Epidemiological characteristics of maternal mortality in Minas Gerais, Brazil, from 2008 to 2019

Authors

DOI:

https://doi.org/10.47456/rbps.v23i4.35960

Keywords:

Mortalidad Materna, Cause of Death, Health Information Systems, Women's Health

Abstract

Introduction: Maternal mortality is a serious public health problem and a preventable event in the great majority of cases. Objectives: To describe epidemiological characteristics and the main causes of maternal deaths in Minas Gerais, Brazil, in the period 2008-2019. Methods: Ecological study using the Mortality Information System. The maternal mortality ratio was estimated by trienniums and by health macro-region through the number of maternal deaths/number of live births X 100 thousand. Sociodemographic variables were analyzed (age group, race/color, education and marital status), deaths by type of obstetric cause and the main causes by group and category. Results: There were 1,333 deaths with disparity in the maternal mortality ratios of the macro-regions. The Northeast was above the state average in all three years. The East presented an alarming value in the last triennium. Deaths predominated in women aged 30 to 39 years, of mixed race, with 8 to 11 years of schooling and single marital status. Maternal mortality ratios were higher in widowed women, in advanced age groups, and in indigenous and black women. The most frequent causes were preeclampsia and postpartum hemorrhage. Conclusion: The challenge remains to reduce the levels of maternal mortality in the state, especially in macroregions where the values were more worrying. Measures must be directed to the most vulnerable groups. More intense strategic actions are needed to confront maternal mortality.

Downloads

Download data is not yet available.

References

Duarte EMS, Alencar ETS, Fonseca LGA, Silva SM, Machado MF, Araújo MDP, et al. Mortalidade materna e vulnerabilidade social no Estado de Alagoas no Nordeste brasileiro: uma abordagem espaço-temporal. Rev Bras Saúde Mater Infant [Internet]. 2020 [citado em 2020 out 26];20(2):575-586. Doi: https://doi.org/10.1590/1806- 93042020000200014.

Organização Mundial da Saúde. Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde: CID-10 Décima revisão. Trad. do Centro Colaborador da Organização Mundial da Saúde para a Família Classificações Internacionais em Português. 10. ed. São Paulo: Editora da Universidade de São Paulo; 2012.

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Mortalidade Materna no Brasil. Boletim epidemiológico [Internet]. 2020 Mai; 51 (20): 21-27. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/ wp-content/uploads/2020/06/Boletim-epidemiologico- SVS-20-aa.pdf.

Instituto de Pesquisa Econômica Aplicada. Agenda 2030 ODS – Metas Nacionais dos Objetivos de Desenvolvimento Sustentável [Internet]. Brasília: Instituto de Pesquisa Econômica Aplicada; 2018. 546p. Disponível em: https:// www.ipea.gov.br/portal/images/stories/PDFs/livros/ livros/180801_ods_metas_nac_dos_obj_de_desenv_ susten_propos_de_adequa.pdf.

Ministério da Saúde (BR). Portaria nº 1.119, de 11 de janeiro de 2010. Regulamenta a Vigilância de Óbitos Maternos. Diário Oficial da União.

World Health Organization. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary. Geneva: World Health

Organization; 2019. Available from: https://apps.who.int/ iris/handle/10665/327596.

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Manual dos comitês de mortalidade materna [Internet]. Brasília: Ministério da Saúde; 2009 [citado em 2020 nov 16]. 104p.

Carreno I, Bonilha ALL, Costa JSD. Evolução temporal e distribuição espacial da morte materna. Rev Saúde Pública [Internet]. 2014 ago [citado em 2021 jan 6];48(4):662-670. Doi: https://doi.org/10.1590/S0034- 8910.2014048005220.

Instituto Brasileiro de Geografia e Estatística. SIDRA: Sistema IBGE de recuperação automática [internet]. Estimativas de população. Disponível em: https://sidra. ibge.gov.br/tabela/6579.

Ministério da Saúde (BR). DATASUS [Internet]. Brasília: Ministério da Saúde; 2020 [cited 2020 dez 21]. Disponível em: http://tabnet.datasus.gov.br/cgi/ deftohtm.exe?sinasc/cnv/nvmg.def.

Secretaria de Estado de Saúde de Minas Gerais. Subsecretaria de Gestão Regional. Ajuste do Plano Diretor de Regionalização de Saúde de Minas Gerais (PDR/MG) [Internet]. Belo Horizonte: Secretaria de Estado de Saúde de Minas Gerais; 2020 [citado em 2020 nov 10]. 475 p. Disponível em: https://www.saude.mg.gov.br/parceiro/ regionalizacao-pdr2.

Ministério da Saúde (BR). DATASUS [Internet]. Brasília: Ministério da Saúde; 2020 [cited 2020 dez 21]. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sim/ cnv/mat10mg.def.

Tavares LS, Leite IC, Noronha, MF, Rodrigues RN, Cunha GM, Valente JG et al. Diferenciais da carga de doença das condições maternas entre mulheres de 15 a 44 anos no Estado de Minas Gerais, 2004-2006. R. bras. Est. Pop. 2013; 30 Suplemento:119-134.

Silva BGC, Lima NP, Silva SG, Antúnez SF, Seerig LM, Restrepo-Méndez MC, et al. Mortalidade materna no Brasil no período de 2001 a 2012: tendência temporal e diferenças regionais. Rev Bras Epidemiol [Internet]. 2016 jul-set [citado em 2021 jan 10];19(3):484-93. Doi: https:// doi.org/10.1590/1980-5497201600030002.

Feitosa-Assis AI, Santana VS. Ocupação e mortalidade materna. Rev Saúde Pública [Internet]. 2020 Jul [citado em 2021 jan 4]; 54:64. Doi: https://doi.org/10.11606/s1518- 8787.2020054001736.

Gomes JO, Vieira MCA, Mistura C, Andrade GG, Barbosa KMGB, Carvalho e Lira MOS, et al. Perfil sociodemográfico e clínico de mortalidade materna. Rev enferm UFPE on line [Internet]. 2018 dez [citado em 2021 jan 03];12(12):3165-3171.Disponível em:https:// periodicos.ufpe.br/revistas/revistaenfermagem/article/ view/237316/30743.

Fernandes FCGM, Santos EGO, Barbosa IR. Age of first pregnancy in Brazil: data from the national health survey. J Hum Growth Dev. 2019; 29(3):304-312. DOI: https://doi.org/10.7322/jhgd.v29.9523.

Ferraz L, Bordignon M. Mortalidade materna no Brasil: uma realidade que precisa melhorar. Rev baiana saúde pública [Internet]. 2012 abr-jun [citado em 2021 jan 04];36(2):527-538. Doi: https://doi.org/10.22278/2318- 2660.2012.v36.n2.a474.

Martins ACS, Silva LS. Perfil epidemiológico de mortalidade materna. Rev bras enferm [Internet]. 2018 [citado em 2021 jan 4];71(supl 1):725-31. Doi:https://doi. org/10.1590/0034-7167-2017-0624.

Pícoli RP, Cazola LHO, Lemos EF. Mortalidade materna segundo raça/cor, em Mato Grosso do Sul, Brasil, de 2010 a 2015. Rev Bras Saúde Matern Infant [Internet]. 2017 out-dez [citado em 2021 jan 6];17(4):739-47. Doi:https://doi. org/10.1590/1806-93042017000400007.

Moraes MMS, Quaresma MA, Oliveira USJ, Silveira MMP. Classificação de risco gestacional baseada no perfil de óbitos maternos ocorridos de 2008 a 2013: relato de experiência no município de Porto Seguro, Bahia. Epidemiol Serv Saúde [Internet]. 2019 [citado em 2021 jan 6];28(3): e2018491. Doi:https://doi.org/10.5123/S1679- 49742019000300012.

Joseph KS, Boutin A, Lisonkova S, Muraca GM, Razaz N, John S et al. Maternal Mortality in the United States. Obstetrics & Gynecology [Internet]. 2021 [cited 2021 10 May]; 137 (5): 763-771. Disponível em: https://journals. lww.com/greenjournal/Fulltext/2021/05000/Maternal_ Mortality_in_the_United_States__Recent.3.aspx.

Pereira GT, Santos AAP, Oliveira e Silva JM, Naglia¬te PC. Perfil epidemiológico da mortalidade materna por hipertensão: análise situacional de um estado nordestino entre 2004-2013. R. pesq. cuid. fundam. online [Internet]. 2017 jul-set [citado em 2021 jan 10];9(3): 653-658. Dispo¬nível em: http://www.seer.unirio.br/cuidadofundamental/ article/view/5526.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health [Internet]. 2014 May [cited 2021 Jan 20];2(6): e323-e333. Doi: https://doi. org/10.1016/S2214-109X(14)70227-X

Pacagnella RC, Nakamura-Pereira M, Gomes-Sponholz F, Aguiar RALP, Guerra GVQL, Diniz CSG, et al. Maternal Mortality in Brazil: Proposals and Strategies for its Reduction. Rev Bras Ginecol Obstet [Internet]. 2018 Set [cited 2021 Jan 28];40(9):501-506. Available from: https://www.thieme-connect.de/products/ejournals/ pdf/10.1055/s-0038-1672181.pdf.

Martins EF, Almeida PFB, Paixão CO, Bicalho PG, Errico LSP. Causas múltiplas de mortalidade materna relacionada ao aborto no Estado de Minas Gerais, Brasil, 2000-2011. Cad Saúde Pública [Internet]. 2017 [citado em 2021 jan 20];33(1):e00133115. Doi: https://doi. org/10.1590/0102-311X00133116.

Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012 Jul [cited 2021 Jan 26];380(9837):149-56. Doi: https://doi.org/10.1016/ S0140-6736(12)60609-6.

Zhang X, Ye Y, Fu C, Dou G, Ying X, Qian M, et al. Anatomy of provincial level inequality in maternal mortality in China during 2004–2016: a new decomposition analysis. BMC Public Health [Internet]. 2020 May [cited 2021 Jan 26]; 20:758. Available from: https://bmcpublichealth. biomedcentral.com/articles/10.1186/s12889-020-08830-2.

Bustreo F, Say L, Koblinsky M, Pullum TW, Temmerman M, Pablos-Méndez A. Ending preventable maternal deaths: the time is now. Lancet Glob Health [Internet]. 2013 [cited 2021 Fev 01];1(4):e176-7. Available from: https:// www.thelancet.com/journals/langlo/article/PIIS2214- 109X(13)70059-7/fulltext.

Downloads

Published

2022-09-22

How to Cite

1.
Lopes L, Lopes Pessoa de Aguiar RA. Epidemiological characteristics of maternal mortality in Minas Gerais, Brazil, from 2008 to 2019. RBPS [Internet]. 2022 Sep. 22 [cited 2024 Dec. 22];23(4):6-16. Available from: https://periodicos.ufes.br/rbps/article/view/35960

Issue

Vol. 23 No. 4 (2021)

Section

Artigos Originais

License

Copyright (c) 2022 Brazilian Journal of Health Research

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors and reviewers must disclose any financial, professional, or personal conflicts of interest that could influence the results or interpretations of the work. This information will be treated confidentially and disclosed only as necessary to ensure transparency and impartiality in the publication process.

Copyright

RBPS adheres to the CC-BY-NC 4.0 license, meaning authors retain copyright of their work submitted to the journal.

  • Originality Declaration: Authors must declare that their submission is original, has not been previously published, and is not under review elsewhere.
  • Publication Rights: Upon submission, authors grant RBPS the exclusive right of first publication, subject to peer review.
  • Additional Agreements: Authors may enter into non-exclusive agreements for the distribution of the RBPS-published version (e.g., in institutional repositories or as book chapters), provided the original authorship and publication by RBPS are acknowledged.

Authors are encouraged to share their work online (e.g., institutional repositories or personal websites) after initial publication in RBPS, with appropriate citation of authorship and original publication.

Under the CC-BY-NC 4.0 license, readers have the rights to:

  • Share: Copy and redistribute the material in any medium or format.
  • Adapt: Remix, transform, and build upon the material.

These rights cannot be revoked, provided the following terms are met:

  • Attribution: Proper credit must be given, a link to the license provided, and any changes clearly indicated.
  • Non-Commercial: The material cannot be used for commercial purposes.
  • No Additional Restrictions: No legal or technological measures may be applied to restrict others from doing anything the license permits.