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[Perinatal mortality and evitability: a review].

Sônia Lansky1, Elizabeth França, Maria do Carmo Leal

  • 1Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. slansky@uol.com.br

Revista De Saude Publica
|December 19, 2002
PubMed
Summary

Perinatal mortality in Brazil is high and largely preventable. Improving healthcare quality, from prenatal care to neonatal services, can reduce avoidable fetal and newborn deaths.

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Knowledge, attitudes and practices of Brazilian obstetricians in relation to childbirth care.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2026

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Neonatology

Context:

  • Perinatal mortality remains a significant public health challenge, particularly in Brazil.
  • Limited research exists on perinatal mortality in Brazil due to underreported deaths and poor data quality.
  • Existing classification systems, like Wigglesworth, aid in analyzing causes and preventability.

Purpose:

  • To review the literature on perinatal mortality, focusing on its avoidability.
  • To highlight the need for an evitability approach in understanding and reducing perinatal deaths in Brazil.
  • To identify key areas for healthcare improvement to decrease mortality rates.

Summary:

  • This literature review examines perinatal mortality, emphasizing its preventability.
  • It discusses various classification systems, including Wigglesworth, to analyze death causes.
  • The study advocates for an evitability approach in Brazil, given high, avoidable mortality rates.

Impact:

  • Implementing an evitability framework can guide interventions to reduce high perinatal mortality rates in Brazil.
  • Improving the quality of prenatal, birth, and neonatal care is crucial for preventing premature deaths.
  • Enhanced healthcare organization and accessibility are vital for ensuring qualified assistance and reducing perinatal mortality.

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