Avaliação da mortalidade materna no município de Governador Valadares 2002-2004

• Ano de defesa: 2006
• Autor(a) principal: Yara Maria Diniz Figueiredo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Linha do cuidado; Mulheres em idade fértil; Mortalidade materna; Evitabilidade; Anticoncepção; Enfermagem; Fatores de risco
• Link de acesso: http://hdl.handle.net/1843/GCPA-6W7R4R

The present study searches for maternal death rate in GovernadorValadares, Minas Geraes Brasil, among fertile aged women and itsavoidability. Data used in study development were collected from secondary sources - Epidemiologic Department- Municipal Health Secretary maternal Death Prevention Committee (death records), beyond data achieved from SIM ( Federal Information System on Mortality) and SINASC (Infortation System on alive childbirth). All women deaths happened from January/2002 to December/2004 in fertile age were investigated in the way to identify maternal deaths its causing factors aiming issues related to its avoidability, searching informations from family and Hospital and Unit Care pacients charts. Collected data were analyzed by flowing diagram proposed by merhy and chakkour(1997) in the way to check carl flow, access to and quality care, trying to detect indirect signal of bad care and other factors responsible for maternal deaths. Maternal deaths avoidability was evaluated by classificationsuggested for Health Ministry criteria (Brasil 2002) that comprises since care fails to social-familiar difficulties. Among a total 345 deaths studied, 323 were maternal deaths selected that were separated according time 100(30,6%) in 2002, 90 (26,1%) in 2003 and 127(36,9%) in 2004. Data provided from Municipal SIM, MG-State SIM were compared indentifying more 21 deaths; in this last one source. This diference compound 6,1% over total refer to women died out of theirs cities. One more death was recognized in 2004 previously unobserved. About 50% of maternal deaths were classified as avoidable by preventive means such as familiar planement and professional skills. The other one 50% were classified in 16,6% indirect maternal deaths, probably avoidable and 33,4% (hemorrhage and preclampsia) could be reduced by means of prenatal preventive care. Maternal Mortality Ratio related to this three years was reestimated ascending from 24,2/100000 to 36,2/100000 after investigation. In this way we concluded that cross analizes for SIM and SINASC data as well as municipal rates and state rates aiming to identify new maternal deaths. Maternal Mortality Ratio adjustment providesplanement actions aiming reduce itself.