Factors associated with perinatal mortality in
a high-risk school maternity in the Northeast
of Brazil
Mortalidade Perinatal. Mortalidade Fetal. Mortalidade Precoce. Fatores Associados.
home and that for the reduction of deaths
early fetal and neonatal diseases, the indicators of perinatal mortality are stable,
despite the significant reduction in infant mortality observed
since the early 2000s. The occurrence of fetal deaths and
early neonatal deaths are closely related to the
quality of prenatal, intrapartum and postpartum care offered
pregnant women, so that the investigation of the factors associated with
these deaths will underpin public policy adaptations
able to reduce the occurrence of perinatal outcomes
Unwanted. we intend to identify sociodemographic factors,
maternal and care-related mothers associated with perinatal mortality in
a population of pregnant women, puerperated women and neonates admitted to
a maternity school in northeastern Brazil, between June
2015 to May 2016 and generate data that collaborates with the
planning of maternal and child care. a study was carried out
prospective cohort approach. The subjects were pregnant
admitted to the Santa Monica Maternity School, located in the
municipality of Maceió, State of Alagoas (Northeastern Brazil),
between June 2015 and May 2016. Having as factors of
exposure to sociodemographic, obstetric,
care delays and maternal near miss, the data were
collected through interviews and medical records. Measures of
frequency were generated through the Epi Info 3.5.1.A
bivariate analysis was performed at Open Epi to calculate the
risk association considering the significance level of
5%. Subsequently, the variables with p<0.02 were included in the
multivariate analysis, through multiple logistic regression
stepwise, from a Hierarchical Theoretical Model having as
variable dependent on perinatal mortality. They joined
perinatal mortality to be held in perinatal mortality.
prenatal care in a number of less than six, the non-
the presence of congenital malformations, the presence of
management criteria for maternal near miss and the first delay
Care. In our study, we can infer that the factors
determinants of perinatal mortality were associated with the quality of
in maternal health care offered, from the care
to the intra-hospital level required a restructuring of the
and qualification of maternal and child care in a system that is more
regionalized and paid-up.