Maternal mortality committee and death surveillance in Recife in improving information: ex-ante and ex-post evaluation

Author:

Carvalho Patrícia Ismael de1ORCID,Vidal Suely Arruda2ORCID,Figueirôa Barbara de Queiroz1ORCID,Vanderlei Lygia Carmen de Moraes2ORCID,Oliveira Conceição Maria de3ORCID,Pereira Cândida Correia de Barros1ORCID,Figueiroa José Natal de2ORCID,Frias Paulo Germano de2ORCID

Affiliation:

1. Secretaria de Saúde do Estado de Pernambuco, Brazil

2. Instituto de Medicina Integral Prof. Fernando Figueira, Brazil

3. Centro Universitário Maurício de Nassau, Brazil

Abstract

Abstract Objectives: to evaluate the contribution of the Maternal Mortality and Death Surveillance Committee for women of childbearing age (WCA) and maternal mortality in the magnitude of maternal mortality and in the qualification of the causes of death in Recife, Brazil. Methods: ex ante/ex post evaluation, ecological, of the annual indicators of mortality of WCA, maternal and case study of declared maternal deaths according to causes of death before and after surveillance. Deaths of WCA (2010 and 2017) were analyzed. The percentage of investigation of deaths of WCA was calculated; their rates and maternal mortality ratio (MMR) were estimated; the groups of causes of death, classification of death, the moment of death, the proportional variation before and after surveillance, and the relocation of the causes after this process were described. Results: 4.327 (97.0%) of deaths of WCA were investigated (increase of 40.7% of maternal deaths) and MMR of 62.9/100 thousand live births. Improved notifications of immediate/late (75.0%) and remote (300.0%) postpartum; there was a difference in direct obstetric causes, total maternal deaths and late maternal death (p<0.001). Conclusion: the surveillance and the Maternal Mortality Committee showed potential in identifying the magnitude and qualification of causes of maternal death in order to propose the interventions directed to obstetric care.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health

Reference30 articles.

1. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group;Alkema L;Lancet,2016

2. Mortalidade Materna no Brasil, 2009-2019;Brasília (DF): Bol Epidemiol,2021

3. A vigilância do óbito como instrumento para reduzir a invisibilidade da exclusão social e assistencial de mulheres e crianças;Vanderlei LCM;[Editorial] Rev Bras Saúde Matern Infant,2017

4. Guia de vigilância epidemiológica do óbito materno,2009

5. Declarações de óbitos de mulheres em idade fértil: busca por óbitos maternos;Gil MM;Rev Bras Enferm,2013

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3