Abstract
Objective: To describe the main factors associated with fetal death in high-risk pregnancy, contextualizing with the adequacy of prenatal nursing care. Methods: Integrative review study. Results: The analysis of the selected publications allowed the identification of two thematic categories: Factors associated with fetal death and prenatal nursing care. Regarding the first category, it was observed in the studies that the presence of gestational diseases increased the risk of stillbirth including diabetes mellitus, preeclampsia and oligodramnios / polydraminios. All these complications in pregnancy are associated with intrauterine growth restriction, representing a risk factor around 2.8 times higher for stillbirths. As for the 2nd category, there was an increase in the coverage of prenatal care over the last years in almost every country, but the most significant barriers faced by nurses in reducing and preventing fetal death were maternal access to health care and education during pregnancy, which may be influenced by maternal age, low socioeconomic status, lack of support, poor health education and geographical location. Final Considerations: Because it is considered a little studied subject, due to its low visibility, further studies involving fetal death and high-risk prenatal nursing care are needed.