%0 Journal Article
%T Fatores associados ¨¤ indu£¿£¿o do parto em gestantes com ¨®bito fetal ap¨®s a 20a semana
%A Sampaio
%A £¿nderson Gon£¿alves
%A Souza
%A Alex Sandro Rolland
%A Noronha Neto
%A Carlos
%J Revista Brasileira de Sa¨²de Materno Infantil
%D 2011
%I Instituto Materno Infantil de Pernambuco
%R 10.1590/S1519-38292011000200003
%X objectives: to determine the factors associated with induced delivery in pregnant women carrying a dead fetus. methods: a cross-sectional study with 258 pregnant women past the 20th week of gestation diagnosed by ultrasound as carrying a dead fetus, between january 2005 and december 2008, at the hospital bar£¿o de lucena maternity hospital, in recife, brazil. socio-demographic characteristics, causes and types of fetal death, prior obstetric data and characteristics of birth were the variables studied. the chi-square test, fisher's exact test and student's t test were used. the rate of prevalence was calculated and multiple logistic regression was carried out. the level of significance was 5%. results: birth was induced in 83 (32.2%) of the pregnant women. following multivariate analysis, it was found that a gestational age of over 40 weeks (or= 126.5; ci95%= 3.83-4,201.5) and late fetal death (or= 6.86; ci95%= 2.55-18.47) were the risk factors that continued to be associated with induced delivery. caesarian section (or= 0.02; ci95%= 0.004-0.09), funiculopathy (or= 0.12; ci95%= 0.02-0.68), having had one or more previous pregnancies (or= 0.34; ci95%= 0.14-0.81) and one or more previous caesarian sections (or= 0.16; ic95%= 0.04-0.71) were negatively associated with induced delivery. conclusions: a gestational age of over 40 weeks and late fetal death are the risk factors that could be associated with induced delivery in pregnant women carrying a dead fetus.
%K labor induced
%K fetal death
%K stillbirth
%K cesarean section.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1519-38292011000200003&lng=en&nrm=iso&tlng=en