[Risk factors for fetal mortality in a public maternity hospital in Rio de Janeiro, Brazil: a case-control study].

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 Publica

authors

Fonseca SC,Coutinho ES

doi

10.1590/s0102-311x2010000200004

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

240-52

issue

2

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2010000200004

journal_volume

26

pub_type

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