Causa de mortalidade materna na região metropolitana I no triênio 2013-2015, Belém, PA

Abstract

Objetivo: estudo sobre a ocorrência de óbitos maternos na região metropolitana de Belém no perí­odo de janeiro de 2013 a dezembro de 2015. Método: Trata-se de uma abordagem epidemiológica, descritiva, quantitativa, retrospectiva e documental. Incluindo: óbitos classificados como morte materna por causas obstétricas diretas e indiretas. Sendo excluí­do: óbitos classificados como acidentais. Por intermédio da estatí­stica descritiva. Resultado: No perí­odo de janeiro de 2013 a dezembro de 2015, foram declarados 53 óbitos em 2013, 45 óbitos maternos no ano de 2014 e 40 óbitos em 2015. Os dados identificaram uma razão de mortalidade materna de 160,3 no ano de 2013, 136,0 no ano de 2014 e 121,9 em 2015. Conclusão: A morte materna na região metropolitana I é caracterizada por RMM acima do recomendado pela OMS, evidenciando a necessidade de atenção integral e de qualidade í saúde da gestante, desde o pré-natal até o puerpério, no Estado do Pará.

Quality assessment of prenatal and puerperium care

“…Studies have shown that territories with better coverage rates have better health indicators considering that they promote the population's access to services, which helps correct inequalities. (7,8,11) It is worth noting that this study was conducted in the first year of the coronavirus 2019 pandemic. Access to prenatal care worsened during the pandemic period, which may have impacted the care for pregnant women.…”

“…(2,3) Maternal mortality can be considered a social phenomenon because it is related to a population's living conditions and access to qualified healthcare services, and no homogeneous distribution of mortality has been observed among Brazilian regions. (4)(5)(6)(7)(8)(9) In addition, individual differences suggest a pattern of mortality related to socioeconomic conditions, with worse rates among black or brown women and those with limited education. (4)(5)(6)(7)(8)(9) The Birth in Brazil Survey reinforced the differences in the adequacy of prenatal care in public services, revealing inequality in access to and quality of prenatal care among Brazilian regions.…”

“…(4)(5)(6)(7)(8)(9) In addition, individual differences suggest a pattern of mortality related to socioeconomic conditions, with worse rates among black or brown women and those with limited education. (4)(5)(6)(7)(8)(9) The Birth in Brazil Survey reinforced the differences in the adequacy of prenatal care in public services, revealing inequality in access to and quality of prenatal care among Brazilian regions. (10) To assess the quality of prenatal care, different indices have been proposed, with measurement methods focused on quantitative aspects, such as the number of appointments and gestational age at the beginning of prenatal care.…”