Szwarcwald Celia Landmann, Escalante Juan José Cortez, Rabello Neto Dácio de Lyra, Souza Junior Paulo Roberto Borges de, Victora César Gomes
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brasil.
Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-12. doi: 10.1590/0102-311x00125313.
This study proposes a methodology for estimating maternal mortality rates (MMR) in Brazil between 2008 and 2011 using data obtained from Ministry of Health information systems. The method assesses underreporting of maternal deaths, the investigation rates of deaths among women of reproductive age, as well as the proportion of maternal deaths that were misclassified as other causes before investigation. MMR was estimated for each state in Brazil in the 2009 to 2011 triennium. Overall MMR in Brazil was lower in 2011 (60.8 per 100,000 live births) and higher in 2009 (73.1 per 100.000 live births) probably due to the H1N1 influenza epidemic that occurred in the same year. MMR was highest in the States of Maranhão and Piauí (over 100 per 100,000 live births) and lowest in the State of Santa Catarina, the only state with a MMR of less than 40 per 100,000 live births. The results show that rates are higher than the target rate of the fifth Millennium Development Goal, but indicated a significant decrease in MMR during the period 1990 to 2011.
本研究提出了一种利用从巴西卫生部信息系统获取的数据来估算2008年至2011年巴西孕产妇死亡率（MMR）的方法。该方法评估了孕产妇死亡报告不足的情况、育龄妇女死亡的调查率，以及在调查前被误分类为其他原因的孕产妇死亡比例。对巴西2009年至2011年三年期内每个州的孕产妇死亡率进行了估算。巴西2011年的总体孕产妇死亡率较低（每10万例活产中有60.8例死亡），2009年较高（每10万例活产中有73.1例死亡），这可能是由于同年发生的甲型H1N1流感疫情所致。马拉尼昂州和皮奥伊州的孕产妇死亡率最高（每10万例活产超过100例死亡），圣卡塔琳娜州最低，该州是唯一孕产妇死亡率低于每10万例活产40例的州。结果表明，该比率高于千年发展目标5的目标比率，但显示出1990年至2011年期间孕产妇死亡率显著下降。
