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Quality of information registered on fetal deaths certificates in São Paulo, Southeastern Brazil.

Abstract：

OBJECTIVE:To evaluate the quality of information registered on fetal death certificates. METHODS:Records were reviewed from 710 fetal deaths registered in the consolidated database of deaths from the State System for Data Analysis and the São Paulo State Secretary of Health, for deaths in São Paulo municipality (Southeastern Brazil) during the first semester of 2008. Completeness was analyzed for variables on fetal death certificates issued by hospitals and autopsy service. The death certificates from a sub-sample of 212 fetal deaths in hospitals of the National Unified Health System (public) were compared to medical records and to the records from Coroners Office. RESULTS:Among death certificates, 75% were issues by Coroners Office, with a greater frequency in public hospitals (78%). Completeness of variables on death certificates issued by hospitals was higher among non-public hospitals. There was greater completeness, agreement and sensitivity in death certificates issued by hospitals. There was low agreement and high specificity for variables related to maternal characteristics. Increased reporting of gender, birth weight and gestational age was observed in certificates issued by Coroners Office. Autopsies did not result in improved ascertainment of cause of death, with 65.7% identified as unspecified fetal death as 24.3% as intrauterine hypoxia, while death certificates by hospitals reported 18.1% as unspecified and 41.7% as intrauterine hypoxia. CONCLUSIONS:Completeness and the ascertainment of cause of fetal death need to be improved. The high proportion of autopsies did not improve information and ascertainment of cause of death. The quality of information generated by autopsies depends on access to hospital records.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Almeida MF,Alencar GP,Schoeps D,Minuci EG,Silva ZP,Ortiz LP,Novaes HM,Alencar AP,Raspantini PR,Santos PC

doi

10.1590/s0034-89102011005000058

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

845-53

issue

eissn

0034-8910

issn

1518-8787

pii

S0034-89102011005000058

journal_volume

pub_type

杂志文章

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Quality of information registered on fetal deaths certificates in São Paulo, Southeastern Brazil.