Fatores de risco para mortalidade fetal em uma maternidade do Sistema Único de Saúde, Rio de Janeiro, Brasil: estudo caso-controle

• Autor(a) principal: Fonseca, Sandra Costa
• Data de Publicação: 2010
• Outros Autores: Coutinho, Evandro Silva Freire
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4452
• topic: Mortalidade Fetal; Cuidado Pré-Natal; Maternidades; Sistema Único de Saúde

Stillbirth rate is high in Brazil, and it is important to identify its determinants. A nested case-control was conducted to explore the determinants of fetal death in a population treated at public services in Rio de Janeiro from 2002 to 2004. Data were collected from mothers' interviews and medical records. A structured model was proposed to perform statistical analysis, attributing hierarchical levels: socioeconomic factors (distal level), reproductive, behavioral, and healthcare determinants (intermediate level), and fetal biological characteristics (proximal level). According to the findings, work stability, stable marital status, presence of a companion during admission, and adequate prenatal care had a protective effect against fetal death, while domestic violence, maternal morbidity, and intrauterine growth restriction increased the risk. Quality of prenatal care showed a large protective effect, thus becoming a key strategy for reducing fetal mortality in populations with low socioeconomic status.