Last year Campinas recorded 7.97 deaths per thousand births
The infant mortality rate of Campinas fell 32.7% in the last ten years and dropped from 11.85 deaths per thousand live births in 2005 to 7.97 last year, the lowest rate in the history of the city, according to the Municipal Health Secretary. The mortality of children under 1 year old babies is one of the indicators most commonly used to assess the health status of the population, because it portrays the level of human development of a society. Campinas has managed to reduce infant mortality in higher parameters recommended by the World Health Organization (WHO) that considers an acceptable rate of ten deaths of children under 1 year old per thousand live births.
The United Nations (UN) directs that the world needs to reach at least a lower rate of 10 to 2020, according to the United Nations Millennium Summit Declaration which took place in 2000 in New York City. The reduction in mortality, according to the Secretary of Health, Carmino de Souza, is a result of the significant improvement that has occurred in the quality of prenatal care offered to pregnant women in childbirth and newborn care. “Before babies born with a kilo, hardly survived. Today children are born with 500 grams survive and without consequences”, he said. According to him, the network offers prenatal quality to pregnant women, with at least seven visits to the doctor and at least two ultrasounds to monitor the baby, which ensures a well planned delivery. ”Even with all the reduction of obstetric beds that have occurred in Brazil, Campinas has the privilege of owning the Maternity of Campinas, which accounts for 70% of deliveries and is the only hospital serving the Unified Health System (SUS) that had an increase of beds”, he said.
The secretary also cited the importance of the Center for Integral Attention to Women’s Health (Caism) Unicamp, which has a leading neonatal ICU, Hospital Celso Pierro, and a particularly important network in assistance. According to him, the infant mortality rate of Campinas is close to international levels. United States, for example, has rates of 7.07, while Cuba, known for its high level of medical care, the infant mortality rate is 6.66 per thousand live births. According to the United Nations, the lowest worldwide infant mortality rate is to Singapore with 1.92 in 2010, the latest available data. The worst is Afghanistan, with 121.63 deaths per thousand live births. In Brazil, the rate recorded in 2014 was 12.9 (the 2015 has not yet been disclosed).
The Health Coordinator of Children and Adolescents, Tania Maria Marcucci, says it is virtually impossible to reset the rate, because there are different situations in which there are ways to save baby. Today, in Campinas, newborns die due to malformation, heart defects and abnormalities. “Even when some are born with heart disease, still managed to save babies with surgery, sometimes even with procedure while it is still a fetus, given the advances in fetal medicine”, he said. Besides all the technological apparatus that the city offers, there are some actions in the service area that began to be adopted and that will impact in reducing mortality and improving the life quality of babies. One was the establishment of the House of High Vulnerability Pregnant in partnership with the Padre Haroldo Institute and that provides home to pregnant women living in the streets or drug users. There the women are assisted for detoxification, food, medical treatment to come to birth in equal conditions women who did not use drugs. “In a situation like this, the decisions she was to take over the baby will be more rational and balanced. If she wants to donate the baby, the decision will surely be rational, thought”, he said.
Monitoring during pregnancy ensures health
The university student Ana Claudia Maack, 26, and his companion Cristofer Rodrigo Luciano, 34 years old, have taken every care to Claus, now two months, to be born healthy. “I made the early follow-up with him because I went to the appointment with general practitioners and found out I was pregnant. It was five weeks and I was feeling nothing. I was oriented to do prenatal, went to all appointments, at first monthly and from the second quarter on increased the frequency”. At the time that she was diagnosed, her main concern was with the Zika virus, and so the use of repellent was constant.
The housewife Yasmin Goulart, 20, Levy’s mother, 1 month and Luiz Henrique, 2 years old, knows the importance of prenatal care. “In the first pregnancy, I follow up to six months and the second one, from the fourth to the ninth month, and I realized that with the follow up is much better and easier. At first, my concern was for being the first experience and in the second already I was worried if I was healthy and having adequate food. I follow up the older kid until today, as he becomes ill and the younger one I intend to follow up at least he is one year old”.