2012年至2023年巴西妊娠期高血压疾病导致的孕产妇死亡：一项基于人口的横断面研究。

IF 2.1 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Hypertension in Pregnancy Pub Date : 2025-12-01 Epub Date: 2025-04-13 DOI:10.1080/10641955.2025.2492094

Deltharma Frantzia Dorcély, Fernanda Garanhani Surita, Maria Laura Costa, José Paulo de Siqueira Guida

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引用次数: 0

摘要

目的：本研究评估2012年至2023年巴西因高血压疾病导致的孕产妇死亡。方法：我们进行了一项横断面研究，包括巴西卫生部的公共数据，包括年龄组、自我报告的肤色和地理区域。孕产妇死亡率（MMR）是按每年和整个期间计算的；我们根据纳入的变量估计MMR的患病率（PR）、置信区间（CI）和趋势（R2）。结果：我们分析了3721例高血压并发症导致的死亡(MMR = 11.01/100,000活产；r2 = 0.03)。这些死亡在30岁及以上的妇女中最为普遍（相对危险度1.73，可信区间1.61-1.85），尤其是40岁以上的妇女（相对危险度3.77，可信区间3.34-4.25）。黑人（PR 2.75, CI 2.46-3.06）、混血（Pardo）（PR 1.27, CI 1.18-1.37）和土著（PR 2.28, CI 1.76-2.97）女性的mmr显著高于白人女性。中西部（相对危险度1.30,CI 1.13-1.46）、北部（相对危险度1.92,CI 1.74-2.13）和东北部（相对危险度1.82,CI 1.68-1.97）地区因高血压导致的孕产妇死亡率最高。在巴西，妊娠期高血压疾病引起的产妇死亡率保持稳定。结论：死亡风险较高的妇女是年龄较大、黑人、土著、帕尔多人，并且生活在该国的中西部、北部和东北部地区。

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Maternal deaths due to hypertensive disorders of pregnancy in Brazil from 2012 until 2023: a cross-sectional populational-based study.

Objective: This study evaluated the maternal deaths due to hypertensive disorders in Brazil from 2012 until 2023.

Methods: We performed a cross-sectional study including public data from Brazilian Ministry of Health, including age group, self-reported skin color, and geographical region. The Maternal Mortality Ratio (MMR) was calculated for each year and for the entire period; we estimated the prevalence ratio (PR), confidence interval (CI) and trend (R2) of MMR according to the variables included.

Results: We analyzed 3,721 deaths attributed to complications of hypertension (MMR = 11.01/100,000 live births; R2 = 0.03). Those deaths were most prevalent among women aged 30 and older (PR 1.73, CI 1.61-1.85), especially those over 40 (PR 3.77, CI 3.34-4.25). Black (PR 2.75, CI 2.46-3.06), mixed-race (Pardo) (PR 1.27, CI 1.18-1.37), and Indigenous (PR 2.28, CI 1.76-2.97) women had significantly higher MMRs compared to White women. Central-West (PR 1.30, CI 1.13-1.46), North (PR 1.92, CI 1.74-2.13), and Northeast (PR 1.82, CI 1.68-1.97) regions had the highest maternal mortality rates due to hypertension. MMR due to hypertensive disorders of pregnancy in Brazil remained stable.

Conclusion: Women at higher risk of dying were older, Black, Indigenous, Pardo, and lived in the Central-West, North, and Northeast regions of the country.

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来源期刊

Hypertension in Pregnancy 医学-妇产科学

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6 months

期刊介绍： Hypertension in Pregnancy is a refereed journal in the English language which publishes data pertaining to human and animal hypertension during gestation. Contributions concerning physiology of circulatory control, pathophysiology, methodology, therapy or any other material relevant to the relationship between elevated blood pressure and pregnancy are acceptable. Published material includes original articles, clinical trials, solicited and unsolicited reviews, editorials, letters, and other material deemed pertinent by the editors.