Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Abstract

Conflito de interesses:Não Contribuição dos autores: BRM concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação. AZ obtenção ou análise/ interpretação dos dados, redação e revisão crítica. HF obtenção ou análise/interpretação dos dados, redação e revisão crítica. SC obtenção ou análise/interpretação dos dados, redação e revisão crítica. RMMS concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação e revisão crítica. Contato para correspondência: Rosane Meire Munhak Silva E-mail: zanem2010@hotmail. AbstractIntroduction: Despite the progress made in health care, it appears that fetal death remains a concern for public health services for a long time. It was neglected, and few investments were made to reduce it. Objective: Search scientific evidence demonstrating fetal, maternal, and social risk factors are related to fetal death. Material and Method: Integrative literature review of 16 papers from Scielo, Bireme and Pubmed, between 2005 and 2014, only in English and Portuguese and selected from the question: What fetal, maternal, and social risk factors are associated with fetal death? Titles and abstracts were read to select those to be read in their entirety, and for this, two researchers read the publications in order to see if the inclusions were consistent. Data collection occurred from September to December 2014. The hierarchical classification system known as level of evidence was used. Results: Publications cite risk factors for fetal death are not isolated events. The fetal risk factors described in 43.75% of the studies highlighted the low weight and congenital malformation. Maternal factors were cited in 81.25% of the articles, especially those related to maternal morbidities, such as hypertensive and hemorrhagic syndromes, syphilis, and gestational diabetes. In 43.75% of the publications, we could perceive the influence of low education, as well as black or brown skin; low socioeconomic conditions and inadequate prenatal care. Conclusion: Building studies on fetal health becomes relevant, since these have been little explored despite their incontestable importance for public health, and consider it as an indicator of quality of care prenatal.

Pregnancies with an outcome of fetal death present higher risk of delays in obstetric care: A case-control study

“…The analysis evidenced the absence of prenatal appointments as a determinant factor associated with the occurrence of fetal death, confirmed in other studies as a potentially modifiable factor, with interventions towards increasing access and availability of these services that surely would attenuate the stillbirth rates [14–15]. It also indicates the fragility with the principle of universality of access, guaranteed by Brazilian legislation that advocates that basic services, such prenatal care, should cover the entire target population [16].…”

“…These delays in care were also found in other studies that established that the expectation of hospitalization not being met, in addition to identifying inadequacies in care, may represent a potential risk to maternal and fetal life. This is configured as an institutional violence [15].…”

“…We recognize the recent advances in Brazil related to the improvement of maternal and child indicators, however, the challenge that remains is to transform recommendations into practices, with the services adopting protocols based on scientific evidence, with treatment that is dignified and respectful to women. Improvements are necessary, especially in the sense of promoting the safety and protection of pregnant women throughout the puerperal gestation cycle, thereby regaining the health services’ credibility [7,9,15,17].…”

Prevalence and Association of Congenital Anomalies According to the Maternal Body Mass Index: Cross-Sectional Study

“…33 They are usually related to genetic syndromes and are a part of a complex group of anomalies with lethal cumulative effects in the intrauterine period. 34 Moreover, pregnant women with normal weight had a higher prevalence of intrauterine loss and a of a family history of CAs, which may be related to a genetic predisposition. 35,36 Although no genetic study was performed, this factor may have contributed to a higher prevalence of multiple CAs and of intrauterine losses.…”