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Assessing the risks for stillbirth in São Paulo, Brazil: protocol for a multidisciplinary case-control study -
Rafael Junqueira Buralli1, Zilda Pereira da Silva2, Gizelton Pereira Alencar2
1Departamento de Medicina Preventiva, Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil rafael.buralli@gmail.com.
BMJ Open
|June 12, 2024
Summary
This study investigates stillbirth risk factors using a multidisciplinary approach to improve maternal care and prevent stillbirths. Findings aim to inform public policies and support grieving families.
Area of Science:
- Public Health
- Obstetrics and Gynecology
- Perinatal Medicine
Background:
- Stillbirth is a significant contributor to childhood mortality, yet its causes remain poorly understood.
- Effective prevention strategies and improved maternal care are crucial for reducing stillbirth rates.
Purpose of the Study:
- To explore stillbirth risk factors through a multidisciplinary lens.
- To inform public policies and protocols for stillbirth prevention.
- To enhance maternal care and support for bereaved families.
Main Methods:
- A case-control study involving stillbirths and live births across 14 public hospitals in São Paulo.
- Maternal interviews, review of hospital records, and analysis of blood and placental samples for biomarkers.
- Assessment of air pollutant exposure and utilization of advanced autopsy techniques for stillbirths.
Main Results:
- Identification of key stillbirth risk factors and their interrelationships.
- Evaluation of healthcare services and support systems for mothers experiencing stillbirth.
- Contribution to understanding stillbirth's public health impact in Brazil.
Conclusions:
- The study aims to provide new insights into stillbirth etiology and associated healthcare services.
- Findings will support the improvement of public policies, prenatal, and postnatal care.
- The research seeks to reduce stillbirth incidence and enhance support for affected families.
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