Óbitos fetais: uma análise da vigilância do óbito do município do Jaboatão dos Guararapes-PE

In recent years, fetal deaths have gained notoriety, through successive publications that evidenced their magnitude and invisibility, prompting the World Health Organization to recognize the need to monitor these deaths. The objective of this study was to evaluate the completeness of the research sheets, the main indicators of Fetal Death Surveillance in Jaboatao dos Guararapes, Pernambuco State, and their contributions to the Mortality Information System (SIM). The study population consisted of all fetal deaths that occurred in the year 2014, among residents. The data were obtained from the death investigation and the database of SIM. We analyzed the completeness of the 68 fetal deaths and of 13 variables from death certificate, before and after the investigation. In 2014, the fetal mortality rate was 10,3‰. Among 102 fetal death, 86,3% (88) were investigated, 67% (59) before 120 days after dead. Only nine deaths (10,2% of those investigated) were discussed by the Technical Group (GT). The hospital sheet was the most frequent recorded and the synthesis sheet had the greater completeness; and the outpatient sheet had lower degree of completion. All 13 variables from the death certificate studied were rectified. The results showed that the Fetal Death Surveillance in Jaboatao dos Guararapes requires progress in the coverage, timeliness and completeness of data collection instruments to consolidate as a tool to reduce fetal mortality. On the other hand, it showed the contribution of the investigative process in qualifying of the Mortality information system.