{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:45:00Z","timestamp":1789753500083,"version":"4.0.1"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2013,3,1]],"date-time":"2013-03-01T00:00:00Z","timestamp":1362096000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. paul. pediatr."],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>OBJETIVO: Comparar o perfil epidemiol\u00f3gico dos \u00f3bitos neonatais precoces evit\u00e1veis associados \u00e0 asfixia perinatal conforme a regi\u00e3o de ocorr\u00eancia do \u00f3bito no Estado de S\u00e3o Paulo. M\u00c9TODOS: Coorte populacional constitu\u00edda por 2.873 \u00f3bitos evit\u00e1veis at\u00e9 seis dias de vida associados \u00e0 asfixia perinatal ocorridos entre janeiro de 2001 e dezembro de 2003. Considerou-se como asfixia perinatal a presen\u00e7a de hip\u00f3xia intra\u00fatero, asfixia ao nascer ou s\u00edndrome de aspira\u00e7\u00e3o de mec\u00f4nio em qualquer linha da Declara\u00e7\u00e3o de \u00d3bito original. Vari\u00e1veis epidemiol\u00f3gicas tamb\u00e9m foram extra\u00eddas das Declara\u00e7\u00f5es de Nascido Vivo. RESULTADOS: No tri\u00eanio, 1,71 mortes por 1.000 nascidos vivos estavam associadas \u00e0 asfixia perinatal, correspondendo a 22% dos \u00f3bitos neonatais precoces. Dos 2.873 \u00f3bitos evit\u00e1veis, 761 (27%) ocorreram em S\u00e3o Paulo, capital; 640 (22%), na regi\u00e3o metropolitana da capital; e 1.472 (51%), no interior do estado. Nas duas primeiras regi\u00f5es predominaram as mortes em hospitais p\u00fablicos, rec\u00e9m-nascidos com idade gestacional inferior a 37 semanas e peso abaixo de 2500g. No interior, os \u00f3bitos foram mais frequentes em entidades beneficentes, rec\u00e9m-nascidos a termo e com peso superior a 2500g. A maioria dos beb\u00eas nasceu durante o dia no munic\u00edpio de resid\u00eancia materna e evoluiu para \u00f3bito no hospital de nascimento at\u00e9 24 horas ap\u00f3s o parto. A s\u00edndrome de aspira\u00e7\u00e3o de mec\u00f4nio esteve presente em 18% dos \u00f3bitos. CONCLUS\u00d5ES: A asfixia perinatal \u00e9 um contribuinte frequente para a morte neonatal precoce evit\u00e1vel no estado com o maior produto interno bruto per capita do Brasil, evidenciando a necessidade de interven\u00e7\u00f5es espec\u00edficas com enfoque regionalizado na assist\u00eancia ao parto e ao nascimento.<\/jats:p>","DOI":"10.1590\/s0103-05822013000100007","type":"journal-article","created":{"date-parts":[[2013,4,20]],"date-time":"2013-04-20T14:46:46Z","timestamp":1366469206000},"page":"37-45","source":"Crossref","is-referenced-by-count":25,"title":["Asfixia perinatal associada \u00e0 mortalidade neonatal precoce: estudo populacional dos \u00f3bitos evit\u00e1veis"],"prefix":"10.1590","volume":"31","author":[{"given":"Mandira","family":"Daripa","sequence":"first","affiliation":[{"name":"Unifesp,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena Maria G.","family":"Caldas","sequence":"additional","affiliation":[{"name":"Unifesp,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Patricio O.","family":"Flores","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o SEADE,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette Cunha","family":"Waldvogel","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o SEADE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Guinsburg","sequence":"additional","affiliation":[{"name":"Unifesp,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Fernanda B. de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Unifesp,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/S0140-6736(05)71048-5","article-title":"4 million neonatal deaths: When? Where? Why?","author":"Lawn JE","year":"2005","journal-title":"Lancet","ISSN":"https:\/\/id.crossref.org\/issn\/0099-5355","issn-type":"print"},{"key":"ref2","first-page":"233","article-title":"List of avoidable causes of deaths due to interventions of the Brazilian health system","volume":"16","author":"Malta DC","year":"2007","journal-title":"Epidemiol Serv Saude"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1590\/S0102-311X2002000500032","article-title":"Avoidable perinatal deaths in Belo Horizonte, Minas Gerais, Brazil, 1999","volume":"18","author":"Lansky S","year":"2002","journal-title":"Cad Saude Publica","ISSN":"https:\/\/id.crossref.org\/issn\/0102-311X","issn-type":"print"},{"key":"ref4","first-page":"331","article-title":"Causas b\u00e1sicas de morte neonatal em uma maternidade de n\u00edvel terci\u00e1rio: mudan\u00e7as em uma d\u00e9cada","volume":"12","author":"Brenelli-Vitali MA","year":"2003","journal-title":"Rev Cienc Med"},{"key":"ref5","series-title":"Tabelas de ranking do IDH-M"},{"key":"ref6","series-title":"Popula\u00e7\u00e3o e estat\u00edsticas vitais"},{"key":"ref7","series-title":"International statistical classification of diseases","edition":"10"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0095-5108(05)70020-8","article-title":"Survival of the extremely preterm infant in North America in the 1990s","volume":"27","author":"Lorenz JM","year":"2000","journal-title":"Clin Perinatol","ISSN":"https:\/\/id.crossref.org\/issn\/0095-5108","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1542\/peds.106.3.e29","article-title":"International guidelines for neonatal resuscitation: an excerpt from the guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: International consensus on science. 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