Resumen

FANEITE, Pedro et al. Actualidad en mortalidad fetal. Rev Obstet Ginecol Venez [online]. 2004, vol.64, n.2, pp.77-82. ISSN 0048-7732.

Objective: To study the fetal mortality during 1998 to 2002, to know its incidence, and determine the maternal characteristics, obstetrical conditions and related factors. Method: Descriptive, retrospective, epidemiological and analytical study of 304 cases. Setting: Department of Obstetrics and Gynecology. "Dr. Adolfo Prince Lara" Hospital, Puerto Cabello, Carabobo State. Results: Perinatal mortality for the studied period was 41.66 per one thousand births. There was a predominancy of patients of 24 years or less (56.9 %); in family history the most frequent were hypertension (37.24 %) and diabetes (30.43 %). Admission diagnostic was fetal deaths 27.96 % (85/ 304), threatens of premature delivery 22.37 % (68/304) and toxemia 18.75 % (57/304). There was no prenatal care in 56.43 % (57/101); were multigravida 60.85 %, with gestational age ≤ 36 weeks 79.09 %, and ended in normal delivery 76.64 %. Male fetuses predominated (55.93 %), with weight ≤ 2 500 g (78.88 %) and size ≤ 49 cm (76.78 %). The more prevalent direct factor of death in 169 cases was placental insufficiency (45.6 %), subsequent to hypertensive pathology, followed by placental hemorrhage (32.54 %). Conclusion: The component of the fetal perinatal mortality is high and should be establish a strategy for attention of hypertensive pathologies, diabetes, prematurity and placental hemorrhages, and recommend the early prenatal care.

Palabras clave : Fetal mortality; Epidemiology; Factors; Analysis.