Vol. 5, Issue 1, Part B (2023)

Introduction: Concern for improving the health conditions of women and pregnant women as critical points, to improve the health of neonates, had already been previously analyzed. However, we observe that a series of factors continue to strongly influence the health systems of our country. Within these observations, it is detected that pregnant women still have failures in some of the critical links of care, despite the fact that strategies were suggested to improve opportunities for improvement in the field of care for women and women. Pregnant, for reproductive health. In order to positively impact and reduce neonatal death as well as neurological damage in newborns.
In previous analyzes it was possible to verify that by detecting these opportunities for improvement in the obstetric care process, new strategies were found each time to avoid factors that seriously impact the health of neonates.
Objective: To monitor the current state of neonatal death taking into account a time line in a previously monitored population, trying to detect preventive actions, to specifically protect the newborn; Positively impacting maternal health.
Method: Analysis of clinical records of 310 deaths of newborns was carried out according to the recommendations of Dr. Brown in Georgia, who assigned a percentage of responsibility basically in 4 areas, namely: 1.-Health of the woman to whom he gave a very high weight 60% responsibility. 2.- Maternal care with 10% responsibility. 3.- Neonatal Care, 9% responsibility, and 4.- Postnatal Care, 21%. The method includes color coding: #1 Brown; #2, Network; #3, Green; and #4 Lila, respectively for each area mentioned; which are expressed in a table to be able to contain data from each patient and thereby identify the area of responsibilities to convert it into an area of Opportunity.
Once the number of Neonatal deaths for the 2010-2015 period was analyzed, the results were compared with previous periods, previously analyzed, to measure whether there are new factors that require new approach strategies.
Results: In the period 203-206, basically three pathologies responsible for the death: 61% Prematurity, 25% sepsis, 61.7% asphyxia, and according to the color code entered the area of responsibility for obstetric care.
In the years 2007-2008: there was an increase in Prematurity to 66.6%; there was a decrease in sepsis to 14%. And decrease in babies under 1500gr. to 46.6%, after applying initial analysis strategies. (3)
In the 2010-2015 period, premature babies fell to 63%; Asphyxia decreased 38% and sepsis remained at 14%, Babies under 1500gr increased to 57.7%
Conclusions: We can see that the risk factors for neonatal death remained present, but we noticed a significant decrease compared to previous periods, according to the analysis of the Dr. Brown method, it translates into an area of opportunity for improvement with high weight for the area of obstetric care, we can comment that newborns within the Neonatal area of responsibility were registered once they were received very serious from birth and after neonatal intensive care, by age they entered that area of responsibility. Also to clarify that the asphyxia patients, in 98% of the cases were intrauterine. Permanent monitoring is urgently needed, and there is an insistence on applying a 4x4 team building strategy in the field of women's and pregnant women's health
Permanent monitoring is urgent, and there is an insistence on applying a 4x4 team formation strategy in the field of women's and pregnant women's health (Based Colaborating Centered in Reproductive Health The National Centers For Disease Control and Prevention Georgia Department of Human Resource)