Background This study aimed to identify the perinatal mortality coefficient, the epidemiological profile, causes and avoidable factors at a reference public maternity hospital in southern Brazil. Methods In this cross-sectional study, 334 medical records of postpartum women and newborns were evaluated between January 1st, 2011 and December 31st, 2015. The Expanded Wigglesworth Classification was used to assess the causes of perinatal mortality and the International Statistical Classification of Diseases and Related Health Problems (ICD-10/SEADE Foundation) was used for the preventable perinatal mortality analysis. Absolute numbers and percentages were used for data analysis. The perinatal mortality formula was used to calculate the perinatal mortality rate. Results The perinatal mortality rate was 13.2/1000 total births, with a predominance of white race/color; mothers were 21-30 years of age, had experienced their first pregnancy and had completed their high school education. Conclusion The main factors associated with perinatal death were antepartum fetal death in 182 (54.49%) cases, and avoidable death through appropriate prenatal care in 234 (70.05%) cases.

译文

背景本研究旨在确定巴西南部一家参考公立妇产医院的围产期死亡率系数,流行病学概况,原因和可避免的因素。方法在这项横断面研究中,在2011年1月1日和2015年12月31日之间评估了334例产后妇女和新生儿的病历。扩大的Wigglesworth分类用于评估围产期死亡率的原因,国际疾病和相关健康问题统计分类 (ICD-10/SEADE基金会) 用于可预防的围产期死亡率分析。数据分析采用绝对数字和百分比。围产期死亡率公式用于计算围产期死亡率。结果围产期死亡率为13.2/1000例,以白人/肤色为主; 母亲年龄在21-30岁之间,经历了第一次怀孕并完成了高中教育。结论围产期死亡的主要因素是182 (54.49%) 例产前胎儿死亡,234 (70.05%) 例可通过适当的产前护理避免死亡。

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