subnotificação da mortalidade materna em campinas: 1992 a 1994 underreporting of maternal mortality in campinas from 1992 to 1994

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ID: 190365
2000
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Abstract
Objetivos: identificar e investigar a subnotificação da mortalidade materna, a partir das declarações de óbito (DO) com causa presumível para morte materna em mulheres de 10 a 49 anos, residentes em Campinas, São Paulo, no período de 1992 a 1994. Métodos: foram selecionadas, dentre as 1032 DO de mulheres com idade entre 10 e 49 anos, 216 cuja causa de morte era associada à gravidez declarada ou presumível. Procedeu-se então à busca ativa da causa materna em prontuários clínicos, serviço de verificação de óbito e domicílios. Resultados: foram identificados oito casos adicionais de morte materna dentre as 204 DO com causa materna presumível, o que correspondeu a uma subnotificação de 40% ou a um fator de correção de 1,67 sobre a RMM "oficial". A principal causa de óbito com subnotificação (71,5% ou 5/7 casos) correspondeu a complicações infecciosas do aborto, seguida pela morte materna obstétrica indireta (66,6% ou 2/3 casos). Conclusões: a DO não pode ser considerada como única fonte para identificação da morte materna, sendo necessária a investigação complementar das causas presumíveis. A falta de legislação local, além dos aspectos religiosos e sociais, pode estar influindo na omissão do aborto como causa de morte materna.
Purpose: to identify and quantify the underreporting of maternal mortality, from death certificates (DC) in Campinas, São Paulo, from 1992 to 1994. Methods: a total of 216 DC whose causes of death were maternal (declared and/or presumed) were selected among the 1032 DC of 10 to 49-year-old women. A complementary investigation was performed on hospital records, at the death verifying units, and in households. Results: eight additional maternal deaths were identified among the 204 DC with presumed maternal death. This corresponded to an underreporting rate of 40% or to a correction factor of 1.67 for the official MMR. The first cause of underreporting was abortion (71.5% or 05/07) and indirect maternal deaths represented the second cause (66.6% or 02/03). Conclusions: the death certificate cannot be considered the only source to identify maternal death. Complementary investigation of the presumable causes of maternal death should be performed. Legislation, social and religious factors might influence the underreporting of abortion as the cause of maternal death.
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Authors ;Mary Angela Parpinelli;Aníbal Faúndes;José Guilherme Cecatti;Fernanda Garanhani de Castro Surita;Belmiro Gonçalves Pereira;Renato Passini Júnior;Eliana Amaral
Journal 2018 international conference on information technologies, infotech 2018 - proceedings
Year 2000
DOI
10.1590/S0100-72032000000100005
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032000000100005
Keywords
abortion maternal mortality mortalidade materna

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