Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru

Objectives. To estimate the rate of neonatal mortality and to describe neonatal deaths in 2011 in hospitals of the Ministry of Health at Huanuco and Ucayali (Peru). Materials and methods. Cross-sectional study from September to November 2012 in Huanuco and Ucayali. Records of neonatal deaths in 2011...

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Main Authors: José Enrique Velásquez Hurtado, Lourdes Kusunoki Fuero, Tania Gisella Paredes Quiliche, Raquel Hurtado La Rosa, Angel Martín Rosas Aguirre, Walter Eduardo Vigo Valdez
Format: Article
Language:Spanish
Published: Instituto Nacional de Salud 2014-07-01
Series:Revista Peruana de Medicina Experimental y Salud Pública
Subjects:
Online Access:https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/39
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author José Enrique Velásquez Hurtado
Lourdes Kusunoki Fuero
Tania Gisella Paredes Quiliche
Raquel Hurtado La Rosa
Angel Martín Rosas Aguirre
Walter Eduardo Vigo Valdez
author_facet José Enrique Velásquez Hurtado
Lourdes Kusunoki Fuero
Tania Gisella Paredes Quiliche
Raquel Hurtado La Rosa
Angel Martín Rosas Aguirre
Walter Eduardo Vigo Valdez
author_sort José Enrique Velásquez Hurtado
collection DOAJ
description Objectives. To estimate the rate of neonatal mortality and to describe neonatal deaths in 2011 in hospitals of the Ministry of Health at Huanuco and Ucayali (Peru). Materials and methods. Cross-sectional study from September to November 2012 in Huanuco and Ucayali. Records of neonatal deaths in 2011 were reviewed from provincial municipalities, regional health directorates and four referral hospitals. To calculate mortality rates, we used the most reliable information sources by region. Reviewing 185 medical records in hospitals allowed us to describe the root causes of neonatal deaths. Results. In 2011, 10,886 live births and 158 neonatal deaths were reported in Huanuco, with a rate of 14.5 deaths per 1000 live births. In Ucayali, 11,441 live births and 138 neonatal deaths were reported, with a rate of 12.1 deaths per 1000 live births. Most hospital neonatal deaths occurred in the first 7 days of life (87%), in preterm infants (73.9%) and with low birth weight (67%). The most common underlying causes of neonatal deaths were infection (31.4%), congenital malformation (22.2%) and prematurity (18.9%). Conclusions. Neonatal mortality rate in the studied regions was higher than the national average. The results suggest the need for effective and comprehensive interventions during pregnancy, childbirth and the early postnatal period; this last period is the most vulnerable in the neonate.
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spelling doaj.art-3c7b44ee7adc4477957e304e9152a7ac2022-12-21T18:23:14ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422014-07-0131210.17843/rpmesp.2014.312.3939Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, PeruJosé Enrique Velásquez Hurtado0Lourdes Kusunoki Fuero1Tania Gisella Paredes Quiliche2Raquel Hurtado La Rosa3Angel Martín Rosas Aguirre4Walter Eduardo Vigo Valdez5Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Ministerio de Salud. Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano. Magíster en Salud Pública.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Ministerio de Salud. Lima, Perú. Médico cirujano. Pediatra.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Ministerio de Salud. Lima, Perú. Médico cirujano. Magíster en Salud Pública. Magíster en Bioestadística.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Ministerio de Salud. Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú. Magíster en Salud Pública. Doctorado en Salud Pública.Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano. Magíster en Salud Pública.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Ministerio de Salud. Lima, Perú. Médico cirujano. Magíster en Gerencia de Proyectos y Programas Sociales.Objectives. To estimate the rate of neonatal mortality and to describe neonatal deaths in 2011 in hospitals of the Ministry of Health at Huanuco and Ucayali (Peru). Materials and methods. Cross-sectional study from September to November 2012 in Huanuco and Ucayali. Records of neonatal deaths in 2011 were reviewed from provincial municipalities, regional health directorates and four referral hospitals. To calculate mortality rates, we used the most reliable information sources by region. Reviewing 185 medical records in hospitals allowed us to describe the root causes of neonatal deaths. Results. In 2011, 10,886 live births and 158 neonatal deaths were reported in Huanuco, with a rate of 14.5 deaths per 1000 live births. In Ucayali, 11,441 live births and 138 neonatal deaths were reported, with a rate of 12.1 deaths per 1000 live births. Most hospital neonatal deaths occurred in the first 7 days of life (87%), in preterm infants (73.9%) and with low birth weight (67%). The most common underlying causes of neonatal deaths were infection (31.4%), congenital malformation (22.2%) and prematurity (18.9%). Conclusions. Neonatal mortality rate in the studied regions was higher than the national average. The results suggest the need for effective and comprehensive interventions during pregnancy, childbirth and the early postnatal period; this last period is the most vulnerable in the neonate.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/39recién nacidomortalidad neonatalcausas de muertesalud materno-infantilprevención y control
spellingShingle José Enrique Velásquez Hurtado
Lourdes Kusunoki Fuero
Tania Gisella Paredes Quiliche
Raquel Hurtado La Rosa
Angel Martín Rosas Aguirre
Walter Eduardo Vigo Valdez
Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
Revista Peruana de Medicina Experimental y Salud Pública
recién nacido
mortalidad neonatal
causas de muerte
salud materno-infantil
prevención y control
title Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
title_full Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
title_fullStr Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
title_full_unstemmed Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
title_short Neonatal mortality, analysis of surveillance registers, and neonatal medical histories of 2011 in Huanuco and Ucayali, Peru
title_sort neonatal mortality analysis of surveillance registers and neonatal medical histories of 2011 in huanuco and ucayali peru
topic recién nacido
mortalidad neonatal
causas de muerte
salud materno-infantil
prevención y control
url https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/39
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