Analysis of the incidence of fetal deaths between cities the ninth regional health of Paraná

Abstract

Abstract: The aim of this study was to analyze stillbirth between municipalities of the ninth regional Health of Paraná. This was a descriptive research with quantitative approach. The data collection occurred in 2015, from the Brazilian National Information System on Live Births, in Mortality information system and in reports of the Maternal and Infant Mortality Committee of the ninth Regional Health of Paraná. Five municipalities had an increase in stillbirths between 2010 and 2013. Itaipulândia showed the highest incidence and Santa Terezinha de Itaipu showed a fivefold increase of stillbirths. Most stillbirths were male fetuses, weighing 500-1499 grams and had gestational age between 28-36 weeks. As for maternal age, stillbirths were the most common between 20-39 years. In 2010, most stillbirths occurred with least educated mothers, while in 2013 there was no significant difference between educational levels. Although the majority of deliveries were vaginal, surgical birth happened in many cases. Different approaches to studies on fetal health are relevant and important in terms of public health as an indicator of quality of prenatal care and childbirth assistance.