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Type: Artigo de periódico
Title: Maternal Mortality In A Reference Center In The Brazilian Southeast [mortalidade Materna Em Um Centro De Referência Do Sudeste Brasileiro]
Author: Troncon J.K.
de Quadros Netto D.L.
Rehder P.M.
Cecatti J.G.
Surita F.G.
Abstract: PURPOSE: To describe the prevalence of maternal mortality at a tertiary care hospital and to assessits preventability. METHODS: This study, through the analysis of maternal deaths that occurred during the period from 1999 to 2010 at a reference in Campinas - Brazil, CAISM/UNICAMP, discusses some of the factors associated with the main causes of death and some structural problems of structure of the health services. It is a retrospective descriptive study with evaluation of sociodemographic variables and the medical and obstetric history of women, and the causes of death. RESULTS: The majority of maternal deaths occurred due to direct obstetric (45%) and avoidable (36%) causes, in women with preterm gestation, who delivered by cesarean section (56%) and received various management procedures, including blood transfusion, ICU admission and need for laparotomy and/or hysterectomy. The hospital transfer was associated with the predominance of direct obstetric (19 versus 6, p=0.02) and avoidable causes (22 versus 9, p=0.01). CONCLUSIONS: We conclude that, despite current advances in Obstetrics, infections and hypertensive disorders are still the predominant causes of maternal mortality. We observed an increase of clinical-surgical conditions and neoplasms as causes of death among women during pregnancy.
Rights: aberto
Identifier DOI: 10.1590/S0100-72032013000900002
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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