Violence against children and particularly the “Bobby Case” in spring 2006 initiated an unprecedented debate in the Swedish media about child maltreatment and child murder. There are however some children whose death causes never will be solved, and some of these cases are erroneously classified as something else. The present survey is commissioned by the Swedish Rescue Services Agency and the Swedish Centre for Lessons Learned from Incidents & Accidents, and will serve as the basis for a children safety council which will be established 2006. In this survey the answer to the question how deaths among children and youth under the age of 18 years caused by accidents, suicides and violence are investigated when the background and the intention is uncertain is elaborated. A statistical report of how many deaths are classified as uncertain intent is given in the survey. The statistics shows that 26 children and youths under the age of 18 have died from uncertain intent between the years 1997-2003. There are many purposes to a death investigation, for example to determine the cause and manner of death. With help from the Statue Book of Sweden knowledge has been obtained about which authorities that are handling death investigations when the cause and manner of death is uncertain. The authorities involved are the physicians, the police force and the National Board of Forensic Medicine. The physician determines whether deaths shall be reported to the police or not i.e. when the cause of death or the manner of death is uncertain. The police then make death investigations to determine whether there is a crime or not. The National Board of Forensic Medicine is contacted to perform autopsies. Interviews were performed with police and forensic medicine staff to find out which methods they were using to investigate deaths. The methods used are autopsies and crime investigations. There are no differences when it comes to the age of the deceased, neither of the classification nor the investigation. The police use the classification “uncertain manner of death” when the main cause of death can’t be determined. The forensic medicine physician uses the classification uncertain when the body is so decomposed that there is no possible way to determine cause or manner of death. A conclusion in this report is that lack of communication exists between the different government authorities and that this may be a reason to why deaths sometimes are classified incorrectly. Some investigations are also performed by policemen without proper education and this is a possible reason to why some classifications are changed during the process of investigation. / Den senaste tiden har våld mot barn och då framförallt omständigheterna kring tioårige Bobbys död våren 2006 gett upphov till en intensiv debatt i svenska media om barnmisshandel och barnamord. Ett i detta sammanhang mindre uppmärksammat problem är att det med stor sannolikhet finns barnamord som aldrig blir uppklarade eller som klassificeras som något helt annat. Föreliggande arbete är ett uppdrag från Räddningsverket och NCO och undersökningen kommer att ligga som underlag i en nulägesredovisning till Barnsäkerhetsrådet som kommer att bildas under 2006. I uppsatsen beskrivs hur dödsfall utreds där barn och ungdomar under 18 år har avlidit på grund av olyckor, suicid och våld där bakgrund och avsikten är oklar. Det finns en mängd syften med att göra en dödsfallsutredning, bland annat att fastställa dödsorsak och dödssätt. Med hjälp av bland annat lagtexter fås svar på vilka som utför dödsfallsutredningar där bakgrund och avsikt är oklar. En statistisk genomgång visade att 26 barn och ungdomar under 18 år har avlidit med oklar skadehändelse (avsikt) mellan åren 1997-2003. Tillkallad läkare beslutar om att dödsfallet ska anmälas till polis. Detta görs bland annat när dödsfallets bakgrund och avsikt är oklar. Polisen gör då en dödsfallsutredning för att fastställa om något brott har begåtts. De tar då hjälp av Rättsmedicinalverket för att göra en rättsmedicinsk undersökning. För att få reda på vilka metoder som användes för att utreda oklara dödsfall genomfördes intervjuer med rättsmedicinare och polis. Man gör inte någon skillnad på utredning beroende på ålder på den avlidne, varken utredningsmässigt eller klassifikationsmässigt. Polisen använder klassificeringen oklar när dödsfallen beror på kombinationer av olika faktorer och huvuddödsorsaken inte går att fastställa. Rättsmedicinarna använder klassificeringen oklar när den avlidne är så likomvandlad att varken dödssätt eller dödsorsak går att fastställa. I undersökningen framkommer det att det finns en brist i kommunikationen mellan de olika myndigheterna och att detta kan vara en anledning till att det sker felklassificeringar. Det framkommer även att det ibland inte är utbildade poliser som påbörjar en utredning. Detta kan vara en bidragande orsak till att det är en så stor del av alla utredningar som ändrar klassificering under utredningens gång.

Is it relevant to treat bog bodies as its own category within the archaeological research? This paper examines how scholars and researchers, through their publications and depictions of the preserved prehistoric individuals, are helping to create such a category. What has changed in the way scholars look at and describe these astounding finds? Also examines the various theories researchers provide regarding bog bodies and how they are deposited.

Socioeconomic positions of individuals are clearly associated with the chances of living a healthy long life. In four empirical studies based on Swedish population registers, two topics are examined in this thesis: The relationships between different indicators of social position and mortality, and the importance of family members’ socioeconomic resources for the survival of the individual. The overall conclusion from the separate studies is that no single individual socioeconomic factor gives a complete picture of mortality inequalities. Further, the socioeconomic resources of partners and adult children are important in addition to the individual ones. The specific results from each study include that: I education, social class, social status and income are, to various extent, independently associated with mortality risk. Education and social status are related to women’s mortality, and education, social class, and income to men’s mortality. II one partner’s social position is related to the other partner’s survival, also when individual socioeconomic factors are statistically controlled for. In particular, men’s mortality is linked to their wives’ education and women’s mortality to their husbands’ social class. III adult children’s education is related to their parents’ risk of dying, also when both parents’ socioeconomic resources are taken into consideration. Further, the association between the offspring’s level of education and parental mortality cannot be explained by charac­teristics that parents share with their siblings. IV children’s social class and income are related to parental mortality, but not as strongly as the education of the children. There is no relationship between a mother’s own education and breast cancer mortality, while mothers seem to have better chances of surviving breast cancer if they have well-educated children. / <p>At the time of doctoral defence the following paper was unpublished and had a status as follows: Paper 4: Manuscript</p>

No description available.

<p>Is it relevant to treat bog bodies as its own category within the archaeological research? This paper examines how scholars and researchers, through their publications and depictions of the preserved prehistoric individuals, are helping to create such a category. What has changed in the way scholars look at and describe these astounding finds? Also examines the various theories researchers provide regarding bog bodies and how they are deposited.</p>

Made available in DSpace on 2014-12-17T15:43:54Z (GMT). No. of bitstreams: 1 TamiresCO_DISSERT.pdf: 2102694 bytes, checksum: 012c621a76fb7620be2aeb0ae8487c91 (MD5) Previous issue date: 2014-02-24 / Measures of mortality represent one of the most important indicators of health conditions. For comprising the larger rate of deaths, the study of mortality in the elderly population is regarded as essential to understand the health situation. In this sense, the present study aims to analyze the mortality profile of the population from 60 to 69 (young elders) and older than 80 years old (oldest old) in the Rio Grande do Norte state (Brazil) in the period 2001 to 2011, and to identify the association with contextual factors and variables about the quality of the Mortality Information System (SIM). For this purpose, Mortality Proportional (MP) was calculated for the state and Specific Mortality Rate by Age (CMId) , according to chapters of ICD- 10, to the municipalities of Rio Grande do Norte , through data from the Mortality Information System (SIM) and the Brazilian Institute of Geography and Statistics (IGBE). In order to identify groups of municipalities with similar mortality profiles, Nonhierarchical Clustering K-means method was applied and the Factor Analysis by the Principal Components Analysis was resort to reduce contextual variables. The spatial distribution of these groups and the factors were visualized using the Spatial Analysis Areas technique. During the period investigated, 21,813 younger elders deaths were recorded , with a predominance of deaths from circulatory diseases (32.75%) and neoplasms (22.9 %) . Among the oldest old, 50,637 deaths were observed, which 35.26% occurred because of cardiovascular diseases and 17.27% of ill-defined causes. Clustering Analysis produced three clusters to the two age groups and Factor Analysis reduced the contextual variables into three factors, also the sum of the factor scores was considered. Among the younger elders, the groups are called misinformation profile, development profile and development paradox, which showed a statistically significant association with education and poverty and extreme poverty factors, factorial sum and the variable related to underreporting of deaths. Misinformation profile remained in the oldest old group, accompanied by the epidemiological transition profile and the epidemiological paradox, that were statistically associated with the development and health factor, as well as with the variables that indicate the SIM quality: proportion of blank fields about the schooling and underreporting. It proposed that the mortality profiles of the younger elders and oldest old differ on the importance of the basic causes and that are influenced by different contextual aspects , observing that 60 to 69 years group is more affected by such aspects. Health inequalities can be reduced by measures aimed to improve levels of education and poverty, especially in younger elders, and by optimizing the use of health services, which is more associated to the oldest old health situation. Furthermore, it is important to improve the quality of information for the two age groups / As medidas de mortalidade representam um dos mais importantes indicadores das condi??es de sa?de. Por concentrar a maior carga de mortes, o estudo da mortalidade da parcela idosa da popula??o se configura como essencial para a compreens?o da situa??o de sa?de. Nesse sentido, o presente trabalho se prop?e a analisar o perfil de mortalidade da popula??o de 60 a 69 anos (idosos mais jovens) e de 80 anos ou mais de idade (idosos longevos) no estado do Rio Grande do Norte no per?odo de 2001 a 2011, bem como identificar os fatores contextuais e de qualidade do Sistema de Informa??es sobre Mortalidade (SIM) relacionados. Para tanto, foram calculados a Mortalidade Proporcional (MP) para o estado e o Coeficiente de Mortalidade Espec?fico por Idade (CMId), segundo cap?tulo CID-10, para os munic?pios do Rio Grande do Norte, a partir dos dados do Sistema de Informa??es sobre Mortalidade (SIM) e do Instituto Brasileiro de Geografia e Estat?stica (IGBE). A fim de identificar os grupos de munic?pios com perfis de mortalidade similares para CMIds, foi realizada a An?lise de Conglomerados n?o Hier?rquicos do tipo K-means e, para a redu??o das vari?veis independentes contextuais, recorreu-se ? Analise Fatorial pelo m?todo de An?lise de Componentes Principais. As distribui??es espaciais de tais grupos e fatores produzidos foram visualizadas atrav?s da t?cnica An?lise Espacial de ?reas. No per?odo investigado, foram registrados 21.813 ?bitos de idosos mais jovens, com predom?nio das mortes por doen?as do aparelho circulat?rio (32,75%) e neoplasmas (22.9%). Entre os idosos longevos, foram registrados 50.637 ?bitos, sendo 35,26% por doen?as do aparelho circulat?rio e 17,27% por causas mal definidas. A An?lise de Conglomerados formou tr?s grupos para as duas faixas et?rias de interesse e a An?lise Fatorial reduziu as vari?veis independentes contextuais em tr?s fatores, sendo considerada tamb?m a soma dos escores fatoriais. Entre os idosos mais jovens, formaram-se os grupos perfil do desconhecimento, perfil do desenvolvimento e paradoxo do desenvolvimento, que obtiveram associa??o estatisticamente significativa com os fatores educa??o e pobreza, extrema pobreza, soma fatorial, e com a vari?vel relacionada ? subnotifica??o dos ?bitos. O grupo perfil do desconhecimento permaneceu na faixa et?ria longeva, acompanhado do perfil de transi??o epidemiol?gica e do paradoxo epidemiol?gico,que foram estatisticamente associado ao fator desenvolvimento e sa?de e ?s vari?veis que indicam a qualidade SIM: propor??o de campos em branco sobre a escolaridade e de sub-registro. Depreende-se que os perfis de mortalidade de idosos mais jovens e longevos apresentam diferen?as quanto ? import?ncia das causas b?sicas e que s?o influenciados por distintos aspectos contextuais, sendo os idosos de 60 a 69 anos mais afetados por tais aspectos. Medidas direcionadas ? melhoria dos n?veis de educa??o e pobreza dos munic?pios podem contribuir para a redu??o das desigualdades em sa?de relacionadas aos idosos mais jovens, principalmente, bem como a otimiza??o da utiliza??o dos servi?os de sa?de, que se relaciona mais expressivamente ao quadro de sa?de dos idosos longevos, especialmente no que diz respeito ? qualidade das informa??es para os dois grupos de idade

Made available in DSpace on 2016-12-23T13:46:58Z (GMT). No. of bitstreams: 1 Ana Paula Costa Velten.pdf: 1394815 bytes, checksum: 4567003aac749ee044663dee25b84c95 (MD5) Previous issue date: 2013-03-22 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / Esta pesquisa objetivou comparar o perfil de mortalidade dos Adventistas do Sétimo dia com o da população geral no período de 2003 a 2009 no estado do Espírito Santo. Tratou-se de um estudo descritivo que estudou todos os óbitos ocorridos no estado durante o período abordado, separando-se os mesmos em dois grupos: Adventista e população geral. A separação foi realizada através da busca dos nomes dos Adventistas falecidos, fornecidos pela administração da igreja, no banco estadual do Sistema de Informações sobre Mortalidade. Os grupos de óbitos foram descritos e distribuídos por capítulo da décima Classificação Internacional de Doenças. Foram também verificadas as médias de anos vividos dos grupos e as Razões de Mortalidade Padronizadas e intervalos de confiança de 95%. Os resultados apontam que os Adventistas morrem em maior proporção em faixas etárias mais avançadas em relação à população geral. As principais causas de morte para os Adventistas foram as doenças do aparelho circulatório (34,45%), neoplasias (20,06%) e causas externas (9,87%). Para à população geral as doenças do aparelho circulatório também foram a principal causa de morte (31,70%), seguidas das causas externas (18,57%) e neoplasias (15%). Os Adventistas apresentaram 4,57 anos a mais na média de anos vividos em relação à população geral. As Razões de Mortalidade Padronizadas dos Adventistas foram 55,87 (40,99 - 74,38) para as doenças do aparelho circulatório, 48,59 (24,3 86,84) para as doenças do aparelho respiratório, 15,48 (7,31 28,76) para as doenças do aparelho digestivo, e 41,3 (20,91 73,18) para as causas externas. Concluiu-se que embora não se conheça a medida da adoção das recomendações de saúde pelos Adventistas que obitaram há evidências de que as recomendações tenham influenciado beneficamente o perfil de mortalidade dos mesmos em relação à população geral / This study aimed to compare the mortality profile of Seventh-day Adventists with general population in the period 2003 to 2009 in the state of Espírito Santo, Brazil. This was a descriptive study that studied all deaths in the state during the period covered by separating them into two groups: Adventist and the general population.The separation was performed by searching the names of the deceased Adventists, provided by the administration of the church, in the state bank of Mortality Informations System. Groups of deaths were reported and distributed by the 10° chapter of the International Classification of Diseases. Was also checked the average years lived in groups and Standardized Mortality Ratios (SMR) and confidence intervals of 95%. The results show that Adventists die more often in older age groups relative to general population. The main causes of death for the Adventists were the circulatory diseases (34,45%), neoplasms (20,06%) and external causes (9,87%). For the general population the circulatory diseases were also the leading cause of death (31,70%), followed by external causes (18,57%) and neoplasms (15%). Adventists had 4.57 years on average over the years lived in the general population. The SMR of Adventists were 55,87 (40,99 74,38) for the circulatory diseases, 48,59 (24,3 86,84) for the respiratory diseases, 15,48 (7,31 28,76) for the digestive diseases, and 41,3 (20,91 73,18) for the external causes. It was concluded that although no one knows the extent of health recommendations adoption by the Adventist who died there is evidence that the recommendations have beneficially influenced the mortality profile of the same relative the general population

Introdução: As estatísticas de mortalidade são usadas pelo mundo inteiro e por isso precisa ter dados confiáveis e comparáveis. Uma das estratégias para melhorar sua qualidade é a automação de etapas do fluxo dos dados. O Iris é um sistema que codifica as causas de morte da declaração de óbito (DO) e seleciona a causa básica de morte. Objetivos: adaptar o software para uso no Brasil, testá-lo e comparar seu uso com a codificação manual e com a seleção do sistema usado na rotina brasileira, o Sistema de Seleção da Causa Básica de Morte (SCB). Métodos: foram utilizadas uma amostra de declarações de óbito de óbitos ocorridos no período de janeiro a junho de 2014 em nove cidades representando as cinco regiões do Brasil. Foram selecionados óbitos pelas causas mais comuns, com menção de doença transmissível, assim como óbitos infantis, maternos e óbitos com menção de causa externa ou cirurgia. A fase 1 visou a conclusão do dicionário e a fase 2 testar e comparar o uso do Iris. Resultados: 1848 DO, com uma média de 3,1 linhas preenchidas por DO. Foram realizadas 618 ajustes ou adições nas tabelas do dicionário ou nas tabelas de padronização. Em 45,9 por cento das DO o Iris codificou todas as causas de morte presente na DO assim como selecionou a causa básica de morte. Das DO que o Iris não conseguiu concluir o processo, a maioria (97,8 por cento) dessas rejeições foi por dificuldade em encontrar ou processar um código da CID. A concordância do Iris com a codificação manual nos níveis de 4 caracteres, 3 caracteres e 1 caractere dos códigos da CID-10 foi de 73,3 por cento, 78,2 por cento e 83,9 por cento respectivamente. Isso representou uma discordância em 49,1 por cento das DO. A concordância da causa básica de morte com o SCB foi de 74,2por cento, 84,3 por cento e 91,8 por cento nos níveis de 4 caracteres, 3 caracteres e 1 caractere dos códigos da CID-10 respectivamente. A principal causa de discordância (71 por cento) foi por codificações diferentes. Após as pequenas correções, o Iris finaliza 66,6 por cento das DO. Conclusão: As discordâncias tiveram como causa os hábitos e rotinas dos codificadores que variam entre eles, enquanto no Iris a codificação de uma causa é sempre a mesma. As tabelas de decisão do SCB precisam ser revistas. Os dados mostram que é possível usar esta ferramenta e que ela vai diminuir o trabalho dos codificadores. O Iris teve uma boa taxa de finalização, semelhante a países que o utilizam na sua rotina. / Introduction: Mortality statistics is used all over the world and therefore needs reliable and comparable data. One of the strategies to improve quality is an automated data collection. Iris is a system that codes the causes of death of the death certificate (DC) and selects the underlying cause of death. Objective: To adapt Iris software to Brazil finalising the Portuguese dictionary, to test Iris and to compare it with manual coding and with the selection of the Basic Death Cause Selection System (Portuguese acronym is SCB). Methods: The sample was death certificates occurred from January to June of 2014 in nine cities representing the five regions of Brazil. Were selected to compose the sample: routine deaths, DC with mention of communicable disease, infant death, maternal death and DC with mention of external cause or surgery. Phase 1 aimed to complete the dictionary and phase 2 aimed to test and compare Iris. Results: The sample was1848 DC, with an average of 3.1 lines filled by DC. There were 618 adjustments or additions to dictionary tables or standardization tables. In 45.9 per cent of DC Iris coded all causes of death and selected the underlying cause of death. Of the DC that Iris was unable to complete the process, the majority (97.8 per cent) of these rejections were due to difficulty in finding or processing an ICD code. Iris agreement with manual coding at the 4-character, 3- character, and 1-character levels of ICD-10 codes was 73.3 per cent, 78.2 per cent and 83.9 per cent, respectively. This represented a disagreement in 49.1 per cent of DC. The concordance of the underlying cause of death with SCB was 74.2 per cent, 84.3 per cent and 91.8 per cent at the 4- character, 3-character and 1-character levels respectively. The main cause of discordance (71 per cent) was by different codes for the same cause of death. After the small corrections, Iris finalised 66.6 per cent of the DC. Conclusion: The disagreements were caused by coders routines that can vary between them, whereas in Iris the codification of a cause is always the same. The SCB decision tables need to be reviewed. The data show that it is possible to use this tool and that it will decrease the work of the coders. Iris had a good finalisation rate, similar to countries that use it in their routine.

Comitês de Mortalidade Materna, que não investigam todos os óbitos de mulheres de 10 a 49 anos, utilizam lista de causas presumíveis de morte materna para a busca ativa de causas maternas de óbito. Mediante dados do Comitê de Estudo e Prevenção da Mortalidade Materna, para o Município de São Paulo (CMMSP), e do “Estudo de mortalidade de mulheres de 10 a 49 anos, com ênfase na mortalidade materna”, realizado nas capitais de estados brasileiros e Distrito Federal (GPP), analisou-se a utilização da lista de causas presumíveis do Manual dos Comitês de Mortalidade Materna do Ministério da Saúde. Conforme investigação do CMMSP, em relação às causas maternas declaradas em 2001, houve um acréscimo de 72,7% de causas maternas. A análise dos dados com a utilização da lista mostrou que 39,4% eram causas maternas presumíveis e 33,3% não eram causas presumíveis. Entre as Declarações de Óbito (D.O.) originais do primeiro semestre de 2002, do estudo do GPP, em que causas maternas não estavam declaradas e se tornaram causas maternas, verificou-se que 52,6% eram presumíveis e 47,4% não eram presumíveis. Quanto à variável da D.O., que informa se a mulher estava grávida no momento da morte, ou esteve grávida nos doze meses que antecederam a morte, verificou-se a ausência de preenchimento dos campos 43 e 44, em mais de 50% das D.O. com outras causas declaradas e que se tornaram causas maternas, tanto na investigação do CMMSP quanto na do GPP. Concluiu-se que os Comitês de Prevenção da Mortalidade Materna deveriam investigar todas as mortes de mulheres de 10 a 49 anos. / Committees of Maternal Mortality, which do not investigate all the deaths of women between 10 and 49 years old, use a list of presumable causes of maternal death for the active search of maternal causes of death. Based on the data from the Committee of Studies and Prevention of Maternal Mortality for the Municipality of São Paulo (CMMSP) and on the “Study of mortality of women between 10 and 49 years old with an emphasis on maternal mortality”, developed for the Brazilian state capitals and the Federal District (GPP), the utilization of the list of presumable causes from the Health Ministry Manual of the Committees of Maternal Mortality was analyzed. According to the CMMSP data, there was an increase of 72,7% of maternal causes in relation to the declared maternal causes in 2001. The analysis of data with the use of the list showed that 39,4% were presumable maternal causes and 33,3% were not presumable causes. Among the maternal causes which were not declared in the original Death Certificates of the GPP Study for the first semester of 2002, it was verified that 52,6% were presumable and 47,4% were not presumable. As to the pregnancy variable of Death Certificates, it was verified the absence of information in the form in more than 50% of the Certificates with other causes declared and that were maternal causes in the CMMSP and in the GPP investigation. The conclusion is that the Committees of Prevention of Maternal Mortality should investigate all the deaths of women in ages between 10 to 49 years old.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-06-27T14:27:56Z No. of bitstreams: 1 analuizapossanipaiva.pdf: 1296783 bytes, checksum: afd1057e1bb9a7e569e3d6ed64784eca (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-06-28T12:57:28Z (GMT) No. of bitstreams: 1 analuizapossanipaiva.pdf: 1296783 bytes, checksum: afd1057e1bb9a7e569e3d6ed64784eca (MD5) / Made available in DSpace on 2016-06-28T12:57:28Z (GMT). No. of bitstreams: 1 analuizapossanipaiva.pdf: 1296783 bytes, checksum: afd1057e1bb9a7e569e3d6ed64784eca (MD5) Previous issue date: 2012-04-27 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A taxa de mortalidade infantil tem diminuído a cada ano no Brasil, porém ainda se mantém em níveis elevados, tendo como principal componente a mortalidade perinatal. Cerca de 80% do óbitos infantis ocorrem por causas perinatais, consideradas preveníveis por meio do manejo adequado da assistência. O objetivo deste estudo foi descrever a mortalidade perinatal em Cataguases-MG, pelas características do recém-nascido e da mãe, classificando os óbitos quanto ao potencial de evitabilidade. Foram analisados pelos sistemas de informação, SIM e SINASC, 2972 nascimentos e 45 óbitos perinatais ocorridos nos anos de 2008 a 2011. Foram investigados 11 casos de 2011, pelos registros dos prontuários de atenção primária, secundária e terciária, documentos da gestante e entrevista. Os resultados encontrados foram: divergência entre os registros do banco de dados e dos prontuários, dados perdidos no banco de óbitos e nos prontuários, dificuldade de acesso aos documentos e alto índice de óbitos fetais, 58% dos óbitos perinatais. No decorrer dos anos, ocorreu aumento dos casos de asfixia ao nascimento no primeiro e quinto minutos. No ano de 2011 o baixo peso atingiu 9%, 10% dos nascimentos foram prematuros, e ocorreram as taxas de mortalidade mais altas dos últimos quatro anos: infantil (21,7/1000), perinatal (22,7/1000) e pós-neonatal (9,0/1000). A classificação da evitabilidade do óbito revelou possíveis falhas nos três níveis de atenção. Na atenção primária as falhas foram relacionadas ao acesso às informações e identificação do risco gestacional. Na atenção secundária foi identificada falha no atendimento oportuno em relação ao parto, e na atenção terciária, dificuldade no acesso a atendimento de alto risco. / The infant mortality rate has decreased every year in Brazil but still remains at high levels, having perinatal mortality as main component. About 80% of infant deaths occur by perinatal causes, considered preventable through proper management of assistance. The aim of this study was to describe perinatal mortality in Cataguases-MG, by newborn and mother characteristics, classifying deaths as avoidance potential. Were analyzed by information systems, SIM and SINASC, 2972 births and 45 perinatal deaths occurred in the year 2008 to 2011. Eleven cases in 2011 had the reports investigated by primary care, secondary care, tertiary care, pregnant documents and interview. The results were: divergence between records in database and patient records, lost data on deaths and patient records, difficulty to access documents and high levels of fetal deaths, 58% of perinatal deaths. Over the years, cases of asphyxia have increased in the first and fifth minutes. In 2011 low weight reached 9%, 10% of premature births, and there were higher mortality rates in four years: infant (21.7/1000), perinatal (22.7/1000) and post-neonatal (9.0/1000). The classification of the death avoidance revealed possible failures in three levels of care. Failures were related in primary care to access information and to identify the gestational risk. In secondary care has been identified service failed timely in childbirth, and difficulty in access high risk care.