Temporal evolution and spatial distribution of maternal death

Revista de Saúde Pública

Ioná Carreno¹  Ana Lúcia De Lourenzi Bonilha¹  Juvenal Soares Dias Da Costa¹ 

关键词: Maternal Mortality;    trends;    Risk Factors;    Maternal and Child Health;    Health Status Indicators;    Ecological Studies;    Mortalidade Materna;    tendências;    Fatores de Risco;    Saúde Materno-Infantil;    Indicadores Básicos de Saúde;    Estudos Ecológicos;   

DOI  :  10.1590/S0034-8910.2014048005220

来源: SciELO

【 摘 要 】

OBJECTIVE To analyze the temporal evolution of maternal mortality and its spatial distribution.METHODS Ecological study with a sample made up of 845 maternal deaths in women between 10 and 49 years, registered from 1999 to 2008 in the state of Rio Grande do Sul, Southern Brazil. Data were obtained from Information System on Mortality of Ministry of Health. The maternal mortality ratio and the specific maternal mortality ratio were calculated from records, and analyzed by the Poisson regression model. In the spatial distribution, three maps of the state were built with the rates in the geographical macro-regions, in 1999, 2003, and 2008.RESULTS There was an increase of 2.0% in the period of ten years (95%CI 1.00;1.04; p = 0.01), with no significant change in the magnitude of the maternal mortality ratio. The Serra macro-region presented the highest maternal mortality ratio (1.15, 95%CI 1.08;1.21; p < 0.001). Most deaths in Rio Grande do Sul were of white women over 40 years, with a lower level of education. The time of delivery/abortion and postpartum are times of increased maternal risk, with a greater negative impact of direct causes such as hypertension and bleeding.CONCLUSIONS The lack of improvement in maternal mortality ratio indicates that public policies had no impact on women’s reproductive and maternal health. It is needed to qualify the attention to women’s health, especially in the prenatal period, seeking to identify and prevent risk factors, as a strategy of reducing maternal death.

【 授权许可】

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