Theme-Filha M M, da Silva R, Noronha C P
Coordenação de Programas de Epidemiologia, Superintendência de Saúde Coletiva, Secretaria Municipal de Saúde do Rio de Janeiro, Rua Afonso Cavalcanti 455, sala 828, Cidade Nova, Rio de Janeiro, RJ CEP 20211-110, Brasil.
Cad Saude Publica. 1999 Apr-Jun;15(2):397-403. doi: 10.1590/s0102-311x1999000200024.
The maternal mortality rate is considered an important indicator of quality of care during the gravid-puerperal cycle. To shed light on the maternal mortality pattern in the city of Rio de Janeiro, maternal deaths from 1993 to 1996 among residents of the city were analyzed, based on data from death certificates. The maternal mortality rate was calculated according to cause, age, and schooling. High annual mortality rates were detected throughout the period analyzed (74.3, 47.9, 51.5, and 55.3 per 100,000 live births, respectively). Main causes of death were hypertension, hemorrhage, and puerperal complications. Greatest risk of death was among the youngest and oldest women and those with less schooling. The study discusses strategies to decrease under-recording of deaths and increase quality and results of care.
孕产妇死亡率被视为妊娠期至产褥期护理质量的一项重要指标。为深入了解里约热内卢市的孕产妇死亡模式，基于死亡证明数据，对该市1993年至1996年居民中的孕产妇死亡情况进行了分析。根据死因、年龄和受教育程度计算孕产妇死亡率。在整个分析期间均检测到较高的年死亡率（分别为每10万例活产74.3例、47.9例、51.5例和55.3例）。主要死因是高血压、出血和产褥期并发症。最年轻和最年长的女性以及受教育程度较低的女性死亡风险最高。该研究讨论了减少死亡漏报以及提高护理质量和效果的策略。
