Health situation analysis: fetal mortality in the 10th health region of Ceará

• Autor(a) principal: Lima, Katherine Jeronimo
• Data de Publicação: 2017
• Outros Autores: Chaves, Cristianne Soares, Gomes, Edsângelo de Oliveira, de Lima, Maria Aparecida, Candeira, Ellany Cristina Pascôa, Teófilo, Fiama Kécia Silevira, Nunes, Glaucilândia Pereira, Viana, Radmila Alves Alencar
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira em Promoção da Saúde
• Texto Completo: https://ojs.unifor.br/RBPS/article/view/5944
• topic: Fetal Death; Prenatal Care; Delivery of Health Care.; Muerte Fetal; Atención Prenatal; Prestación de Atención de Salud.; Morte Fetal; Assistência Pré-Natal; Assistência à Saúde.

Objective: To analyze the health situation, in the context of fetal mortality, in the 10th Health Region of Ceará. Methods: Cross-sectional, descriptive and retrospective study with information regarding 71 fetal deaths of mothers living in Limoeiro do Norte 10th Health Region of Ceará, which occurred in the period from 2012 to 2013. The study used data from the Brazilian Mortality Information System (SIM) and the Fetal Death Investigation Reports, which were analyzed in absolute and relative frequencies. Results: It was observed that 52.1% (n=37) of fetal deaths occurred in women aged under 30 years. Of the mothers, 35.2% (n=25) were in their first pregnancy; 49.3% (n=35) started prenatal care before 12 gestational weeks, and 64.7% (n=46) experienced complications during pregnancy. Of the deliveries, 36.6% (n=26) occurred between 37 and 41 weeks of gestation, and 67.6% (n=48) were vaginal delivery. Of the stillborns, 31% (n=22) had weight above 2,500g, and 38% (n=28) had intrauterine hypoxia as the underlying cause of death. Conclusion: The health situation regarding fetal mortality showed a high death rate in the year 2013 (14.5/1,000 births), whose mothers were young, in their first pregnancy and experiencing gestational complications, with deaths occurring before delivery, low birth weight and intrauterine hypoxia.