Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Bras Ginecol Obstet. 2021 Mar;43(3):158-164. doi: 10.1055/s-0040-1719143. Epub 2021 Jan 28.
To describe the evolution of maternal mortality right after the establishment of maternal death committees in the region of the city of Ribeirão Preto, state of São Paulo, Brazil.
The present study describes the spatial and temporal distribution of maternal mortality frequencies and rates, using data from the state of São Paulo, the municipality of Ribeirão Preto, and its Regional Health Department (DRS-XIII) from 1998 to 2017. The present ecological study considered the maternal mortality and live birth frequencies made available by the Computer Science Department of the Brazilian Unified Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS, in the Portuguese acronym)/Ministry of Health, which were grouped by year and political-administrative division (the state of São Paulo, the DRS-XIII, and the city of Ribeirão Preto). The maternal mortality rate (MMR) was calculated and presented through descriptive measures, graphs, and cartograms.
The overall MMR observed for the city of Ribeirão Preto was of 39.1; for the DRS-XIII, it was of of 40.4; and for the state of São Paulo, it was of 43.8 for every 100 thousand live birhts. During this period, the MMR for the city of Ribeirão Preto ranged from 0% to 80% of the total maternal mortalities, and from 40.7% to 47.2% of live births in the DRS-XIII. The city of Ribeirao Preto had an MMR of 76.5 in 1998and 1999, which decreased progressively to 12.1 until the years of 2012 and 2013, and increased to 54.3 for every 100 thousand live births over the past 4 years. The state of São Paulo State had an MMR of 54.0 in 1998-1999, which varied throughout the study period, with values of 48.0 in 2008-2009, and 54.1 for every 100 thousand live births in 2016-2017. Several times before 2015, the city of Ribeirão Preto and the DRS-XIII reached the Millennium Goals. Recently, however, the MMR increased, which can be explained by the improvement in the surveillance of maternal mortality.
The present study describes a sharp decline in maternal death in the region of Ribeirão Preto by the end of 2012-2013, and a subsequent and distressing increase in recent years that needs to be fully faced.
描述巴西里贝朗普雷图地区建立产妇死亡委员会后产妇死亡率的演变情况。
本研究使用 1998 年至 2017 年期间来自巴西圣保罗州、里贝朗普雷图市及其区域卫生局（DRS-XIII）的数据，描述产妇死亡率和活产率的时空分布。本生态研究考虑了由巴西统一卫生系统计算机科学系/卫生部提供的产妇死亡率和活产率（Departamento de Informática do Sistema Único de Saúde，DATASUS，葡萄牙语缩写），这些数据按年份和政治行政区划（圣保罗州、DRS-XIII 和里贝朗普雷图市）进行了分组。计算了产妇死亡率（MMR）并通过描述性措施、图表和地图进行了呈现。
里贝朗普雷托市的总产妇死亡率为 39.1；DRS-XIII 的产妇死亡率为 40.4；圣保罗州的产妇死亡率为每 10 万活产 43.8。在此期间，里贝朗普雷托市的产妇死亡率占总产妇死亡人数的 0%至 80%，占 DRS-XIII 活产人数的 40.7%至 47.2%。里贝朗普雷托市在 1998 年和 1999 年的产妇死亡率为 76.5，此后逐渐下降至 2012 年和 2013 年的 12.1，过去 4 年的每 10 万活产的产妇死亡率上升至 54.3。1998-1999 年圣保罗州的产妇死亡率为 54.0，在整个研究期间有所波动，2008-2009 年为 48.0，2016-2017 年为每 10 万活产 54.1。在 2015 年之前的多次，里贝朗普雷托市和 DRS-XIII 都达到了千年发展目标。然而，最近产妇死亡率却有所上升，这可以通过对产妇死亡率的监测改善来解释。
本研究描述了里贝朗普雷托地区产妇死亡率在 2012-2013 年底急剧下降，随后近年来令人痛苦地上升，需要全面应对。
