Risk factors associated to fetal death

Authors

  • Márcia Maria Auxiliadora de Aquino Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas
  • José Guilherme Cecatti Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas
  • Coríntio Mariani Neto Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas

Keywords:

Stillbirth, Fetal death, Mother and child health, Risk factor

Abstract

OBJECTIVE: The purpose of this study was to investigate risk factors associated to fetal death in a Brazilian population. DESIGN: A case control study. SETTING: The Hospital Maternidade Leonor Mendes de Barros in São Paulo. PARTICIPANTS:122 pregnant women with diagnosis of fetal death and gestation age of 20 or more weeks and 244 controls of pregnant women who delivered liveborns. VARIABLES STUDIED: The fetal death (dependent variable), independent variable (the social demographic factors, clinical and obstetrical history, prenatal care indicators and pathological conditions). RESULTS: The risk factors associated to fetal death were abruptio placentae, syphilis, few prenatal care visits, one or more previous stillbirths, hospitalization during pregnancy, diabetes, age above or equal to 25 years, hypertension during pregnancy, anemia and age below 20 years. CONCLUSIONS: Results of the current study might be useful to orientate a primary prevention health program, specially those concerning antenatal care.

Downloads

Download data is not yet available.

Author Biographies

Márcia Maria Auxiliadora de Aquino, Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas

Hospital Maternidade Leonor Mendes de Barros, São Paulo. Universidade de Campinas, Departamento de Tocoginecologia, FCM, São Paulo, Brazil

José Guilherme Cecatti, Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas

Hospital Maternidade Leonor Mendes de Barros, São Paulo. Universidade de Campinas, Departamento de Tocoginecologia, FCM, São Paulo, Brazil

Coríntio Mariani Neto, Hospital Maternidade Leonor Mendes de Barros; Universidade de Campinas

Hospital Maternidade Leonor Mendes de Barros, São Paulo. Universidade de Campinas, Departamento de Tocoginecologia, FCM, São Paulo, Brazil

References

Ahlenius I, Floberg J, Thomassen P. Sixty-six cases of intrauterine fetal death: a prospective study with an extensive test protocol. Acta Obstet Gynecol Scand 1995;74:109-17.

Aquino MMA, Cecatti JG. Epidemiologia do óbito fetal. Rev Bras Ginecol Obstet 1998. In press.

Raymond EG, Cnattingius S, Kiely JL. Effects of maternal age, parity and smoking on the risk of stillbirth. Br J Obstet Gynaecol 1994;101:301-6.

Were EO. Stillbirths at Eldoret District hospital: a retrospective study. East Afr Med J 1994;71:607-10.

Petridou E, Kotsifakis G, Revinthi K, Polychronopoulou A, Trichopoulos D. Determinants of stillbirth mortality in Greece. Soz Praventivmed 1996;41:70-8.

Copper RL, Goldenberg RL, DuBard MB, Davis RO. Risk factors for fetal death in white, black and Hispanic women. Obstet Gynecol 1994;84:490-5.

Meyer MB, Tonascia JA. Maternal smoking, pregnancy complications and perinatal mortality. Am J Obstet Gynecol 1977;128:494-502.

Amaral E, Ferreira JD, Barini R. Avaliaçăo da natimortalidade em uma populaçăo urbana. In: XV Congresso Brasileiro de Ginecologia e Obstetrícia. Săo Paulo 1989;Anais.

Axemo P, Liljestrand J, Bergstrom S, Gebre-Medhin M. An etiology of late fetal death in Maputo. Gynecol Obstet Invest 1995;39:103-9.

Goffinet F, Combier E, Bucourt M, de Caunes F, Papiernik E. Epidemiology of fetal deaths in the Seine-Saint-Denis perinatal survey. J Gynecol Obstet Biol Reprod 1996;25:153-9.

Faúndes A, Hardy E, Diaz J, Pinotti J. Association of marital status and years of schooling with perinatal outcome: the influence of pre-natal care as an intermediate variable. J Perinatal Med 1982;10:105-13.

Walles B, Tyden T, Herbst A, Ljungblad U, Rydhstrom H. Maternal health care program and markers for late fetal death. Acta Obstet Gynecol Scand 1994;73:773-8.

Weeks JW, Asrat T, Morgan MA, Nageotte M, Thomas SJ, Freeman RK. Antepartum surveillance for a history of stillbirth: when to begin. Am J Obstet Gynecol 1995;172:486-92.

Downloads

Published

1998-11-11

How to Cite

1.
Aquino MMA de, Cecatti JG, Mariani Neto C. Risk factors associated to fetal death. Sao Paulo Med J [Internet]. 1998 Nov. 11 [cited 2025 Oct. 16];116(6):1852-7. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2391

Issue

Section

Original Article