OBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature.METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the quality of data, 12 were descriptive studies, and 11 studies evaluated the factors associated with fetal death. The databases searched were PubMed and Lilacs, and data extraction and synthesis were independently performed by two or more examiners.RESULTS The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death. Fetal deaths have decreased in Brazil; however, inequalities persist. Analysis of the causes of death indicated maternal morbidities that could be prevented and treated. The main factors associated with fetal deaths were absent or inadequate prenatal care, low education level, maternal morbidity, and adverse reproductive history.CONCLUSIONS Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary.
Objetivo: desvelar os sentimentos evidenciados pelos familiares de crianças hospitalizadas frente ao diagnóstico do câncer e evidenciar as principais capacidades da enfermagem no auxílio ao enfrentamento da doença. Métodos: Pesquisa descritiva e exploratória do tipo bibliográfica, com abordagem qualitativa, realizado através de buscas na BVS, com artigos completos em português publicados nos últimos oito anos. Descritores utilizados: Criança; Câncer; Diagnóstico; Relações enfermeiro e paciente. Selecionadas 12 bibliografias. Resultados: emergiram três categorias temáticas: desequilíbrio no convívio familiar e social após o diagnóstico, ferramentas de adaptação e estratégias de enfrentamento e assistência holística e humanizada da enfermagem. Conclusão: o câncer força a alteração da rotina de vida da família, trazendo angústias para o cuidador por preterir os outros membros cuidando daquele doente. O câncer direciona os familiares à sentimentos de medo e ansiedade, também faz com que a fé e a crença religiosa sejam aumentadas, criando maiores esperanças em relação à cura.
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