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Fetal deaths in Brazil: a systematic review.

Barbeiro FM, Fonseca SC, Tauffer MG, Ferreira Mde S, Silva FP, Ventura PM, Quadros JI - Rev Saude Publica (2015)

Bottom Line: Analysis of the causes of death indicated maternal morbidities that could be prevented and treated.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.

View Article: PubMed Central - PubMed

ABSTRACT

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. 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. Fetal deaths have decreased in Brazil; however, inequalities persist. 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. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary.

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Related in: MedlinePlus

Flowchart of the selection of studies for systematic review.
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f01: Flowchart of the selection of studies for systematic review.

Mentions: Initially, two examiners evaluated the titles. The abstracts of the studies with titles approved by at least one examiner were read. The studies with an abstracts approved by both examiners were included. In cases of disagreement, a third examiner read the abstract to make the final decision. The reasons for exclusion are listed in the flowchart (Figure).


Fetal deaths in Brazil: a systematic review.

Barbeiro FM, Fonseca SC, Tauffer MG, Ferreira Mde S, Silva FP, Ventura PM, Quadros JI - Rev Saude Publica (2015)

Flowchart of the selection of studies for systematic review.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390075&req=5

f01: Flowchart of the selection of studies for systematic review.
Mentions: Initially, two examiners evaluated the titles. The abstracts of the studies with titles approved by at least one examiner were read. The studies with an abstracts approved by both examiners were included. In cases of disagreement, a third examiner read the abstract to make the final decision. The reasons for exclusion are listed in the flowchart (Figure).

Bottom Line: Analysis of the causes of death indicated maternal morbidities that could be prevented and treated.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.

View Article: PubMed Central - PubMed

ABSTRACT

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. 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. Fetal deaths have decreased in Brazil; however, inequalities persist. 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. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary.

Show MeSH
Related in: MedlinePlus