{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:37:04Z","timestamp":1773797824687,"version":"3.50.1"},"reference-count":104,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:p>Neste artigo, realizou-se uma revis\u00e3o da literatura sobre mortalidade perinatal com maior enfoque na evitabilidade desses \u00f3bitos. Foram pesquisadas, sobretudo, publica\u00e7\u00f5es da d\u00e9cada de 90 nas bases Medline e Lilacs (Am\u00e9rica Latina e Caribe). Discutiram-se as dificuldades para a realiza\u00e7\u00e3o de estudos nesta \u00e1rea, ainda em n\u00famero restrito no Brasil, em decorr\u00eancia do grande subregistro de \u00f3bitos fetais e da m\u00e1 qualidade da informa\u00e7\u00e3o nas declara\u00e7\u00f5es de \u00f3bitos. Foram apresentadas as principais propostas de classifica\u00e7\u00e3o dos \u00f3bitos perinatais baseadas em enfoque de evitabilidade, com destaque para a classifica\u00e7\u00e3o de Wigglesworth. Nesta abordagem, os \u00f3bitos perinatais foram relacionados a momentos espec\u00edficos da assist\u00eancia, sendo evidenciadas as possibilidades de sua preven\u00e7\u00e3o. Recomenda-se o enfoque de evitabilidade para a abordagem da mortalidade perinatal no Brasil, dado que as taxas s\u00e3o ainda elevadas, a maioria dos \u00f3bitos \u00e9 considerada evit\u00e1vel e poderia ser prevenida com a melhoria da assist\u00eancia pr\u00e9-natal, ao parto e ao rec\u00e9m-nascido, n\u00e3o apenas quanto \u00e0 sua resolubilidade cl\u00ednica, mas tamb\u00e9m \u00e0 organiza\u00e7\u00e3o da assist\u00eancia em sistemas hierarquizados e regionalizados, assegurando o acesso da gestante e do rec\u00e9m-nascido em tempo oportuno a servi\u00e7os de qualidade.<\/jats:p>","DOI":"10.1590\/s0034-89102002000700017","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T10:25:08Z","timestamp":1114597508000},"page":"759-772","source":"Crossref","is-referenced-by-count":86,"title":["Mortalidade perinatal e evitabilidade: revis\u00e3o da 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