Maternal deaths among Brazilian indigenous women-Analysis from 2015 to 2021.

Autor: Lopes Garrafa J; Departamento de Ginecologia e Obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, Brazil., Dantas-Silva A; Departamento de Tocoginecologia, Universidade Estadual de Campinas, Campinas, Brazil., Garanhani Surita F; Departamento de Tocoginecologia, Universidade Estadual de Campinas, Campinas, Brazil., de Siqueira Guida JP; Departamento de Tocoginecologia, Universidade Estadual de Campinas, Campinas, Brazil., Bhadra Vale D; Departamento de Tocoginecologia, Universidade Estadual de Campinas, Campinas, Brazil., de Campos Brandão M; Departamento de Ginecologia e Obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, Brazil., Trapani A Junior; Departamento de Ginecologia e Obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, Brazil., Knobel R; Departamento de Ginecologia e Obstetrícia, Universidade Federal de Santa Catarina, Florianópolis, Brazil.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2024 Nov; Vol. 167 (2), pp. 612-618. Date of Electronic Publication: 2024 May 15.
DOI: 10.1002/ijgo.15607
Abstrakt: Objective: This study examines maternal mortality among Brazilian indigenous women from 2015 to 2021, contrasting their causes of death with non-indigenous women.
Methods: An observational study utilizing Ministry of Health data analyzed maternal deaths' characteristics, comparing indigenous and non-indigenous groups based on death certificates and live-birth records. Variables included age, region, location, time, and cause of death. Maternal mortality ratios (MMR) were calculated with linear regression and outliers identified with Grubbs test. Prevalence ratios compared MMR and causes of death.
Results: Between 2015 to 2021, Brazil recorded 13 023 maternal deaths. Among these, with 205 among indigenous women (1.60% of total). Indigenous women had higher MMR (115.14/100 000), than non- indigenous women (66.92/100 000), consistently across years. Hemorrhagic causes notably contributed to the indigenous women's elevated MMR.
Conclusion: Indigenous Brazilian women face elevated maternal mortality rates across all causes, primarily due to hemorrhage, contrasting wih national trends.
(© 2024 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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