Health situation analysis: fetal mortality in the 10th health region of Ceará ; Análisis de la situación de salud: la mortalidad fetal de la 10ª región de salud de Ceará ; Análise da situação em saúde: a mortalidade fetal na 10ª região de saúde do Ceará

Objective: To analyze the health situation, in the context of fetal mortality, in the 10th Health Region of Ceará. Methods: Cross-sectional, descriptive and retrospective study with information regarding 71 fetal deaths of mothers living in Limoeiro do Norte 10th Health Region of Ceará, which occurred in the period from 2012 to 2013. The study used data from the Brazilian Mortality Information System (SIM) and the Fetal Death Investigation Reports, which were analyzed in absolute and relative frequencies. Results: It was observed that 52.1% (n=37) of fetal deaths occurred in women aged under 30 years. Of the mothers, 35.2% (n=25) were in their first pregnancy; 49.3% (n=35) started prenatal care before 12 gestational weeks, and 64.7% (n=46) experienced complications during pregnancy. Of the deliveries, 36.6% (n=26) occurred between 37 and 41 weeks of gestation, and 67.6% (n=48) were vaginal delivery. Of the stillborns, 31% (n=22) had weight above 2,500g, and 38% (n=28) had intrauterine hypoxia as the underlying cause of death. Conclusion: The health situation regarding fetal mortality showed a high death rate in the year 2013 (14.5/1,000 births), whose mothers were young, in their first pregnancy and experiencing gestational complications, with deaths occurring before delivery, low birth weight and intrauterine hypoxia. ; Objetivo: Analizar la situación de salud en el contexto de la mortalidad fetal de la 10ª Región de Salud de Ceará. Métodos: Estudio transversal, descriptivo y retrospectivo con informaciones de 71 óbitos fetales de madres residentes de la 10ª Región de Salud de Ceará en el periodo entre 2012 y 2013. Se utilizaron los datos del Sistema de Información sobre Mortalidad y de las Fichas de Investigación del Óbito Fetal que fueron analizados en frecuencias absolutas y relativas. Resultados: Se observó que el 52,1% (n=37) de las muertes fetales se dieron en mujeres con menos de 30 años. Entre las madres, el 35,2% (n=25) eran primigestas, el 49,3% (n=35) iniciaron el prenatal antes de las 12 semanas de ...