Análise epidemiológica da mortalidade materna no estado do Piauí entre 2017 e 2021

Abstract

The Ministry of Health (MS) considers maternal death to be the death of a woman during pregnancy or up to 42 days after the end of pregnancy, caused by any factor related to or accentuated by pregnancy, directly or indirectly. The Maternal Mortality Ratio (MMR) is a public health indicator that reflects the quality of health care and the socioeconomic development of a population, according to the WHO. The objective of the study is to analyze maternal mortality in the state of Piauí between 2017 and 2021, and the possible impact of the COVID-19 pandemic during this period. This is an epidemiological, retrospective, cross-sectional and quantitative study, in which data derived indirectly from the Death Certificate (DO) will be used: age group; years of schooling; race; city of occurrence; number of prenatal consultations; type of pregnancy resolution; time of death; classification of maternal death; underlying cause of death. The data show that the maternal mortality rate in Piauí has increased significantly in the last 5 years, going from a MMR of 58.76 in 2017 to 110.25 in 2021. Regarding the distribution of deaths by age group, there is a higher prevalence of 20 to 39 years old, of mixed race, and who have up to 7 years of schooling. The macroregion with the highest notification rate is the mid-north. Among the deaths, there were more deaths of pregnant women who had 7 or more consultations, due to direct causes, due to complications during pregnancy or childbirth. Therefore, actions must be taken to reduce the maternal mortality rate in Piauí and consequently improve health indicators, such as improving health care, especially in more remote areas, greater notification of maternal deaths