Near miss e mulheres negras

Martins, Alaerte Leandro

doi:10.1590/s0104-129020162621

Cited by 6 publications

(13 citation statements)

References 17 publications

(7 reference statements)

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“…A previous report on data from Brazil showed that women with underlying disorders had a higher risk of near miss events and nonwhites had more chronic diseases than whites [5]. In our study, the nonwhite group who developed SMO had a lower prevalence of HIV/AIDS and chronic hypertension.…”

Section: Discussionsupporting

confidence: 47%

“…Underlying social-demographic conditions and previous clinical comorbidities are likely to influence maternal and perinatal outcomes [5, 8]. Low level of school education is considered a risk factor for SMO [5].…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of ethnicity, the quality of prenatal care is fundamental. On the other hand, women who have many medical prenatal visits usually have some pathological condition or risk justifying this excessive number [5]. Quality assessment of prenatal care is not easy, although there is a suspicion that it may be directly influenced by the social class and ethnic/skin color group of the health service user.…”

Section: Discussionmentioning

confidence: 99%

“…Significant progress in reducing maternal mortality has been achieved in the past 15 years, in addition to a growing awareness about the burden of severe maternal morbidity. Standard definitions of potentially life-threatening conditions (PLTC) and maternal near miss (MNM) events have enabled our understanding of different conditions and delays related to the quality of maternal health (Box 1 provides the full list of WHO criteria for both conditions) [1–5].…”

Section: Introductionmentioning

confidence: 99%

“…It is more likely that black women are younger and lack a partner [6]. Furthermore, these women usually have a lower level of school education and less adequate prenatal care assistance [5, 8]. Recent data on severe maternal morbidity and different races also confirmed that black women have higher chances of developing MNM events [9].…”

Section: Introductionmentioning

confidence: 99%

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Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

Fernandes

Costa

Haddad

et al. 2019

BioMed Research International

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Background. Taking into account the probable role that race/skin color may have for determining outcomes in maternal health, the objective of this study was to assess whether maternal race/skin color is a predictor of severe maternal morbidity. Methods. This is a secondary analysis of the Brazilian Network for Surveillance of Severe Maternal Morbidity, a national multicenter cross-sectional study of 27 Brazilian referral maternity hospitals. A prospective surveillance was performed to identify cases of maternal death (MD), maternal near miss (MNM) events, and potentially life-threatening conditions (PLTC), according to standard WHO definition and criteria. Among 9,555 women with severe maternal morbidity, data on race/skin color was available for 7,139 women, who were further divided into two groups: 4,108 nonwhite women (2,253 black and 1,855 from other races/skin color) and 3,031 white women. Indicators of severe maternal morbidity according to WHO definition are shown by skin color group. Adjusted Prevalence Ratios (PRadj - 95%CI) for Severe Maternal Outcome (SMO=MNM+MD) were estimated according to sociodemographic/obstetric characteristics, pregnancy outcomes, and perinatal results considering race. Results. Among 7,139 women with severe maternal morbidity evaluated, 90.5% were classified as PLTC, 8.5% as MNM, and 1.6% as MD. There was a significantly higher prevalence of MNM and MD among white women. MNMR (maternal near miss ratio) was 9.37 per thousand live births (LB). SMOR (severe maternal outcome ratio) was 11.08 per 1000 LB, and MMR (maternal mortality ratio) was 170.4 per 100,000 LB. Maternal mortality to maternal near miss ratio was 1 to 5.2, irrespective of maternal skin color. Hypertension, the main cause of maternal complications, affected mostly nonwhite women. Hemorrhage, the second more common cause of maternal complication, predominated among white women. Nonwhite skin color was associated with a reduced risk of SMO in multivariate analysis. Conclusion. Nonwhite skin color was associated with a lower risk for severe maternal outcomes. This result could be due to confounding factors linked to a high rate of Brazilian miscegenation.

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

Fernandes

Costa

Haddad

et al. 2019

BioMed Research International

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O Brasil cumprirá o ODS 3.1 da Agenda 2030? Uma análise sobre a mortalidade materna, de 1996 a 2018

Motta

Moreira

2021

Ciênc. saúde coletiva

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Resumo O objetivo deste artigo é analisar as possibilidades de cumprimento da Meta 3.1 dos Objetivos de Desenvolvimento Sustentável pelo Brasil, a partir do diagnóstico sobre a situação da mortalidade materna nas Regiões de Saúde (CIR), em 2018, e as principais características desta mortalidade, entre 1996 e 2018, no país. Estudo com duas etapas articuladas: análise bibliográfica sobre a mortalidade materna no Brasil; e pesquisa no Sistema de Informação sobre Mortalidade (SIM). Em 2018, das 450 CIR, 159 apresentaram razão de mortalidade materna (RMM) superior a 70 por 100 mil nascidos vivos (NV). Entre 1996 e 2018, no Brasil, houve redução entre mulheres de 30 a 49 anos. Entretanto, a faixa de 10 a 29 anos permaneceu inalterada ao longo da série. A disseminação dos Comitês de Mortalidade Materna, o Programa de Humanização do Pré-Natal e Nascimento (PHPN), a Política Nacional de Atenção Integral à Saúde da Mulher (PNAISM) e a Rede Cegonha influenciaram melhorias na gravidez tardia, mas, não impactaram a prevenção dos óbitos entre mães jovens. O cumprimento do ODS 3.1 requer: a priorização das CIR com RMM superior a 70,0/100 mil NV; a qualificação dos serviços de pré-natal, com foco na atenção entre mulheres de 10 e 29 anos e nas complicações hipertensivas; a e legalização do aborto.

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Mulheres negras e brancas e a maternidade: questões de gênero e raça no campo da saúde

Souzas

Alvarenga

2017

ODEERE

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´Resumo: Nos discursos das mulheres sobre maternidade, segundo escolaridade e raça/etnia, observa-se que se articulam posicionamentos discursivos diferenciados. Como tendência geral há uma aproximação de discursos relacionados a "constructos sociais modernos" sobre maternidade, característicos da modernidade. Constatamos diferenças nos discursos que destacam o grupo de mulheres negras de ensino médio dos demais grupos de escolaridade. É neste grupo de mulheres que são enfatizados, com maior recorrência, aspectos discursivos relativos às concepções "essencialistas" da maternidade, ou seja, naturalizados, rompendo a tendência de progressiva "dessencialização", à medida que se eleva a escolaridade das mesmas. As diferentes concepções de maternidade apresentadas, por mulheres negras e brancas, permitemnos refletir acerca do peso e construção histórica do lugar ocupado na sociedade pelas mulheres negras e brancas e na transversalidade de gênero raça/etnia no campo da saúde reprodutiva. Palavras-Chave:Maternidade, Raça/Cor,

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Near miss e mulheres negras

Cited by 6 publications

References 17 publications

Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

O Brasil cumprirá o ODS 3.1 da Agenda 2030? Uma análise sobre a mortalidade materna, de 1996 a 2018

Mulheres negras e brancas e a maternidade: questões de gênero e raça no campo da saúde

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