Maternal mortality in the indigenous and non-indigenous population in Pará: contribution to the surveillance of deaths

Deivid Ramos Dos Santos,Lívia Félix De Oliveira,Laura Maria Vidal Nogueira,Samantha Pereira Caldas,Ivaneide Leal Ataide Rodrigues,Bárbara Lopes Paiva

doi:10.1590/2177-9465-ean-2017-0161

Deivid Ramos Dos Santos, Lívia Félix De Oliveira + Show 4 more

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https://doi.org/10.1590/2177-9465-ean-2017-0161

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Abstract

Abstract Objective: To analyze the occurrence of Maternal Mortality in general and in the indigenous population in the state of Pará. Method: A quantitative, analytical and retrospective study was performed, covering a historical series from 2005 to 2014. For the analysis of the results, non-parametric statistical tests, the Chi-square test and the G test were processed in the BioStat 5.0 software program. Results: A total of 884 maternal deaths were reported in the state of Pará, corresponding to a Mortality Rate of 60.7 per 100,000 live births for non-indigenous women and 135.8 per 100,000 live births for indigenous women. Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and puerperium corresponded to 30.5% (n = 270). Conclusion and Implications for the Practice: Maternal mortality remains a serious public health problem in the state of Pará, clearly demonstrating that indigenous pregnant women require greater care, since they showed higher Maternal Mortality Rates when compared to non-indigenous women.

Highlights

Maternal Mortality (MM) continues to be a challenge to health, especially in developing countries, where women's care services are not fully effective
Themes connected to women's health and associated with the gestational period and MM have become more relevant in the international political context, especially after 2000, when the theme was the "Fifth Millennium Development Goal (MDG)"
The present study was developed with a quantitative, analytical and retrospective approach, performed from data on maternal mortality recorded in the Sistema de Informações sobre Mortalidade (SIM - Mortality Information System), which were made available by the Secretaria de Estado de Saúde Pública do Pará (SESPA - State of Pará Department of Public Health), in an electronic spreadsheet that highlights an event according to ethnicity - indigenous and non-indigenous, in a historical series of ten years corresponding to the 2005-2014 period

Summary

Introduction

Maternal Mortality (MM) continues to be a challenge to health, especially in developing countries, where women's care services are not fully effective. One of its objectives is the reduction in maternal mortality rate by 75% until 2015.7. It is estimated that 1.5 million maternal deaths in 2000 and 2015 were prevented. During this period, the MDG met some objectives globally, while others were only achieved by some countries. For 2016 and 2030, the Sustainable Development Goal (SDG) that will replace the MDG brought new objectives, among which the reduction in global maternal mortality rate to less than 70 deaths per 100,000 live births stood out.[8,9]

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