Temporal trend in fetal mortality according to two death avoidability classifications.

Autor:	Xavier RDB; Secretaria de Estado da Saúde de Alagoas, Hospital da Mulher Dra. Nise da Silveira, Maceió, AL, Brazil., Vilela MBR; Universidade Federal de Pernambuco, Departamento de Fonoaudiologia, Recife, PE, Brazil., Bonfim CVD; Fundação Joaquim Nabuco, Diretoria de Pesquisas Sociais. Recife, PE, Brazil., Oliveira CM; Secretaria de Saúde do Recife, Secretaria Executiva de Vigilância à Saúde. Recife, PE, Brazil., Lira PIC; Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Departamento de Nutrição. Recife, PE, Brazil., Sarinho SW; Universidade Federal de Pernambuco, Programa de Pós-Graduação em Saúde da Criança e do Adolescente. Recife, PE, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2024 Sep 27; Vol. 58, pp. e20240015. Date of Electronic Publication: 2024 Sep 27 (Print Publication: 2024).
DOI:	10.1590/1980-220X-REEUSP-2024-0015en
Abstrakt:	Objective: To analyze the temporal trend of fetal mortality and its components, of avoidable and ill-defined causes according to two avoidability classifications in Recife, Pernambuco, 2010-2021. Method: Ecological study of temporal trends of fetal mortality in Recife, 2010-2021. The Brazilian List of Avoidable Causes of Death for fetal deaths (LBE-OF) and Brazilian List of Avoidable Causes of Death for children under five years of age (LBE < 5) were used. The Joinpoint regression model was applied to analyze the temporal trends. Results: Trends in fetal mortality and its components were stationary. The group of avoidable causes presented higher mortality rates in both classifications, with an increasing trend according to the LBE-OF (Annual Percentage Change-APC: 2,1; p = 0,018) and stationary according to the LBE < 5. There was a decreasing trend in mortality from ill-defined causes only according to the LBE-OF (APC: -12,3; p < 0,001). Conclusion: The results showed the stagnation of the temporal trend in fetal mortality, the avoidability of most deaths, and the potential of LBE-OF in monitoring the quality of information on the basic causes and avoidability of fetal deaths.
Databáze:	MEDLINE
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