A mortalidade do prematuro extremo em nosso meio: realidade e desafios

摘要: Objective: The objective of this article is to review and discuss the medical literature on epidemiological indicators organizational structure the Brazilian perinatal health system concerning care of very low birth weight premature infants (< 1,500 g). Sources data: Electronic search MEDLINE, Lilacs and SciELO databases from 1990 2004, with a selection made the most relevant articles. Documents reports Ministry of Health (Mortality Information System SIM Live Births Information System SINASC). Summary findings: decrease in infant mortality rates high incidence maternal deaths, observed since 1990, prompted de government focus its strategies on the organization delivery care pregnant women their newborn infants. However, critical analysis actions aimed at the reveals that coverage utilization of these services are not uniform records and death rates reliable. availability neonatal beds very limited does meet demand, especially for those requiring high levels complexity. Important challenges must be overcome to adequately deal incorporation inappropriate technology, the limited number qualified professionals utilization of evidence-based best practices improve care. Conclusions: A reduction morbidity mortality of requires more effective planning intervention in prenatal system. To increases the number intensive should implemented through specialized centers rather than isolated within hospitals resolution rates. These be interconnected their constantly monitored evaluated.