Temporal Evolution of Maternal Mortality: 1980-2019

Detalhes bibliográficos
Autor(a) principal: Vettorazzi,Janete
Data de Publicação: 2021
Outros Autores: Valério,Edimárlei Gonsales, Zanatta,Maria Alexandrina, Scheffler,Mariana Hollmann, Costa,Sergio Hofmeister de Almeida Martins, Ramos,José Geraldo Lopes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000900662
Resumo: Abstract Objective To determine the profile of maternal deaths occurred in the period between 2000 and 2019 in the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym) and to compare it with maternal deaths between 1980 and 1999 in the same institution. Methods Retrospective study that analyzed 2,481 medical records of women between 10 and 49 years old who died between 2000 and 2018. The present study was approved by the Ethics Committee (CAAE 78021417600005327). Results After reviewing 2,481 medical records of women who died in reproductive age, 43 deaths had occurred during pregnancy or in the postpartum period. Of these, 28 were considered maternal deaths. The maternal mortality ratio was 37.6 per 100,000 live births. Regarding causes, 16 deaths (57.1%) were directly associated with pregnancy, 10 (35.1%) were indirectly associated, and 2 (7.1%) were unrelated. The main cause of death was hypertension during pregnancy (31.2%) followed by acute liver steatosis during pregnancy (25%). In the previous study, published in 2003 in the same institution4, the mortality rate was 129 per 100,000 live births, and most deaths were related to direct obstetric causes (62%). The main causes of death in this period were due to hypertensive complications (17.2%), followed by postcesarean infection (16%). Conclusion Compared with data before the decade of 2000, there was an important reduction in maternal deaths due to infectious causes.
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spelling Temporal Evolution of Maternal Mortality: 1980-2019maternal mortalitymaternal mortality ratiopregnancy-related deathsevere maternal morbiditypregnancy hypertensionacute fatty liver of pregnancypostcesarean infectionseptic abortionAbstract Objective To determine the profile of maternal deaths occurred in the period between 2000 and 2019 in the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym) and to compare it with maternal deaths between 1980 and 1999 in the same institution. Methods Retrospective study that analyzed 2,481 medical records of women between 10 and 49 years old who died between 2000 and 2018. The present study was approved by the Ethics Committee (CAAE 78021417600005327). Results After reviewing 2,481 medical records of women who died in reproductive age, 43 deaths had occurred during pregnancy or in the postpartum period. Of these, 28 were considered maternal deaths. The maternal mortality ratio was 37.6 per 100,000 live births. Regarding causes, 16 deaths (57.1%) were directly associated with pregnancy, 10 (35.1%) were indirectly associated, and 2 (7.1%) were unrelated. The main cause of death was hypertension during pregnancy (31.2%) followed by acute liver steatosis during pregnancy (25%). In the previous study, published in 2003 in the same institution4, the mortality rate was 129 per 100,000 live births, and most deaths were related to direct obstetric causes (62%). The main causes of death in this period were due to hypertensive complications (17.2%), followed by postcesarean infection (16%). Conclusion Compared with data before the decade of 2000, there was an important reduction in maternal deaths due to infectious causes.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2021-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000900662Revista Brasileira de Ginecologia e Obstetrícia v.43 n.9 2021reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0041-1735300info:eu-repo/semantics/openAccessVettorazzi,JaneteValério,Edimárlei GonsalesZanatta,Maria AlexandrinaScheffler,Mariana HollmannCosta,Sergio Hofmeister de Almeida MartinsRamos,José Geraldo Lopeseng2021-11-25T00:00:00Zoai:scielo:S0100-72032021000900662Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2021-11-25T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false
dc.title.none.fl_str_mv Temporal Evolution of Maternal Mortality: 1980-2019
title Temporal Evolution of Maternal Mortality: 1980-2019
spellingShingle Temporal Evolution of Maternal Mortality: 1980-2019
Vettorazzi,Janete
maternal mortality
maternal mortality ratio
pregnancy-related death
severe maternal morbidity
pregnancy hypertension
acute fatty liver of pregnancy
postcesarean infection
septic abortion
title_short Temporal Evolution of Maternal Mortality: 1980-2019
title_full Temporal Evolution of Maternal Mortality: 1980-2019
title_fullStr Temporal Evolution of Maternal Mortality: 1980-2019
title_full_unstemmed Temporal Evolution of Maternal Mortality: 1980-2019
title_sort Temporal Evolution of Maternal Mortality: 1980-2019
author Vettorazzi,Janete
author_facet Vettorazzi,Janete
Valério,Edimárlei Gonsales
Zanatta,Maria Alexandrina
Scheffler,Mariana Hollmann
Costa,Sergio Hofmeister de Almeida Martins
Ramos,José Geraldo Lopes
author_role author
author2 Valério,Edimárlei Gonsales
Zanatta,Maria Alexandrina
Scheffler,Mariana Hollmann
Costa,Sergio Hofmeister de Almeida Martins
Ramos,José Geraldo Lopes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Vettorazzi,Janete
Valério,Edimárlei Gonsales
Zanatta,Maria Alexandrina
Scheffler,Mariana Hollmann
Costa,Sergio Hofmeister de Almeida Martins
Ramos,José Geraldo Lopes
dc.subject.por.fl_str_mv maternal mortality
maternal mortality ratio
pregnancy-related death
severe maternal morbidity
pregnancy hypertension
acute fatty liver of pregnancy
postcesarean infection
septic abortion
topic maternal mortality
maternal mortality ratio
pregnancy-related death
severe maternal morbidity
pregnancy hypertension
acute fatty liver of pregnancy
postcesarean infection
septic abortion
description Abstract Objective To determine the profile of maternal deaths occurred in the period between 2000 and 2019 in the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym) and to compare it with maternal deaths between 1980 and 1999 in the same institution. Methods Retrospective study that analyzed 2,481 medical records of women between 10 and 49 years old who died between 2000 and 2018. The present study was approved by the Ethics Committee (CAAE 78021417600005327). Results After reviewing 2,481 medical records of women who died in reproductive age, 43 deaths had occurred during pregnancy or in the postpartum period. Of these, 28 were considered maternal deaths. The maternal mortality ratio was 37.6 per 100,000 live births. Regarding causes, 16 deaths (57.1%) were directly associated with pregnancy, 10 (35.1%) were indirectly associated, and 2 (7.1%) were unrelated. The main cause of death was hypertension during pregnancy (31.2%) followed by acute liver steatosis during pregnancy (25%). In the previous study, published in 2003 in the same institution4, the mortality rate was 129 per 100,000 live births, and most deaths were related to direct obstetric causes (62%). The main causes of death in this period were due to hypertensive complications (17.2%), followed by postcesarean infection (16%). Conclusion Compared with data before the decade of 2000, there was an important reduction in maternal deaths due to infectious causes.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000900662
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000900662
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1055/s-0041-1735300
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
dc.source.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetrícia v.43 n.9 2021
reponame:Revista brasileira de ginecologia e obstetrícia (Online)
instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron:FEBRASGO
instname_str Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron_str FEBRASGO
institution FEBRASGO
reponame_str Revista brasileira de ginecologia e obstetrícia (Online)
collection Revista brasileira de ginecologia e obstetrícia (Online)
repository.name.fl_str_mv Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
repository.mail.fl_str_mv publicações@febrasgo.org.br||rbgo@fmrp.usp.br
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