Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019
Background: Maternal mortality is a significant public health concern, with varying impacts across different regions in Brazil, particularly affecting women from lower-income social classes with limited access to social resources. The aim of this study is to describe the trends in maternal mortality...
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| Format: | Article |
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MDPI AG
2023-09-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/18/2522 |
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| author | Luciane Amorim da Silva Bueno Mariane Albuquerque Lima Ribeiro Camila Bertini Martins Luiz Carlos de Abreu Alvaro Dantas de Almeida João Antonio Correa |
| author_facet | Luciane Amorim da Silva Bueno Mariane Albuquerque Lima Ribeiro Camila Bertini Martins Luiz Carlos de Abreu Alvaro Dantas de Almeida João Antonio Correa |
| author_sort | Luciane Amorim da Silva Bueno |
| collection | DOAJ |
| description | Background: Maternal mortality is a significant public health concern, with varying impacts across different regions in Brazil, particularly affecting women from lower-income social classes with limited access to social resources. The aim of this study is to describe the trends in maternal mortality in São Paulo, Brazil, from 2009 to 2019. Materials and Methods: This study employed an ecological approach utilizing a time-series design to examine maternal deaths. Secondary data from the Mortality Information System (SIM) and the Live Births Information System (SINASC) from 2009 to 2019 were utilized. The analysis included all maternal deaths among women aged 10 to 49 years residing in the state of São Paulo. Time-series data for maternal mortality ratios were constructed for the seven regions within São Paulo State. Joinpoint regression analysis was applied to characterize the maternal mortality ratio. The study estimated the annual percentage variation, the average annual percentage variation, and their respective 95% confidence intervals. Results: In São Paulo, a total of 3075 maternal deaths were reported, resulting in a mortality ratio of 45.9 deaths per 100,000 live births. The leading causes of maternal death were eclampsia (7.13%), gestational hypertension (6.09%), and postpartum hemorrhage (5.89%). The analysis of the annual percentage change in the maternal mortality ratio for São Paulo State and its six clusters showed stationarity. Conclusions: The assessment of the maternal mortality ratio in the state of São Paulo, Greater São Paulo, and Baixada Santista revealed an increase in the maternal death ratio over the studied period. |
| first_indexed | 2024-03-10T22:42:50Z |
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| id | doaj.art-e2e761be2ee9440b85e12e112bd10125 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T22:42:50Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e2e761be2ee9440b85e12e112bd101252023-11-19T10:56:08ZengMDPI AGHealthcare2227-90322023-09-011118252210.3390/healthcare11182522Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019Luciane Amorim da Silva Bueno0Mariane Albuquerque Lima Ribeiro1Camila Bertini Martins2Luiz Carlos de Abreu3Alvaro Dantas de Almeida4João Antonio Correa5Programa de Pós-Graduação em Ciências da Saúde, Centro Universitário FMABC, São Paulo 09060-870, BrazilPrograma de Pós-Graduação em Ciências da Saúde, Centro Universitário FMABC, São Paulo 09060-870, BrazilDepartamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo 04023-062, BrazilPrograma de Pós-Graduação em Ciências da Saúde, Centro Universitário FMABC, São Paulo 09060-870, BrazilPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina da Universidade São Paulo, São Paulo 01246-903, BrazilPrograma de Pós-Graduação em Ciências da Saúde, Centro Universitário FMABC, São Paulo 09060-870, BrazilBackground: Maternal mortality is a significant public health concern, with varying impacts across different regions in Brazil, particularly affecting women from lower-income social classes with limited access to social resources. The aim of this study is to describe the trends in maternal mortality in São Paulo, Brazil, from 2009 to 2019. Materials and Methods: This study employed an ecological approach utilizing a time-series design to examine maternal deaths. Secondary data from the Mortality Information System (SIM) and the Live Births Information System (SINASC) from 2009 to 2019 were utilized. The analysis included all maternal deaths among women aged 10 to 49 years residing in the state of São Paulo. Time-series data for maternal mortality ratios were constructed for the seven regions within São Paulo State. Joinpoint regression analysis was applied to characterize the maternal mortality ratio. The study estimated the annual percentage variation, the average annual percentage variation, and their respective 95% confidence intervals. Results: In São Paulo, a total of 3075 maternal deaths were reported, resulting in a mortality ratio of 45.9 deaths per 100,000 live births. The leading causes of maternal death were eclampsia (7.13%), gestational hypertension (6.09%), and postpartum hemorrhage (5.89%). The analysis of the annual percentage change in the maternal mortality ratio for São Paulo State and its six clusters showed stationarity. Conclusions: The assessment of the maternal mortality ratio in the state of São Paulo, Greater São Paulo, and Baixada Santista revealed an increase in the maternal death ratio over the studied period.https://www.mdpi.com/2227-9032/11/18/2522maternal deathmaternal mortalitybasic cause of deathmaternal health serviceepidemiology |
| spellingShingle | Luciane Amorim da Silva Bueno Mariane Albuquerque Lima Ribeiro Camila Bertini Martins Luiz Carlos de Abreu Alvaro Dantas de Almeida João Antonio Correa Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 Healthcare maternal death maternal mortality basic cause of death maternal health service epidemiology |
| title | Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 |
| title_full | Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 |
| title_fullStr | Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 |
| title_full_unstemmed | Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 |
| title_short | Describing Trends in Maternal Mortality in the State of São Paulo, Brazil, from 2009 to 2019 |
| title_sort | describing trends in maternal mortality in the state of sao paulo brazil from 2009 to 2019 |
| topic | maternal death maternal mortality basic cause of death maternal health service epidemiology |
| url | https://www.mdpi.com/2227-9032/11/18/2522 |
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