Perfil epidemiológico da mortalidade materna em maternidade de referência do Ceará

Abstract

To analyze the sociodemographic, obstetrical and gynecological characteristics and health care of women who died of maternal death. Method: This is a retrospective,analytical, quantitative, documentary study conducted with maternal deaths at Assis Chateaubriand Maternity School, from 2008 to 2018. Data collection was carried out through medical records and mortality reporting forms through of a semi-structured questionnaire created by the author. For the analysis of data the program was used Statistical Package for the Social Sciences (SPSS), version 23. Results and Discussion: The women who died had an average of 27.8 years, coming from the interior (58.3%), brown and black (83.7%), with less than eight years of schooling (4%), unemployed (59.1%) and single women (55.7%). They also presented a higher rate of cesarean section (63.2%) in the gestational outcome, despite the obstetric history of vaginal delivery (53.7%) was more evident. Regarding prenatal care, it was noticed that the care provided by professionals from the interior (x2: 6,890; p: 0.0091) was more adequate, however, it was observed that the coverage related to the exams was more efficient in the first trimester of gestation. With the results presented, it was perceptible that sociodemographic factors influence the discernment of women about the identification of social or clinical factors that interfere in maternal mortality. Conclusion: It was verified the socioeconomic vulnerability of women who died, as well as the difficulty of access to prenatal care qualified, above all, in the state capital.