Fetal deaths in Brazil: a systematic review
OBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature. METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the q...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2015-01-01
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| Series: | Revista de Saúde Pública |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100402&lng=en&tlng=en |
| _version_ | 1818585824171655168 |
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| author | Fernanda Morena dos Santos Barbeiro Sandra Costa Fonseca Mariana Girão Tauffer Mariana de Souza Santos Ferreira Fagner Paulo da Silva Patrícia Mendonça Ventura Jesirée Iglesias Quadros |
| author_facet | Fernanda Morena dos Santos Barbeiro Sandra Costa Fonseca Mariana Girão Tauffer Mariana de Souza Santos Ferreira Fagner Paulo da Silva Patrícia Mendonça Ventura Jesirée Iglesias Quadros |
| author_sort | Fernanda Morena dos Santos Barbeiro |
| collection | DOAJ |
| description | OBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature. METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the quality of data, 12 were descriptive studies, and 11 studies evaluated the factors associated with fetal death. The databases searched were PubMed and Lilacs, and data extraction and synthesis were independently performed by two or more examiners. RESULTS The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death. Fetal deaths have decreased in Brazil; however, inequalities persist. Analysis of the causes of death indicated maternal morbidities that could be prevented and treated. The main factors associated with fetal deaths were absent or inadequate prenatal care, low education level, maternal morbidity, and adverse reproductive history. CONCLUSIONS Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary. |
| first_indexed | 2024-12-16T08:43:12Z |
| format | Article |
| id | doaj.art-a2902bf9412b4f4ebe290cba7c275b41 |
| institution | Directory Open Access Journal |
| issn | 0034-8910 |
| language | English |
| last_indexed | 2024-12-16T08:43:12Z |
| publishDate | 2015-01-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-a2902bf9412b4f4ebe290cba7c275b412022-12-21T22:37:39ZengUniversidade de São PauloRevista de Saúde Pública0034-89102015-01-0149011510.1590/S0034-8910.2015049005568S0034-89102015000100402Fetal deaths in Brazil: a systematic reviewFernanda Morena dos Santos BarbeiroSandra Costa FonsecaMariana Girão TaufferMariana de Souza Santos FerreiraFagner Paulo da SilvaPatrícia Mendonça VenturaJesirée Iglesias QuadrosOBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature. METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the quality of data, 12 were descriptive studies, and 11 studies evaluated the factors associated with fetal death. The databases searched were PubMed and Lilacs, and data extraction and synthesis were independently performed by two or more examiners. RESULTS The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death. Fetal deaths have decreased in Brazil; however, inequalities persist. Analysis of the causes of death indicated maternal morbidities that could be prevented and treated. The main factors associated with fetal deaths were absent or inadequate prenatal care, low education level, maternal morbidity, and adverse reproductive history. CONCLUSIONS Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100402&lng=en&tlng=enMorte Fetal, epidemiologiaMortalidade Fetal, tendênciasFatores de RiscoCausas de MorteAtestado de ÓbitoRegistros de MortalidadeSistemas de Informação em SaúdeRevisão |
| spellingShingle | Fernanda Morena dos Santos Barbeiro Sandra Costa Fonseca Mariana Girão Tauffer Mariana de Souza Santos Ferreira Fagner Paulo da Silva Patrícia Mendonça Ventura Jesirée Iglesias Quadros Fetal deaths in Brazil: a systematic review Revista de Saúde Pública Morte Fetal, epidemiologia Mortalidade Fetal, tendências Fatores de Risco Causas de Morte Atestado de Óbito Registros de Mortalidade Sistemas de Informação em Saúde Revisão |
| title | Fetal deaths in Brazil: a systematic review |
| title_full | Fetal deaths in Brazil: a systematic review |
| title_fullStr | Fetal deaths in Brazil: a systematic review |
| title_full_unstemmed | Fetal deaths in Brazil: a systematic review |
| title_short | Fetal deaths in Brazil: a systematic review |
| title_sort | fetal deaths in brazil a systematic review |
| topic | Morte Fetal, epidemiologia Mortalidade Fetal, tendências Fatores de Risco Causas de Morte Atestado de Óbito Registros de Mortalidade Sistemas de Informação em Saúde Revisão |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102015000100402&lng=en&tlng=en |
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