Causas de morte materna no Estado do Pará, Brasil

IF 1 Q4 OBSTETRICS & GYNECOLOGY

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2014-07-01 DOI:10.1590/SO100-720320140004892

N. Botelho, Italo Fernando Mendonça Mota Silva, J. Tavares, Lorena Oliveira Lima

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引用次数: 17

Abstract

PURPOSE: To identify the major causes of maternal death in the State of Para, Brazil. METHODS: A descriptive, observational and retrospective study was conducted using data from the Mortality Information System (SIM) of the State Department of Public Health of Para. SIM information was obtained using the TabWin 3.2 software and recorded in a research protocol developed by the investigators. The sample included 383 maternal deaths of 10-49-year-old women, which occurred from 2006 to 2010. Data were analyzed using non-parametric tests (χ2 and G-tests). The BioStat(r) 5.0 software was used for statistical analysis and Microsoft(r) Excel 2007 for the preparation of database and tables. RESULTS: The Maternal Mortality Ratio was 51.9 and did not decrease significantly during the period. Most deaths occurred during the postpartum period (up to 42 days) (51.7%), and some diagnostic confirmation was used. Direct obstetric causes were dominant (90.6%), mainly hypertension (34.6%), with emphasis on eclampsia (70%), and hemorrhage (22.2%). All of these maternal deaths were avoidable (100%). CONCLUSION: Maternal death in Para is characterized by occurring during the puerperium (up to 42 days), due mainly to direct obstetric causes, such as hypertension, with emphasis on eclampsia, and hemorrhage. This evidences the need for complete attention with good quality for pregnant women, from prenatal care to puerperium, in the state of Para.

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巴西帕拉州孕产妇死亡原因

目的:确定巴西帕拉州产妇死亡的主要原因。方法:采用来自纽约州公共卫生部死亡率信息系统(SIM)的数据进行描述性、观察性和回顾性研究。使用TabWin 3.2软件获取SIM信息，并记录在研究者制定的研究方案中。样本包括2006年至2010年期间死亡的383名10-49岁妇女。数据分析采用非参数检验(χ2和g检验)。采用BioStat(r) 5.0软件进行统计分析，Microsoft(r) Excel 2007进行数据库和表格的编制。结果:产妇死亡率为51.9，在此期间无明显下降。大多数死亡发生在产后(最长42天)(51.7%)，并使用了一些诊断确认。直接产科原因占主导地位(90.6%)，主要是高血压(34.6%)，其次是子痫(70%)和出血(22.2%)。所有这些孕产妇死亡都是可以避免的(100%)。结论:帕拉州产妇死亡的特点是发生在产褥期(最长42天)，主要是由于直接的产科原因，如高血压，重点是子痫和出血。这证明，在帕拉州，从产前护理到产褥期，孕妇需要得到高质量的全面关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Ginecologia e Obstetricia OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

8.30%

发文量

142

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Gynecology and Obstetrics (Revista Brasileira de Ginecologia e Obstetrícia, ISSN 1806-9339) is a monthly publication of scientific divulgation of the Federação das Sociedades de Ginecologia e Obstetrícia (FEBRASGO). It is directed to obstetricians, gynecologists and professionals of related areas, with the purpose of publishing research results on relevant topics in the field of Gynecology, Obstetrics and related areas. It is open to national and international contributions and the journal receives submissions only in English.