Maternal mortality according to race/skin color in Mato Grosso do Sul, Brazil, from 2010 to 2015

Abstract

Objectives: to investigate the epidemiological profile, by race/skin color, of maternal deaths in the state of Mato Grosso do Sul, Brazil. Methods: the present epidemiological study of maternal death distribution by race/skin color was based on data extracted from Brazilian mortality and livebirth information systems from 2010 to 2015. The maternal mortality ratio and the specific maternal mortality ratio were calculated and analyzed according to obstetric variables.Results: the death risk for black (RR = 4.3,) and indigenous women (RR = 3.7,

Perfil sociodemográfico e assistencial da morte materna em Recife, 2006-2017: estudo descritivo*

“…The socio-economic profile we found is similar to that of Brazil as a whole, in particular with regard to characteristics that make women vulnerable, such as poverty and race/skin color. [13][14][15] Data on ethnicity/race exposes inequalities within society, socio-economic status and unequal access to health services faced by this population. 15 Black women are even more likely to be living in unfavorable contexts, in which socio--historic disadvantages are potentialized by gender violence, stigma, poverty and human rights violations.…”

“…[13][14][15] Data on ethnicity/race exposes inequalities within society, socio-economic status and unequal access to health services faced by this population. 15 Black women are even more likely to be living in unfavorable contexts, in which socio--historic disadvantages are potentialized by gender violence, stigma, poverty and human rights violations. 14 The consequences of higher rates of arterial hypertension, diabetes mellitus, tobacco smoking and syphilis include greater prevalence of maternal death outcomes in this specific female group.…”

“…14 The consequences of higher rates of arterial hypertension, diabetes mellitus, tobacco smoking and syphilis include greater prevalence of maternal death outcomes in this specific female group. 14,15 A cross-sectional study conducted with women of childbearing age in Brazilian state capital cities in the first semester of 2002 identified greater risk of maternal death among those with less than four years of schooling. 16 Studies of maternal death published more recently have shown increased levels or years of schooling in relation to these deaths, [6][7][8] and this was also identified in our study.…”

“…1,22,25 The socio-demographic and health care profile found expresses society's "consent" to maternal deaths, by violating women's basic rights to sexual and reproductive health, quality and timely health care, in accordance with their needs. 14,15 The majority of maternal deaths in Recife occurred in the puerperium among Black women and women who did not have a partner. We found a high proportion of avoidable deaths among the maternal deaths.…”

Avaliação da atenção pré-natal ofertada às mulheres indígenas no Brasil: achados do Primeiro Inquérito Nacional de Saúde e Nutrição dos Povos Indígenas

“…Cabe mencionar que esses valores da RMM precisam ser interpretados com cautela, já que, entre outros aspectos, derivam de cálculo direto, sem correções da subenumeração de mortes maternas e de nascidos vivos, que não estão disponíveis para fins de análises segundo cor ou raça no Brasil. Mesmo frente a essas limitações, vale frisar que os poucos estudos realizados com base em dados de regiões específicas do país também apontam para a ocorrência de RMM elevadas para mulheres indígenas, se comparadas às não indígenas 8,9,10 .…”