O sexo masculino vulnerável: razão de masculinidade entre os óbitos fetais brasileiros

Filho, Alexandre Dias Porto Chiavegatto; Laurenti, Ruy

doi:10.1590/s0102-311x2012000400011

Cited by 10 publications

(8 citation statements)

References 26 publications

(34 reference statements)

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“…Unfavorable reproductive history of the mother was thoroughly investigated, particularly previous stillbirths, multiparity, and morbidities, and although no consensus was found, this analysis suggests a positive correlation with fetal death, which is corroborated by international reviews. 10 , 13 With regard to fetal characteristics, the male gender showed vulnerability in the study of Chiavegato et al; 8 however, this result was not corroborated by other studies. Few studies have addressed weight and gestational age, and most included only IGR, defending the causal relationship of the latter, whereas weight and gestational age would be consequences of the process.…”

Section: Discussionmentioning

confidence: 69%

“…The sex ratio of fetal deaths in Brazil was estimated at 1,188, according to maternal and fetal characteristics. 8 This ratio was higher than that for live births and even higher among mothers at age extremes, among mothers with low education, in case of a short gestational period, and for low-birth-weight fetuses. In addition, the sex ratio was high for most underlying causes, suggesting the vulnerability of male fetuses.…”

Section: Resultsmentioning

confidence: 85%

“…Foi estimada a razão de masculinidade de óbitos fetais no Brasil, de acordo com características maternas e fetais. 8 A razão encontrada foi 1,188, constituindo valor maior que a razão de masculinidade de nascidos vivos e ainda maior nos extremos de idade materna, naquelas mães com baixa escolaridade, gestações curtas e nos fetos de baixo peso. A razão de masculinidade foi elevada para a maioria das causas básicas, sugerindo vulnerabilidade do sexo masculino.…”

Section: Resultsunclassified

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Fetal deaths in Brazil: a systematic review

et al. 2015

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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.

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Section: Discussionmentioning

confidence: 69%

Section: Resultsmentioning

confidence: 85%

Section: Resultsunclassified

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Fetal deaths in Brazil: a systematic review

et al. 2015

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“…18 However, a study carried out in 2012 on fetal deaths and male sex in the Mortality Information System (MIS) highlighted the male fragility related to the male innate vulnerability theory, including its association in the response to stressors and release of corticosteroids and related to histocompatibility to maternal antigens. 25 Finally, in the variable referring to the index of APGAR of the neonate, despite the seriousness of the hypertensive syndrome and its possible complications for the mother and the baby, in the sample observed there were no considerable cases of impairment of the health of the NB, since the great majority was born with good evaluation of the general condition. The good vitality presented by the neonates in this research reveals that, despite the hypertensive syndrome in pregnant women, the pathology was well conducted by attending professionals at the time of delivery, preventing or minimizing the resulting systemic complications, without affecting the well-being of the newborn.…”

Section: Discussionmentioning

confidence: 91%

Mulheres com síndromes hipertensivas

Mariano¹,

Belarmino

Vasconcelos³

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: descrever o perfil obstétrico de mulheres com síndrome hipertensiva. Método: estudo quantitativo, exploratório, descritivo, retrospectivo e de delineamento documental, com 196 prontuários de pacientes com síndromes hipertensivas, no período de novembro de 2016 a maio de 2017. Para a coleta dos dados, foi utilizado um formulário. Em seguida, eles foram agrupados e organizados em uma planilha Excel e, posteriormente, convertidos em tabela. Resultados: a faixa etária predominante das pacientes estava entre os 16 aos 30 anos, com 68,88%; em relação ao número de partos, 55,61% eram multíparas; sobre o acompanhamento do pré-natal, 87,76% das gestantes tiveram acima de seis consultas; 89,80% das gestações eram únicas e 10,20%, gemelares; 57,27% dos recém-nascidos eram do sexo masculino e 42,73% eram do sexo feminino, apresentando 0,45% dos recém-nascidos com APGAR menor que sete no quinto minuto de vida e 99,55% com APGAR maior que sete. Conclusão: o estudo mostrou-se necessário para identificar fatores de risco que auxiliam na qualificação da assistência à mulher. Descritores: Gestação; Perfil de saúde; Pré-eclâmpsia; Eclâmpsia; Síndrome HELLP; Enfermagem.ABSTRACT Objective: to describe the obstetric profile of women with hypertensive syndrome. Method: a quantitative, exploratory, descriptive, retrospective and documental study, with 196 charts of patients with hypertensive syndromes, from November 2016 to May 2017. A form was used, to collect the data. Then they were grouped and organized into an Excel spreadsheet and then converted to a table. Results: the predominant age group was between 16 and 30 years old, with 68.88%; in relation to the number of births, 55.61% were multiparous; about prenatal follow-up, 87.76% of pregnant women had more than six consultations; 89.80% of pregnancies were single and 10.20% of twins; 57.27% of the newborns were male and 42.73% were female, presenting 0.45% of newborns with APGAR lower than seven in the fifth minute of life and 99.55% with APGAR greater than seven. Conclusion: the study was necessary to identify risk factors that help in the qualification of women's care. Descriptors: Pregnancy; Health Profile; Preeclampsia; Eclampsia; HELLP Syndrome; Nursing. RESUMEN Objetivo: describir el perfil obstétrico de mujeres con síndrome hipertensivo. Método: estudio cuantitativo, exploratorio, descriptivo, retrospectivo y de delineamiento documental, con 196 prontuarios de pacientes con síndromes hipertensivos, en el período de noviembre de 2016 a mayo de 2017. Para la recolección de datos, se utilizó un formulario. A continuación, ellos fueron agrupados y organizados en una hoja de cálculo de Excel y, posteriormente, convertidos en la tabla. Resultados: el grupo de edad predominante de las pacientes estaba entre los 16 a los 30 años, con el 68,88%; en relación al número de partos, el 55,61% eran multíparas; sobre el seguimiento del prenatal, el 87,76% de las gestantes tuvieron más de seis consultas; El 89,80% de las gestaciones eran únicas y el 10,20%, gemelares; El 57,27% de los recién nacidos eran del sexo masculino y el 42,73% eran del sexo femenino, presentando el 0,45% de los recién nacidos con APGAR menor que siete en el quinto minuto de vida y el 99,55% com APGAR mayor que siete. Conclusión: el estudio se mostró necesario para identificar factores de riesgo que auxilian en la calificación de la asistencia a la mujer. Descriptores: Embarazo; Perfil de Salud; Pre-Eclampsia; Eclampsia; Síndrome HELLP; Enfermera.

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“…No presente estudo, encontrou-se elevado percentual de óbitos fetais de mães com idade inferior a 30 anos (52,1% dos casos). O resultado apresentado condiz com outras pesquisas, em que as mães com idade inferior a esta faixa etária apresentaram uma maior significância para natimortos (19,20) .…”

Section: Discussionunclassified