Fatores associados a mortalidade fetal em hospital terciário do sul do Brasil

Abstract

The aim of this study was to identify factors associated with fetal mortality occurring in a University Hospital in Southern Brazil. It is epidemiological cross-sectional research, using data obtained from electronic medical records of patients who underwent delivery at a large Teaching Hospital located in the central region of Rio Grande do Sul. The data were collected from 2017 to 2018 and 2020 to 2021. The dependent variable used in this study was the occurrence or non-occurrence of fetal death. Univariate and multiple logistic regression models were used, and the odds ratio (OR) and their respective 95% confidence intervals were also estimated. The results of the model adjustment indicated that incomplete prenatal care (OR=0.52; 95% CI=0.19-1.43), chorioamnionitis (OR=2.59; 95% CI=0.65-10.33), and gestational age (28 to 36.9 weeks, OR=0.74; 95% CI=0.02-0.24; < 28 weeks, OR=0.01; 95% CI=0.00-0.06) were factors associated with fetal mortality. The context of fetal mortality involves issues related to maternal health, which are essential for the maintenance and promotion of maternal health, as well as providing inputs for evaluating the quality of healthcare services. Studies on fetal mortality can provide relevant information for the planning and improvement of obstetric services. Furthermore, it is possible to identify areas that require improvement, such as enhancing the training of healthcare professionals, strengthening healthcare units, optimizing available resources, and implementing effective prevention and intervention strategies.