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.

Highlights

  • Maternal Mortality (MM) is a severe public health problem, especially in developing countries, where 99% of maternal deaths occur.[1]

  • The study shows that the year with the highest number of maternal deaths was the highest Maternal Mortality Ratio (MMR) in 2012, with 9 deaths from 5,675 Live Births (LB) with MMR of 138.76 per 100,000 LB in the city of Montes Claros - MG

  • It is observed that in the five years studied, the rates are high when compared to the recommended value by the World Health Organization (WHO), which is 20 per 100,000 LB.[13]

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Summary

Introduction

Maternal Mortality (MM) is a severe public health problem, especially in developing countries, where 99% of maternal deaths occur.[1] Its decrease is one of the Millennium Development Goals, whose objective was to reduce the Maternal Mortality Ratio (MMR) by three quarters by the end of 2015.2. The rate of reduction of the MMR has decreased since 2001, revealing the need for greater efforts to achieve lower values of LB deaths.[4]. In Brazil, in the period of 2009 to 2013, there was a significant decrease in maternal mortality in 2009 to 20.04%, in 2011 it was 20.07% and in 2013 the maternal deaths was 19.93%.4

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