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FETAL DEATHS IN BRAZIL: WHAT CHANGED IN THE LAST DECADE AND WHAT CAN WE LEARN FROM THE CURRENT SITUATION?
Brasileiro, Mariana et al. | Date Issued: 2022
Author
Brasileiro, Mariana
Souza, Renato T.
Griggio, Thayna B.
Vieira, Matias C.
Oliveira, Paulo F.
Silva, Cleide M.
Dias, Marcos A. B.
Pasupathy, Dharmintra
Cecatti, José Guilherme
Affilliation
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil / King's College London. Faculty of Life Sciences and Medicine. School of Life Course Sciences. Department of Women and Children's Health. London, UK / King's Health Partners. Women's Health Academic Centre. St. Thomas' Hospital. London, UK.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Unidade de Estatística. Campinas, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Unidade de Estatística. Campinas, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
King's College London. Faculty of Life Sciences and Medicine. School of Life Course Sciences. Department of Women and Children's Health. London, UK / King's Health Partners. Women's Health Academic Centre. St. Thomas' Hospital. London, UK / University of Sydney. Faculty of Medicine and Health. Reproduction and Perinatal Centre. Sydney, New South Wales, Australia.
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.
Abstract
Objective: To determine fetal death rates (FDRs) according to maternal characteristics in Brazil. Methods: A serial cross-sectional analysis was conducted based on vital statistics of the Brazilian population from 2007 to 2019. FDRs were estimated according to maternal and pregnancy characteristics. Annual percent change (APC) of FDR was assessed by joinpoint regression model. Causes of death were compared between the ante−/intrapartum periods. Results: A significant reduction in FDR occurred in Brazil during 2007–2019 (11.1 and 10.43 in 2007 and 2019, respectively; APC –0.44). Only the northern region showed an increase in FDR. In 2019, the northeast and southeast had the highest and lowest FDRs, respectively (11.4 and 7.8/1000 live births). In adolescents, FDR increased from 2007 to 2016 (APC 1.75). In 2019, missing information was significantly high for maternal skin color (99.7%), schooling (17.0%), and age (7.0%) in fetal death registries. The most common causes of fetal death in the ante−/intrapartum periods were fetus and newborn affected by maternal conditions. Conclusion: A reduction in FDR has been achieved in Brazil over the last decade. However, there is an unmet need for decreasing social and regional disparities. A better system to attribute causes of death is needed to identifying priorities in maternalfetal health care.
Keywords
Cause of fetal death
Maternal health
Maternal health indicator
Stillbirth
 
Publisher
Wiley
Citation
BRASILEIRO, Mariana et al. Fetal deaths in Brazil: what changed in the last decade and what can we learn from the current situation? International Journal of Gynecology & Obstetrics, p. 1-9, 2022.
DOI
10.1002/ijgo.14117
ISSN
0020-7292