FETAL DEATHS IN BELÉM, PARÁ, BRAZIL, 2014–2023: A TIME-SERIES STUDY
DOI:
https://doi.org/10.56238/arev8n4-031Keywords:
Fetal Mortality, Maternal and Child Health, Health Information Systems, Public Health Surveillance, Time Series StudiesAbstract
Objective: To describe the temporal distribution and profile of fetal deaths in Belém, Pará State, Brazil, from 2014 to 2023. Methodology: Ecological retrospective time-series study with a quantitative approach, using secondary data from the Mortality Information System. All fetal deaths recorded during the period were included. Maternal, fetal, and care-related variables were analyzed. Descriptive analysis and simple linear regression were performed to assess temporal trends. Results: A total of 2,075 fetal deaths were recorded. A peak occurred in 2020 (n=240). Most cases involved mothers aged 20–24 years (24.4%), with 8–11 years of schooling (45.5%), and single pregnancies (94.2%). Male fetuses predominated (50.8%), with gestational age between 32–36 weeks (26.4%) and birth weight between 1,500–2,499 g (27.2%). Most deaths occurred before labor (94.3%), via vaginal delivery (72.2%), and in hospital settings (95.0%). Conclusion: Fetal deaths showed patterns related to maternal, fetal, and healthcare characteristics, especially prematurity and low birth weight, highlighting the need to strengthen prenatal care, improve obstetric care, and enhance health surveillance.
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