Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

Datos Bibliográficos

ID9260643
AutoresMarcia Furquim De Almeida (0000-0003-0052-1888, Universidade de São Paulo), Gizelton Pereira Alencar (0000-0002-2354-9050, Universidade de São Paulo), H Maria Dutilh Novaes (0000-0001-9849-0324, Universidad San Pedro), Ivan França Junior (0000-0002-7004-7301), Ivan França Jr (USP, Brasil), Arnaldo Augusto Franco De Siqueira (0000-0002-8632-043X, USP, Brasil), Oona M R Campbell (0000-0002-9311-0115, London School of Hygiene and Tropical Medicine, UK), Daniela Schoeps (0000-0002-6819-1320, Universidade de São Paulo), Laura Cunha Rodrigues (0000-0001-9008-660X, London School of Hygiene and Tropical Medicine, UK)
Año2007
Volumen41
Número1
Páginas35-43
Fecha de publicación2007-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista de Saúde Pública (JOURNAL)
Identificadores de la revistaISSN: 0034-8910 • E-ISSN: 0034-8910
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0034-89102007000100006
PMID17273632
OpenAlexW2045171235
SCIELO_PIDS0034-89102007000100006
IdiomaPT
Citas recibidas10
Referencias citadas19

OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and death certificates, hospital records and home interviews. A hierarchical conceptual framework guided the logistic regression analysis. RESULTS: Statistically significant factors associated with antepartum fetal death were: mother without or recent marital union; mother's education under four years; mothers with previous low birth weight infant; mothers with hypertension, diabetes, bleeding during pregnancy; no or inadequate prenatal care; congenital malformation and intrauterine growth restriction. The highest population attributable fractions were for inadequacy of prenatal care (40%), hypertension (27%), intrauterine growth restriction (30%) and absence of a long-standing union (26%). CONCLUSIONS: Proximal biological risk factors are most important in antepartum fetal deaths. However, distal factors - mother's low education and marital status - are also significant. Improving access to and quality of prenatal care could have a large impact on fetal mortality

Antepartum haemorrhage · Antepartum hemorrhage · Birth certificate · Birth weight · Cause of death · Death certificate · Environmental health · Fetus · Gestation · Infant mortality · Logistic regression · Low birth weight · Marital status · Obstetrics · Population · Pregnancy · Prenatal care · Demography · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Pediatrics