarette use was 18% for pregnant women aged 15 to 44 (SAMHSA, 2005). Approximately a quarter of annual birth defects are attributed to the exposure of drugs or substance abuse in utero (General Accounting Office, 1991). Physical, psychological and emotional challenges may be present for the illicit drug/substance abuse (ID/SA) mother and infant placing them at a disadvantage early in their relationship (Shonkoff & Marshall, 1990). Mothers with low self efficacy have insecurely attached infants (Donovan, Leavitt, & Walsh, 1987). As the ID/SA mother struggles with wanting to be a good parent, education is needed to help her care for her infant. In this experimental study residential rehabilitating ID/SA mothers peer taught infant massage. Massage builds bonding/attachment between mother and infant (Reese & Storm...

Natural history and familial relationships of infant spilling to 9 years of age

Martin, A.; Pratt, N.; Kennedy, J.; Ryan, P.; Ruffin, R.; Miles, H.; Marley, J.
Fonte: Amer Acad Pediatrics Publicador: Amer Acad Pediatrics
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
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Objectives. To determine the natural history of infant spilling (regurgitation/vomiting) during the first 2 years of life and to determine the relationship between infant spilling and gastroesophageal reflux (GER) symptoms at 9 years of age. Methods. A prospective birth cohort was followed with daily symptom diaries during the first 2 years of life and reviewed at 9 years of age (range: 8–11 years). The prevalence of infant spilling during the first 2 years of life, the prevalence of GER symptoms between 8 and 11 years of age (mean age: 9.7 years), relative risk of infant spilling predisposing to GER symptoms at 9 years of age, and prevalence of maternal GER symptoms and relationship with infant spilling and GER at 9 years of age were measured. Results. A total of 693 children who represented 83% of an original sample of 836 children and were followed for 2 years from birth with daily symptom diaries were contacted at 9 (8–11) years of age. Spilling of most feeds each day was common in infancy and reached a peak prevalence of 41% between 3 and 4 months of age and thereafter declined to < 5% between 13 and 14 months of age. Infants with spilling on 90 days or more during the first 2 years of life (classified as frequent spilling) were more likely to have GER symptoms at 9 years of age. Children with frequent infant spilling...

Preventing early infant sleep and crying problems and postnatal depression: a randomized trial

Hiscock, H.; Cook, F.; Bayer, J.; Le, H.N.; Mensah, F.; Cann, W.; Symon, B.; St James-Roberts, I.
Fonte: American Academy of Pediatrics Publicador: American Academy of Pediatrics
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
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OBJECTIVE: To evaluate a prevention program for infant sleep and cry problems and postnatal depression. METHODS: Randomized controlled trial with 781 infants born at 32 weeks or later in 42 well-child centers, Melbourne, Australia. Follow-up occurred at infant age 4 and 6 months. The intervention including supplying information about normal infant sleep and cry patterns, settling techniques, medical causes of crying and parent self-care, delivered via booklet and DVD (at infant age 4 weeks), telephone consultation (8 weeks), and parent group (13 weeks) versus well-child care. Outcomes included caregiver-reported infant night sleep problem (primary outcome), infant daytime sleep, cry and feeding problems, crying and sleep duration, caregiver depression symptoms, attendance at night wakings, and formula changes. RESULTS: Infant outcomes were similar between groups. Relative to control caregivers, intervention caregivers at 6 months were less likely to score >9 on the Edinburgh Postnatal Depression Scale (7.9%, vs 12.9%, adjusted odds ratio [OR] 0.57, 95% confidence interval [CI] 0.34 to 0.94), spend >20 minutes attending infant wakings (41% vs 51%, adjusted OR 0.66, 95% CI 0.46 to 0.95), or change formula (13% vs 23%, P < .05). Infant frequent feeders (>11 feeds/24 hours) in the intervention group were less likely to have daytime sleep (OR 0.13...

Infant mortality and causes of infant deaths in rural Ethiopia: a population-based cohort of 3684 births

Weldearegawi, B.; Melaku, Y.A.; Abera, S.F.; Ashebir, Y.; Haile, F.; Mulugeta, A.; Eshetu, F.; Spigt, M.
Fonte: Biomed Central Publicador: Biomed Central
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
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BACKGROUND: Ethiopia has made large-scale healthcare investments to improve child health and survival. However, there is insufficient population level data on the current estimates of infant mortality rate (IMR) in the country. The aim of this study was to measure infant mortality rate, investigate risk factors for infant deaths and identify causes of death in a rural population of northern Ethiopia. METHODS: Live births to a cohort of mothers under the Kilite Awlaelo Health and Demographic Surveillance System were followed up to their first birthday or death, between September 11, 2009 and September 10, 2013. Maternal and infant characteristics were collected at baseline and during the regular follow-up visit. Multiple-Cox regression was used to investigate risk factors for infant death. Causes of infant death were identified using physician review verbal autopsy method. RESULTS: Of the total 3684 infants followed, 174 of them died before their first birthday, yielding an IMR of 47 per 1000 live births (95 % CI: 41, 54) over the four years of follow-up. About 96 % of infants survived up to their first birthday, and 56 % of infant deaths occurred during the neonatal period. Infants born to mothers aged 15-19 years old had higher risk of death (HR = 2.68...

Antithrombotic therapy for improving maternal or infant health outcomes in women considered at risk of placental dysfunction

Dodd, J.; McLeod, A.; Windrim, R.; Kingdom, J.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
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BACKGROUND Pregnancy complications such as pre-eclampsia and eclampsia, intrauterine growth restriction and placental abruption are thought to have a common origin related to abnormalities in the development and function of the placenta. OBJECTIVES To compare, using the best available evidence, the benefits and harms of antenatal antithrombotic therapy to improve maternal or infant health outcomes in women considered at risk of placental dysfunction, when compared with other treatments, placebo or no treatment. SEARCH METHODS We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (17 July 2012). SELECTION CRITERIA Randomised controlled trials comparing antenatal antithrombotic therapy (either alone or in combination with other agents) with placebo or no treatment, or any other treatment in the antenatal period to improve maternal or infant health outcomes in women considered at risk of placental dysfunction. DATA COLLECTION AND ANALYSIS Two review authors evaluated trials under consideration for appropriateness for inclusion and methodological quality without consideration of their results according to the prestated eligibility criteria. We used a fixed-effect meta-analysis for combining study data if the trials were judged to be sufficiently similar. We investigated heterogeneity by calculating I² statistic...

Enhancing Skills for Improved Infant and Young Child Nutrition : Baby Friendly Village Approach, Takhar Province, Afghanistan

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
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Afghanistan has high rates of malnutrition and a high infant mortality rate of 77/1000 births. Infant and young child feeding practices are a key determinant of malnutrition in Afghanistan, and thus far, relatively little attention has been given to this issue. This report was prepared to inform the scaling up of infant and young child feeding through the Government of Afghanistan's Basic Package of Health Services. The case study outlines the Baby Friendly Village Project intervention objectives, the project's approach, monitoring and evaluation issues, findings, and lessons learned. The overall goal of the Project was to promote early and exclusive breastfeeding for children under 6 months old and to encourage families to offer age-appropriate complementary foods to children 6-24 months. Despite several monitoring and evaluation issues, the pilot has generated a number of important lessons for policymakers and program implementers in Afghanistan. The Care for Afghan Families intervention shows that for future similar projects...

Ocorrencia de Enterobacter sakazakii em formulas infantis para lactentes em hospitais e maternidades da região de Campinas/SP.; Ocurrence of Enterobacter sakazakii in infant formula for sucking baby in hospitals and maternities of Campinas region.

Rosana Francisco Siqueira dos Santos
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 12/12/2006 PT
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Enterobacter sakazakii é uma bactéria patogênica emergente, recentemente classificado pela International Commission on Microbiological Specifications for Foods (ICMSF) como ?de risco severo para população restrita, representando ameaça de morte ou de seqüelas crônicas de longa duração?. A população de risco são crianças de até 1 ano, particularmente os prematuros e os recém nascidos de baixo peso corporal. Esse grupo de risco pode sofrer doenças graves como sepse, meningite e enterocolite necrosante, cuja taxa de mortalidade encontra-se na faixa de 20%. O veículo mais comum das infecções tem sido fórmulas infantis em pó, utilizadas em hospitais e maternidades para a preparação de mamadeiras. A partir das fórmulas em pó, focos de contaminação podem acumular-se em frascos e utensílios usados na preparação das mamadeiras, facilitando a disseminação da bactéria. Assim, o presente trabalho teve como objetivos monitorar a ocorrência e auxiliar no controle do risco de infecções por E. sakazakii nos berçários de hospitais e maternidades da região de Campinas (SP), analisando amostras relacionadas, verificando as condições higiênicas na preparação de mamadeiras e utensílios, através de análises microbiológicas e orientando os responsáveis sobre as Boas Práticas de Higiene e Manipulação de Alimentos. Foram analisadas um total de 175 amostras (98 de fórmulas infantis em pó...

Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil

Ribeiro,Valdinar S; Silva,Antônio A M; Barbieri,Marco A; Bettiol,Heloisa; Aragão,Vânia M F; Coimbra,Liberata C; Alves,Maria T S S B
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2004 EN
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OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only...

Infant mortality due to perinatal causes in Brazil: trends, regional patterns and possible interventions

Victora,Cesar Gomes; Barros,Fernando Celso
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
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CONTEXT: Brazilian infant and child mortality levels are not compatible with the country's economic potential. In this paper, we provide a description of levels and trends in infant mortality due to perinatal causes and malformations and assess the likely impact of changing intermediate-level determinants, many of which are amenable to direct interventions through the health or related sectors. TYPE OF STUDY: Review paper. METHODS: Two main sources of mortality data were used: indirect mortality estimates based on censuses and surveys, and rates based on registered deaths. The latter were corrected for under-registration. Combination of the two sources of data allowed the estimation of cause-specific mortality rates. Data on current coverage of preventive and curative interventions were mostly obtained from the 1996 Demographic and Health Survey. Other national household surveys and Ministry of Health Statistics were also used. A thorough review of the Brazilian literature on levels, trends and determinants of infant mortality led to the identification of a large number of papers and books. These provided the background for the analyses of risk factors and potential interventions. RESULTS: The indirect infant mortality rate estimate for 1995-97 is of 37.5 deaths per thousand live births...

Comparative study of the factors involved in the mother-infant bonding in women with and without postpartum depression

Palacios Hernández, Bruma
Fonte: [Barcelona] : Universitat Autònoma de Barcelona, Publicador: [Barcelona] : Universitat Autònoma de Barcelona,
Tipo: Tesis i dissertacions electròniques; info:eu-repo/semantics/doctoralThesis; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em //2015 ENG
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Estudios previos han identificado una mayor prevalencia de trastornos del vínculo materno-infantil en mujeres con depresión posparto. Sin embargo, no todas las madres deprimidas desarrollan una alteración en su vinculación temprana con sus infantes y aún hay poca información sobre cuáles factores son los más asociados a trastornos en el vínculo madre-bebé en madres deprimidas, particularment en población española durante el posparto. La presente tesis doctoral tuvo como principal objetivo el estudiar el proceso de vinculación temprana madre-infante en madres puérperas deprimidas y compararlas con madres sin depresión. Para cumplir el objetivo principal de la tesis, se desarrollaron tres estudios cada uno con su propio diseño, metodología y muestra. El primer estudio evaluó las propiedades psicométricas del Cuestionario de Vínculo en el posparto (PBQ, Brockington et al, 2001, 2006) en una muestra de 847 madres españolas a las 4-6 semanas de posparto. La muestra incluyó a 513 madres de población general y 327 madres de una muestra clínica, pacientes de un Programa de Psiquiatría Perinatal. La estructura original de 4 factores del PBQ no pudo ser replicada y un factor general fue identificado como la solución más estable. La versión española del PBQ reportó buenas propiedades psicométricas. El segundo estudio tuvo un diseño transversal e identificó una asociación entre un episodio depresivo mayor severo y no dar lactancia materna con perturbaciones en el vínculo materno-infantil en 77 madres diagnosticades con un episodio depresivo mayor a las 4-6 semanas de posparto. El estudio 2 permitió identificar una prevalencia del 33.8% de madres con perturbaciones en el vínculo materno-infantil en madres deprimidas usando el PBQ (puntaje total ≥26). El tercer estudio evaluó el vínculo materno-infantil en una muestra de 45 madres con trastornos mentales en el posparto. También permitió la comparación de las propiedades psicométricas de 3 cuestionarios que evalúan el vínculo materno-infantil: el PBQ...

O comportamento exploratório de bebês e o comportamento de mães com indicadores de depressão no contexto da psicoterapia breve mãe-bebê: um olhar objetivo e subjetivo; Infants' exploratory behavior and the behavior of mothers with depression indicators in the context of brief mother-infant psychotherapy: an objective and subjective view

Alfaya, Cristiane; Lopes, Rita de Cássia Sobreira; Prado, Luís Carlos
Fonte: UFPR Publicador: UFPR
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; avaliado por pares; Formato: application/pdf
Publicado em 27/03/2007 POR
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O presente estudo examinou o comportamento exploratório dos bebês, e o comportamento das mães com indicadores de depressão, frente ao comportamento exploratório dos bebês, durante a psicoterapia breve mãe-bebê, no primeiro ano de vida dos bebês. Foram considerados os aspectos objetivos e subjetivos da interação, envolvidos no comportamento exploratório do bebê. Para tanto, foram realizados três estudos de casos atendidos em sessões de psicoterapia. O comportamento exploratório foi descrito e analisado conforme as categorias manipulação exploratória fina e ampla, e de locomoção exploratória em direção ao ambiente e ao brinquedo. O comportamento materno foi descrito e analisado conforme as categorias direto e indireto, construídas a partir da descrição da observação. Apoiando-se na teoria de separação–individuação, os resultados mostraram que os bebês apresentaram comportamentos de manipulação exploratória fina, ampla, locomoção exploratória em direção ao ambiente...

Inequalities in infant mortality among municipalities in Brazil according to the Family Development Index, 2006-2008

Ramalho,Walter Massa; Sardinha,Luciana Monteiro Vasconcelos; Rodrigues,Isabela Pereira; Duarte,Elisabeth Carmen
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2013 EN
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OBJECTIVE: To describe inequalities in the infant mortality rate (IMR) according to socioeconomic indicators among geographic areas and municipalities in Brazil. METHODS: This was an exploratory ecological study of space aggregates that described IMR in 2006-2008 according to municipalities, states, and the Family Development Index (FDI), a socioeconomic indicator that ranges from 0 to 1. All the municipalities in Brazil were categorized according to four strata as defined by FDI quartiles, where stratum 4 included those with better FDI conditions, and stratum 1, worse conditions. The selected inequality measures were: Concentration Index, Attributable Risk Percent, Population Attributable Risk Percent, Rate Ratio, and number of avoidable events (number of infant deaths). RESULTS: The average IMR (per 1 000 live births) according to the FDI strata were: stratum 1 (FDI = 0.41-0.52) = 18.8; stratum 2 (FDI = 0.53-0.55) = 17.9; stratum 3 (FDI = 0.56-0.58) = 15.0; and stratum 4 (FDI = 0.59-0.73) = 13.4. Overall, the Concentration Index was 0.02. Moreover, stratum 1, with a proportion of 17% of all live births in the population, had a concentration of 20% of infant deaths. Additionally, the profile of causes and ages of infant mortality also differed qualitatively when stratum 1 was compared to stratum 4. CONCLUSIONS: The results suggest an association between the socioeconomic indicators...

Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil

Ribeiro,Valdinar S; Silva,Antônio A M; Barbieri,Marco A; Bettiol,Heloisa; Aragão,Vânia M F; Coimbra,Liberata C; Alves,Maria T S S B
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2004 EN
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OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only...