Revista da Escola de Enfermagem da U S P · 2026
Temporal behavior of proportional mortality of fetal deaths according to underlying cause, 2011-2020.
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Soares de Barros Júlia Rodrigues, Parenti Ana Beatriz Henrique, Carvalheira Ana Paula Pinho, Ferrari Anna Paula, Duarte Marli Teresinha Cassamassimo, Parada Cristina Maria Garcia de Lima
Аннотация
OBJECTIVE: To investigate the temporal behavior of proportional mortality of early, intermediate, and late fetal deaths between 2011 and 2020, according to underlying cause.
METHODS: Population-based study conducted with secondary data on fetal deaths recorded in the Mortality Information System for the period between 2011 and 2020.
RESULTS: The highest annual averages of proportional mortality according to the underlying cause of early, intermediate, or late fetal deaths were, respectively: fetus and newborn affected by maternal factors and complications of pregnancy, labor, and delivery (41.3%, 44.4%, and 44.0%); intrauterine hypoxia and asphyxia at birth (22.3%, 21.6%, and 22.8%); and other conditions originating in the perinatal period (28.0%, 23.4%, and 24.4%). Hypoxia and asphyxia showed a downward trend for all types of death. The group of fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery showed an increasing trend.
CONCLUSION: The main underlying causes of death are characterized as preventable through adequate prenatal, delivery, and newborn care, which highlights the need to improve perinatal care in order to reduce and/or prevent their occurrence.
METHODS: Population-based study conducted with secondary data on fetal deaths recorded in the Mortality Information System for the period between 2011 and 2020.
RESULTS: The highest annual averages of proportional mortality according to the underlying cause of early, intermediate, or late fetal deaths were, respectively: fetus and newborn affected by maternal factors and complications of pregnancy, labor, and delivery (41.3%, 44.4%, and 44.0%); intrauterine hypoxia and asphyxia at birth (22.3%, 21.6%, and 22.8%); and other conditions originating in the perinatal period (28.0%, 23.4%, and 24.4%). Hypoxia and asphyxia showed a downward trend for all types of death. The group of fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery showed an increasing trend.
CONCLUSION: The main underlying causes of death are characterized as preventable through adequate prenatal, delivery, and newborn care, which highlights the need to improve perinatal care in order to reduce and/or prevent their occurrence.