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2019, Number 3

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Revista Cubana de Salud Pública 2019; 45 (3)

Maternal mortality in the provincial capitals of Brazil

Flores CR, Nazareth MS, de Menezes PV, Bueno A, Arguedas G, Hahn BA

Language: Spanish
References: 23
Page: 1-16
PDF size: 562.13 Kb.


ABSTRACT

Objective: To analyze the relationship between maternal mortality and socio-demographic indicators and access to health services in the Brazilian state capitals.
Methods: Ecological study whose dependent variable was the rate of maternal mortality and the independent variables were socio-demographic indicators and access to health services, between the years 2010 to 2012. The variables were associated through the Pearson Correlation test and those variables that showed statistical significance in the bivariate analysis were included in the Multivariate Linear Regression model.
Results: Most women who died due to pregnancy or delivery was black, single and with low education. The deaths occurred in the hospital, during the postpartum period and the most frequent cause was hypertensive disease. It occurred statistical association between maternal death and the variables: Gini index, proportion of the black population and number of prenatal consultations (p < 0.20). Relationship between maternal mortality and the black population remained in the final model (β=0.436, p = 0.003; r² = 0.72).
Conclusion: The findings indicate the presence of gender inequality in the regions where there is a greater proportion of black population.


REFERENCES

  1. World Health Organization. Strategies toward ending preventable maternal mortality(EPMM) [Internet]. 2015 Acceso: 05/10/205. Disponible en: http://who.int/reproductivehealth/topics/maternal_perinatal/epmm/en/ 12

  2. Leal MC. Desafio do milênio: a mortalidade materna. Cad. Saúde Pública2008;24(8):1724.

  3. Betrán AP, Wojdyla D, Posner SF, Gulmezoglu AM. National estimates for maternalmortality: an analysis based on the WHO systematic review of maternal mortality and morbidity. BMC Public Health. 2005;5:131

  4. World Health Organization. United Nations Children’s Fund. United NationsPopulation Fund. World Bank. Maternal mortality in 2000: estimates developed by WHO, UNICEF, UNFPA and the World Bank. Geneva; 2005.

  5. Thomas TN, Gausman J, Lattof SR, Wegner MN, Kearns AD, Langer A. Improvedmaternal health since the ICPD: 20 years of progress. Contraception. 2014;90(6 Suppl):S32-8.

  6. Gaffey MF, Das JK, Bhutta ZA. Millennium Development Goals 4 and 5: past andfuture progress. Semin Fetal Neonatal Med. 2015;20(55):285-92. DOI:10.1016/j.siny.2015.07.001. Epub 2015 Aug 12.

  7. World Health Organization. Trends in maternal mortality: 1990 to 2013: estimates byWHO, UNICEF, UNFPA, the World Bank, and the United Nations Population Division. 2014 [Internet] Acceso: 05/10/2015. Disponible en: http://apps.who.int/iris/bitstream/10665/112682/2/ 9789241507226_eng.pdf 6 8.Victora CG. Intervenções para reduzir a mortalidade infantil pré-escolar e materna noBrasil. Rev Bras Epidemiol. 2001;4:3-69. 9.World Health Organization/United Nations Children’s Fund/United Nations PopulationFund/World Bank. Trends in maternal mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and The World Bank; September 2010.

  8. Cruz EC. Evolución de la mortalidad materna en Cuba. Rev Cub Sal Públ.2006;32(1). 11.Organização Mundial de Saúde, International Women’s Health Coalition.Abortamento Seguro: orientação técnica e de políticas para os sistemas de saúde, Campinas: Cemicamp; 2004. 12.Khan K, Wojdyla D, Say L, Gülmezoglu AM, Van LPF. WHO analysis of causes ofmaternal death: a systematic review. Lancet. 2006;367:1066-74.

  9. Mandú ENT, Antiqueira VMA, Lanza RAC. Mortalidade Materna: Implicações paraoPrograma Saúde da Família. Rev Enfermagem UERJ. 2009;17(2):278-84.

  10. Laurenti R. Mortalidade maternal no Brasil: faltam dados e uma assistência digna,Jornal da Rede Saúde. 1998;15:3-4.

  11. Heron MP, Smith BL. Deaths: Leading Causes for 2003 Nat. Vital Stat Rep.2007;55(10):1-92.

  12. Atrash Hk, Alexander AS, Berg CJ. Maternal mortality in developed countries: Notjust a concern of the past. Obstet Gynecol. 1995;86 (4 Part 2):700-5.

  13. Gran AMA, Torres VRM, López NLM, Pérez LME. Fecundidad, anticoncepción,aborto y mortalidad materna en Cuba. Rev Cub Sal Públ. 2013;39 (Suppl 1):822-835.

  14. Rendon L, Langer A, Hernandez, B. Condiciones de vida de la mujer y mortalidadmaterna en América Latina. Rev Cub Sal Públ. 1995;21(1):8-10.

  15. Cahsmore E. Dicionário de relações étnicas e raciais. São Paulo: Summus; 2000.

  16. Lopes F. Mulheres negras e não negras vivendo com hiv em São Paulo. [tesis por eltítulo de doctor en Salud Pública]. [São Paulo]: Faculdade de Saúde Pública de USP; 2003.

  17. Chor D, Lima CRA. Aspectos epidemiológicos das desigualdades raciais em saúde noBrasil. Cad Saúde Pública. 2005;21:1586-94. 22 Martins AL. Mortalidade materna de mulheres negras no Brasil. Cad. Saúde Pública. 2006;22(11):2473-2479. 23.Shicasho ST (Org.). Desigualdade racial: indicadores socioeconômicos - Brasil, 1991-2001. Brasília, DF: Instituto de Pesquisa Econômica Aplicada; 2002. pp. 19-35.

  18. 24 d'Orsi E, Brüggemann OM, Diniz CMG, Aguiar JM, Gusman CR, Torres JA et al . Desigualdades sociais e satisfação das mulheres com o atendimento ao parto no Brasil: estudo nacional de base hospitalar. Cad. Saúde Pública. 2014;30(Suppl 1):154-168.

  19. Perpétuo IHO. Raça e acesso às ações prioritárias na agenda da saúde reprodutiva.Jornal Rede Saúde. 2000;22:10-16. 26.Cunha EMGP. Raça: aspectos esquecidos na iniquidade em saúde no Brasil? In:Barata RB, et al. (Org.) Equidade e saúde: contribuições da epidemiologia. Rio de Janeiro: Fiocruz: Abrasco; 1997. pp. 219-234.

  20. Bairros F; Meneghel SN, Dias-da-Costa J, Bassani DG, Menezes AMB, Gigante DPet al. Racial inequalities in access to women's health care in southern Brazil. Cad. Saúde Pública. 2011;17(12):2364-72.

  21. Leal MC, Gama SGN, Cunha CB. Desigualdade raciais, sociodemográficas e naassistencia pré-natal e ao parto, 1999-2001. Revista Saúde Pública. 2005;39:100-7.

  22. Cunha EMGP. Infant mortality and race: the differences of inequality. In: Hogan DJ.Population change in Brazil: contemporary perspectives. Campinas: Population Studies Center (NEPO/UNICAP); 2001. pp. 333-6.

  23. Schwarcz LM. Racismo no Brasil. São Paulo: Publifolha; 2001.




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