Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019

Detalhes bibliográficos
Autor(a) principal: Michels, Bruna Depieri
Data de Publicação: 2022
Outros Autores: Marin, Daniela Ferreira D'Agostini, Iser, Betine Pinto Moehlecke
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/4840
Resumo: Objective: to analyze temporal series of postpartum maternal lethality according to gestational risk and mode of delivery by the Unified Health System in Brazil and regions, 2010-2019. Methods: ecological time series study with data from the Hospital Information System; the hospital postpartum maternal lethality rate considered maternal hospitalizations with hospital discharge due to death, by the total hospitalizations, per year according to gestational risk and mode of delivery, in the regions of Brazil. Results: there were 19.158.167 admissions for childbirth and 5.110 deaths in the period; maternal lethality rose from 1.10 in 2010 to 1.9 deaths/10.000 in 2019 in low-risk pregnancies after vaginal deliveries and decreased from 10,5 to 7,0 deaths/10.000 in high-risk pregnancies after cesarean sections; Midwest expressed the highest and the South the lowest fatality rate for high-risk pregnancies. Conclusion: Hospital lethality was higher in high-risk pregnancies, with differences according to mode of delivery and regions of Brazil.
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spelling Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019Análisis de series temporales de letalidad materna posparto según riesgo gestacional y forma de parto en regiones del Brasil, 2010-2019Análise temporal da letalidade materna hospitalar no pós-parto segundo risco gestacional e via de parto, nas regiões do Brasil, 2010-2019Mortalidade MaternaPartoPeríodo Pós-PartoEstudos de Séries TemporaisMaternal MortalityParturitionPostpartum PeriodTime Series StudiesMortalidad MaternaPartoPeríodo PospartoEstudios de Series TemporalesObjective: to analyze temporal series of postpartum maternal lethality according to gestational risk and mode of delivery by the Unified Health System in Brazil and regions, 2010-2019. Methods: ecological time series study with data from the Hospital Information System; the hospital postpartum maternal lethality rate considered maternal hospitalizations with hospital discharge due to death, by the total hospitalizations, per year according to gestational risk and mode of delivery, in the regions of Brazil. Results: there were 19.158.167 admissions for childbirth and 5.110 deaths in the period; maternal lethality rose from 1.10 in 2010 to 1.9 deaths/10.000 in 2019 in low-risk pregnancies after vaginal deliveries and decreased from 10,5 to 7,0 deaths/10.000 in high-risk pregnancies after cesarean sections; Midwest expressed the highest and the South the lowest fatality rate for high-risk pregnancies. Conclusion: Hospital lethality was higher in high-risk pregnancies, with differences according to mode of delivery and regions of Brazil.Objetivo: analizar la letalidad materna hospitalaria posparto según riesgo gestacional y modalidad de parto por el Sistema Único de Salud en Brasil y regiones, 2010-2019. Métodos: estudio de serie temporal ecológica con datos del Sistema de Información Hospitalario; la tasa de letalidad materna hospitalaria posparto consideró las hospitalizaciones maternas con resultado de muerte, por el total de hospitalizaciones por año. Resultados: hubo 19.158.167 admisiones por parto y 5.110 óbitos en el período; la letalidad materna aumentó de 1,10 (2010) a 1,9 muertes/10.000 (2019) en embarazos de riesgo habitual posparto vaginal y disminuyó de 10,5 a 7,0 muertes/10.000 en embarazos de alto riesgo después de cesáreas; Medio Oeste expresó la tasa de letalidad más alta y el Sur la más baja para embarazos de alto riesgo. Conclusión: la letalidad hospitalaria fue mayor en los embarazos de alto riesgo, con diferencias según el modo de parto y las regiones de Brasil.Objetivo: analisar a letalidade materna hospitalar pós-parto segundo risco gestacional e via de parto, no Sistema Único de Saúde, Brasil e regiões nacionais, 2010-2019. Métodos: estudo ecológico de série temporal, com dados do Sistema de Informações Hospitalares; a taxa de letalidade materna hospitalar pós-parto considerou internações maternas com desfecho ‘óbito’ sobre o total de internações/ano, segundo risco gestacional e via de parto, nas regiões. Resultados: foram 19.158.167 internações para parto e 5.110 óbitos no período analisado; a letalidade materna subiu de 1,1 (2010) para 1,9 óbitos/10 mil internações (2019), em gestações de risco habitual após partos vaginais, e reduziu-se de 10,5 (2010) para 7,0 óbitos/10 mil internações (2019) em gestações de alto risco após cesarianas; Centro-Oeste expressou a maior e Sul a menor taxa de letalidade para gestações de alto risco. Conclusão: a letalidade hospitalar foi maior em gestações de alto risco, com diferenças segundo via de parto e regiões.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-10-10info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/484010.1590/s2237-62222022000300011porhttps://preprints.scielo.org/index.php/scielo/article/view/4840/9372Copyright (c) 2022 Bruna Depieri Michels, Daniela Ferreira D'Agostini Marin, Betine Pinto Moehlecke Iserhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Michels, Bruna DepieriMarin, Daniela Ferreira D'AgostiniIser, Betine Pinto Moehleckereponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-10-10T14:22:17Zoai:ops.preprints.scielo.org:preprint/4840Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-10-10T14:22:17SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
Análisis de series temporales de letalidad materna posparto según riesgo gestacional y forma de parto en regiones del Brasil, 2010-2019
Análise temporal da letalidade materna hospitalar no pós-parto segundo risco gestacional e via de parto, nas regiões do Brasil, 2010-2019
title Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
spellingShingle Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
Michels, Bruna Depieri
Mortalidade Materna
Parto
Período Pós-Parto
Estudos de Séries Temporais
Maternal Mortality
Parturition
Postpartum Period
Time Series Studies
Mortalidad Materna
Parto
Período Posparto
Estudios de Series Temporales
title_short Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
title_full Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
title_fullStr Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
title_full_unstemmed Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
title_sort Time series analysis of Postpartum maternal lethality according to pregnancy risk and the mode of delivery in regions of Brazil, 2010-2019
author Michels, Bruna Depieri
author_facet Michels, Bruna Depieri
Marin, Daniela Ferreira D'Agostini
Iser, Betine Pinto Moehlecke
author_role author
author2 Marin, Daniela Ferreira D'Agostini
Iser, Betine Pinto Moehlecke
author2_role author
author
dc.contributor.author.fl_str_mv Michels, Bruna Depieri
Marin, Daniela Ferreira D'Agostini
Iser, Betine Pinto Moehlecke
dc.subject.por.fl_str_mv Mortalidade Materna
Parto
Período Pós-Parto
Estudos de Séries Temporais
Maternal Mortality
Parturition
Postpartum Period
Time Series Studies
Mortalidad Materna
Parto
Período Posparto
Estudios de Series Temporales
topic Mortalidade Materna
Parto
Período Pós-Parto
Estudos de Séries Temporais
Maternal Mortality
Parturition
Postpartum Period
Time Series Studies
Mortalidad Materna
Parto
Período Posparto
Estudios de Series Temporales
description Objective: to analyze temporal series of postpartum maternal lethality according to gestational risk and mode of delivery by the Unified Health System in Brazil and regions, 2010-2019. Methods: ecological time series study with data from the Hospital Information System; the hospital postpartum maternal lethality rate considered maternal hospitalizations with hospital discharge due to death, by the total hospitalizations, per year according to gestational risk and mode of delivery, in the regions of Brazil. Results: there were 19.158.167 admissions for childbirth and 5.110 deaths in the period; maternal lethality rose from 1.10 in 2010 to 1.9 deaths/10.000 in 2019 in low-risk pregnancies after vaginal deliveries and decreased from 10,5 to 7,0 deaths/10.000 in high-risk pregnancies after cesarean sections; Midwest expressed the highest and the South the lowest fatality rate for high-risk pregnancies. Conclusion: Hospital lethality was higher in high-risk pregnancies, with differences according to mode of delivery and regions of Brazil.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/preprint
info:eu-repo/semantics/publishedVersion
format preprint
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://preprints.scielo.org/index.php/scielo/preprint/view/4840
10.1590/s2237-62222022000300011
url https://preprints.scielo.org/index.php/scielo/preprint/view/4840
identifier_str_mv 10.1590/s2237-62222022000300011
dc.language.iso.fl_str_mv por
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
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publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
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