Fetal death: obstetric, placental and fetal necroscopic factors

Detalhes bibliográficos
Autor(a) principal: Giraldi,Laura M.
Data de Publicação: 2019
Outros Autores: Corrêa,Thiago Ricardo K., Schuelter-Trevisol,Fabiana, Gonçalves,Carlos Otávio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442019000100098
Resumo: ABSTRACT Introduction: Fetal death is defined as the death of the product of conception, regardless of gestational age. Objectives: The objective of this study was to investigate the maternal (obstetrical and placental) risk factors and the necropsy findings associated with fetal death, based on data obtained from the Verification of Death Service [Serviço de Verificação de Óbito (SVO)] in Florianópolis, Santa Catarina, Brazil. Material and method: This is an observational, cross-sectional study using secondary data. Were included the reports released between 2010 and 2015, with a diagnosis of fetal deaths at gestational age of 20 weeks or more. Results: During the period evaluated, 210 autopsies were performed. From these, 15.2% (n = 32) presented umbilical cord abnormalities, 22.4% (n = 47) placental abnormalities, 49.5%(n = 104) maternal health problem related to pregnancy, and 10% (n = 21) previous maternal disease. Among the fetal characteristics involved, it was observed that 6.7% (n = 14) presented meconium aspiration and 5.2% (n = 11) fetal malformations. In this study, 21.9%(n = 46) did not have their causa mortis defined. Discussion: The findings of this study show a statistically significant association (p <0.05) between meconium aspiration and full term pregnancy, hospital origin and normal birth weight. Such information is in agreement with the literature, which shows signs of intrauterine hypoxia, such as the presence of meconium, which are more prevalent in full term pregnancy. Conclusion: Among the causes of fetal death, ascending infection was the most prevalent; the maternal death related to pregnancy were the ones that stood out the most.
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spelling Fetal death: obstetric, placental and fetal necroscopic factorsstillbirthfetal deathpregnancy complicationsplacental diseasesfetal distressautopsyABSTRACT Introduction: Fetal death is defined as the death of the product of conception, regardless of gestational age. Objectives: The objective of this study was to investigate the maternal (obstetrical and placental) risk factors and the necropsy findings associated with fetal death, based on data obtained from the Verification of Death Service [Serviço de Verificação de Óbito (SVO)] in Florianópolis, Santa Catarina, Brazil. Material and method: This is an observational, cross-sectional study using secondary data. Were included the reports released between 2010 and 2015, with a diagnosis of fetal deaths at gestational age of 20 weeks or more. Results: During the period evaluated, 210 autopsies were performed. From these, 15.2% (n = 32) presented umbilical cord abnormalities, 22.4% (n = 47) placental abnormalities, 49.5%(n = 104) maternal health problem related to pregnancy, and 10% (n = 21) previous maternal disease. Among the fetal characteristics involved, it was observed that 6.7% (n = 14) presented meconium aspiration and 5.2% (n = 11) fetal malformations. In this study, 21.9%(n = 46) did not have their causa mortis defined. Discussion: The findings of this study show a statistically significant association (p <0.05) between meconium aspiration and full term pregnancy, hospital origin and normal birth weight. Such information is in agreement with the literature, which shows signs of intrauterine hypoxia, such as the presence of meconium, which are more prevalent in full term pregnancy. Conclusion: Among the causes of fetal death, ascending infection was the most prevalent; the maternal death related to pregnancy were the ones that stood out the most.Sociedade Brasileira de Patologia Clínica2019-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442019000100098Jornal Brasileiro de Patologia e Medicina Laboratorial v.55 n.1 2019reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20190007info:eu-repo/semantics/openAccessGiraldi,Laura M.Corrêa,Thiago Ricardo K.Schuelter-Trevisol,FabianaGonçalves,Carlos Otávioeng2019-05-08T00:00:00Zoai:scielo:S1676-24442019000100098Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2019-05-08T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false
dc.title.none.fl_str_mv Fetal death: obstetric, placental and fetal necroscopic factors
title Fetal death: obstetric, placental and fetal necroscopic factors
spellingShingle Fetal death: obstetric, placental and fetal necroscopic factors
Giraldi,Laura M.
stillbirth
fetal death
pregnancy complications
placental diseases
fetal distress
autopsy
title_short Fetal death: obstetric, placental and fetal necroscopic factors
title_full Fetal death: obstetric, placental and fetal necroscopic factors
title_fullStr Fetal death: obstetric, placental and fetal necroscopic factors
title_full_unstemmed Fetal death: obstetric, placental and fetal necroscopic factors
title_sort Fetal death: obstetric, placental and fetal necroscopic factors
author Giraldi,Laura M.
author_facet Giraldi,Laura M.
Corrêa,Thiago Ricardo K.
Schuelter-Trevisol,Fabiana
Gonçalves,Carlos Otávio
author_role author
author2 Corrêa,Thiago Ricardo K.
Schuelter-Trevisol,Fabiana
Gonçalves,Carlos Otávio
author2_role author
author
author
dc.contributor.author.fl_str_mv Giraldi,Laura M.
Corrêa,Thiago Ricardo K.
Schuelter-Trevisol,Fabiana
Gonçalves,Carlos Otávio
dc.subject.por.fl_str_mv stillbirth
fetal death
pregnancy complications
placental diseases
fetal distress
autopsy
topic stillbirth
fetal death
pregnancy complications
placental diseases
fetal distress
autopsy
description ABSTRACT Introduction: Fetal death is defined as the death of the product of conception, regardless of gestational age. Objectives: The objective of this study was to investigate the maternal (obstetrical and placental) risk factors and the necropsy findings associated with fetal death, based on data obtained from the Verification of Death Service [Serviço de Verificação de Óbito (SVO)] in Florianópolis, Santa Catarina, Brazil. Material and method: This is an observational, cross-sectional study using secondary data. Were included the reports released between 2010 and 2015, with a diagnosis of fetal deaths at gestational age of 20 weeks or more. Results: During the period evaluated, 210 autopsies were performed. From these, 15.2% (n = 32) presented umbilical cord abnormalities, 22.4% (n = 47) placental abnormalities, 49.5%(n = 104) maternal health problem related to pregnancy, and 10% (n = 21) previous maternal disease. Among the fetal characteristics involved, it was observed that 6.7% (n = 14) presented meconium aspiration and 5.2% (n = 11) fetal malformations. In this study, 21.9%(n = 46) did not have their causa mortis defined. Discussion: The findings of this study show a statistically significant association (p <0.05) between meconium aspiration and full term pregnancy, hospital origin and normal birth weight. Such information is in agreement with the literature, which shows signs of intrauterine hypoxia, such as the presence of meconium, which are more prevalent in full term pregnancy. Conclusion: Among the causes of fetal death, ascending infection was the most prevalent; the maternal death related to pregnancy were the ones that stood out the most.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442019000100098
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1676-2444.20190007
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dc.publisher.none.fl_str_mv
Sociedade Brasileira de Patologia Clínica
publisher.none.fl_str_mv
Sociedade Brasileira de Patologia Clínica
dc.source.none.fl_str_mv Jornal Brasileiro de Patologia e Medicina Laboratorial v.55 n.1 2019
reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
instname:Sociedade Brasileira de Patologia (SBP)
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reponame_str Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
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