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Cadernos de Saúde Pública

versão impressa ISSN 0102-311X

Resumo

FONSECA, Sandra Costa  e  COUTINHO, Evandro Silva Freire. Risk factors for fetal mortality in a public maternity hospital in Rio de Janeiro, Brazil: a case-control study. Cad. Saúde Pública [online]. 2010, vol.26, n.2, pp.240-252. ISSN 0102-311X.  https://doi.org/10.1590/S0102-311X2010000200004.

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.

Palavras-chave : Fetal Mortality; Prenatal Care; Maternity Hospitals; Single Health System.

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