Profile and spatial distribution on maternal mortality
Carla Alaíde Machado Ruas, Joice Fernanda Costa Quadros, Jucimere Fagundes Durães Rocha, Fernanda Cardoso Rocha, Gregório Ribeiro de Andrade Neto, Álvaro Parrela Píris, Bruna Roberta Meira Rios, Sabrina Gonçalves Silva Pereira, Cláudia Danyella Alves Leão Ribeiro, Giselle Mara Mendes Silva Leão
Abstract
Abstract Objectives: to describe profile and spatial distribution on maternal mortality in a city in the North of Minas Gerais-Brazil. Methods: a descriptive, cross-sectional, documentary and quantitative study was carried out in 31 (100%) Fichas de Investigação de Óbito Materno do Comitê de Mortalidade Materna (Maternal Mortality Investigation Data Forms from the Maternal Mortality Committee) from 2009 to 2013. Results: prevalence is observed in women between 20 and 34 years old, mixed race, single and with low schooling. Of the deaths classified, 48.2% are direct obstetric death and 74.2% would be likely avoidable. The most prevalent causes of death were pregnancy-specific hypertensive disease; circulatory system disease; neoplasms; coagulopathies and post-abortion infection. In relation to prenatal care, only 20 women performed it, and most performed less than six prenatal consultations and in relation to the end of gestation, 68.1% underwent cesarean childbirth. Regarding to the descriptive spatial analysis, we identified a higher occurrence of maternal deaths in the areas of medium and high social vulnerability. Conclusions: maternal mortality is a strong indicator of women's healthcare, there is a necessity to readjust women’s healthcare in the puerperal pregnancy cycle. New healthcare practices for women are needed, due to the referred bond and responsible care.