Fetal deaths in Brazil: a systematic review.

Revista de saude publica

PubMedID: 25924004

Barbeiro FM, Fonseca SC, Tauffer MG, Ferreira MS, Silva FP, Ventura PM, Quadros JI. Fetal deaths in Brazil: a systematic review. Rev Saude Publica. 2015;491-15.
OBJECTIVE
To review the frequency of and factors associated with fetal death in the Brazilian scientific literature.OBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature.

METHODS
A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted.METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the quality of data, 12 were descriptive studies, and 11 studies evaluated the factors associated with fetal death. The databases searched were PubMed and Lilacs, and data extraction and synthesis were independently performed by two or more examiners.

RESULTS
The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death.RESULTS The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death. Fetal deaths have decreased in Brazil; however, inequalities persist.

ANALYSIS
of the causes of death indicated maternal morbidities that could be prevented and treated.Analysis of the causes of death indicated maternal morbidities that could be prevented and treated. The main factors associated with fetal deaths were absent or inadequate prenatal care, low education level, maternal morbidity, and adverse reproductive history.

CONCLUSIONS
Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil.CONCLUSIONS Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary.