Abstract:
: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.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Fonseca SC,Coutinho ESdoi
10.1590/s0102-311x2010000200004subject
Has Abstractpub_date
2010-02-01 00:00:00pages
240-52issue
2eissn
0102-311Xissn
1678-4464pii
S0102-311X2010000200004journal_volume
26pub_type
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journal_title:Cadernos de saude publica
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