Tognini Silvana, Garcia Maria Lúcia Bueno, Braga Alfésio Luís Ferreira, Martins Lourdes Conceição
Health Sciences, Faculdade de Medicina do ABC (M.Sc. Dissertation), Brazil.
Rev Assoc Med Bras (1992). 2011 Jul-Aug;57(4):402-7.
To analyze the maternal mortality in the ABC Region, comparing indicators from the Committee for the Study of Maternal Mortality in the Great ABC Region (CEMM) of the II Regional Health Center of Santo Andre (DIR II), and the State Data Analysis System Foundation (SEADE).
This is a cross sectional study. The information was obtained from the database of CEMM DIR II - Santo André, which includes data from seven counties of the ABC Region. We analyzed all deaths of childbearing-age women that occurred from 1997 to 2005 in that region. The paired t test, Wilcoxon and Kruskal-Wallis tests were used for statistical analysis.
There were differences regarding the maternal mortality rates in the towns of Diadema, São Bernardo do Campo, Santo André and DIR II, with the coefficients calculated by CEMM being higher than those provided by the SEADE (p < 0.001). Concerning the towns of Mauá, Rio Grande da Serra, Ribeirão Pires and São Caetano do Sul, no significant differences were observed between these two coefficients (p ≥ 0.05), although the coefficients provided by CEMM were higher than the coefficients obtained from SEADE.
Our results demonstrate that the official data of maternal mortality in Brazil are still underestimated and point to the lack of healthcare quality during pregnancy, childbirth and postpartum.
分析ABC地区的孕产妇死亡率,比较圣安德烈第二区域卫生中心(DIR II)大ABC地区孕产妇死亡率研究委员会(CEMM)和州数据分析系统基金会(SEADE)的指标。
这是一项横断面研究。信息来自CEMM DIR II - 圣安德烈的数据库,该数据库包含ABC地区七个县的数据。我们分析了该地区1997年至2005年期间育龄妇女的所有死亡情况。采用配对t检验、Wilcoxon检验和Kruskal-Wallis检验进行统计分析。
迪亚德马、圣贝尔纳多·坎波、圣安德烈和DIR II镇的孕产妇死亡率存在差异,CEMM计算的系数高于SEADE提供的系数(p < 0.001)。关于马乌阿、大塞拉河、里贝拉奥皮雷斯和南圣卡埃塔诺镇,这两个系数之间未观察到显著差异(p≥0.05),尽管CEMM提供的系数高于从SEADE获得的系数。
我们的结果表明,巴西孕产妇死亡率的官方数据仍被低估,表明孕期、分娩期和产后医疗保健质量不足。