Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)

Background: Stillbirth is the mayor contributor to perinatal mortality. Aim: To report a system for classification of fetal deaths. Material and Methods: Retrospective cohort study of 29,916 births with 258 fetal deaths that occurred in a public hospital. Data were obtained from audit reports of sti...

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Autores principales:	Ovalle,Alfredo, Fuentes,Ariel, Chacón,Valentina, Espinoza,Carolina, González,Rodrigo, Ramos,Manuel, Geraldo,Jorge, Osses,Letsy, Kakarieka,Elena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Classification Fetal Death Stillbirth
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800009
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spelling	oai:scielo:S0034-988720160008000092016-12-21Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)Ovalle,AlfredoFuentes,ArielChacón,ValentinaEspinoza,CarolinaGonzález,RodrigoRamos,ManuelGeraldo,JorgeOsses,LetsyKakarieka,Elena Classification Fetal Death Stillbirth Background: Stillbirth is the mayor contributor to perinatal mortality. Aim: To report a system for classification of fetal deaths. Material and Methods: Retrospective cohort study of 29,916 births with 258 fetal deaths that occurred in a public hospital. Data were obtained from audit reports of stillbirths. The method for classification obstetric condition relevant to the death was applied, based on obstetric and placental pathological findings analyzed exclusively by a single obstetrician and a single pathologist. Results: Ninety two percent of obstetric conditions causing fetal death were identified. The most commonly reported were ascending bacterial infection in 26%, congenital anomalies in 19%, arterial hypertension in 12% and placental pathology in 12%. Fetal growth restriction was identified in 50% of stillbirths. Ninety percent were secondary to a primary obstetric condition and 10% had an unexplained cause. Placental abruption as the final cause of fetal death was identified in 60% of cases with arterial hypertension, 43% of cases with placental pathology and 37% of ascending infections. Fetal deaths occurred during pregnancy in 82% of cases and during labor in 17%. Intrapartum asphyxia occurred in 0.8% of stillbirths and presented in term pregnancies. Conclusions: The obstetric condition relevant to the death method for classification of fetal death is effective to identify the originating obstetric cause of stillbirth and reduces the impact of fetal growth restriction and intrapartum asphyxia as the leading causes of death.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.8 20162016-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800009es10.4067/S0034-98872016000800009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Classification Fetal Death Stillbirth
spellingShingle	Classification Fetal Death Stillbirth Ovalle,Alfredo Fuentes,Ariel Chacón,Valentina Espinoza,Carolina González,Rodrigo Ramos,Manuel Geraldo,Jorge Osses,Letsy Kakarieka,Elena Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
description	Background: Stillbirth is the mayor contributor to perinatal mortality. Aim: To report a system for classification of fetal deaths. Material and Methods: Retrospective cohort study of 29,916 births with 258 fetal deaths that occurred in a public hospital. Data were obtained from audit reports of stillbirths. The method for classification obstetric condition relevant to the death was applied, based on obstetric and placental pathological findings analyzed exclusively by a single obstetrician and a single pathologist. Results: Ninety two percent of obstetric conditions causing fetal death were identified. The most commonly reported were ascending bacterial infection in 26%, congenital anomalies in 19%, arterial hypertension in 12% and placental pathology in 12%. Fetal growth restriction was identified in 50% of stillbirths. Ninety percent were secondary to a primary obstetric condition and 10% had an unexplained cause. Placental abruption as the final cause of fetal death was identified in 60% of cases with arterial hypertension, 43% of cases with placental pathology and 37% of ascending infections. Fetal deaths occurred during pregnancy in 82% of cases and during labor in 17%. Intrapartum asphyxia occurred in 0.8% of stillbirths and presented in term pregnancies. Conclusions: The obstetric condition relevant to the death method for classification of fetal death is effective to identify the originating obstetric cause of stillbirth and reduces the impact of fetal growth restriction and intrapartum asphyxia as the leading causes of death.
author	Ovalle,Alfredo Fuentes,Ariel Chacón,Valentina Espinoza,Carolina González,Rodrigo Ramos,Manuel Geraldo,Jorge Osses,Letsy Kakarieka,Elena
author_facet	Ovalle,Alfredo Fuentes,Ariel Chacón,Valentina Espinoza,Carolina González,Rodrigo Ramos,Manuel Geraldo,Jorge Osses,Letsy Kakarieka,Elena
author_sort	Ovalle,Alfredo
title	Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
title_short	Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
title_full	Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
title_fullStr	Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
title_full_unstemmed	Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)
title_sort	método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de chile (método corm)
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800009
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Método de clasificación de mortinatos según condición obstétrica relevante de la muerte fetal, en un hospital público de Chile (Método CORM)

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