The objective of this study was to determine the clinical and epidemiological profile of women who died at the Caucaia Health Region from 2009 to 2014, through the epidemiological investigation of the pathway performed by these women to access, Death, and if there was an opinion of the Maternal Mortality Prevention Committee. This is a documental, descriptive and quantitative approach, with a population and a sample of 56 maternal deaths. Data were collected in the first half of 2016, using death certificates and M5 investigation forms found in the Information System on Mortality. The chosen variables were analyzed using SPSS 17.0 program and presented in absolute frequency and simple proportion. The research protocol was approved by the Ethics Committee of the Federal University of CearÃ, with opinion No. 1,403,777. It was found that the deaths occurred in women with a mean age 28.2 years (62.4%), mulattos (62.5%), single (57.1%), incomplete primary education (33.9%), housewives (48.2%). Obstetric data revealed bond to the Family Health Team (82.1%), prenatal consultations with more than 5 (51.8%), and only 25% directed to high-risk prenatal care. 80% delivery occurred in maternity, 48.2% caesarean section. The deaths occurred in hospital (76.8%), postpartum period (69.7%), the main causes of hypertension (16.1%) and infections (16.1%) and emboli (14.3 %), characterizing deaths from direct obstetric causes (58.3%) and preventable by appropriate action to prevent, control and attention to the causes of maternal death (73.2%). The Mortality Committee analyzed 87.5% of deaths. Despite the ease of access, there is poor quality of care. There is no guaranteed linking. The deaths could have been prevented through actions for the organization of the Maternal and Child Network with the expansion of resolutive and quality health services, the training of professionals for prenatal, childbirth and puerperium care, improvement of the recording of information, and strengthening the work of the municipal and regional Maternal, Child and Fetal Mortality Committees for the promotion of maternal and child health. / Este estudo teve por objetivo conhecer o perfil clÃnico-epidemiolÃgico das mulheres que foram a Ãbito materno na RegiÃo de SaÃde de Caucaia no perÃodo de 2009 a 2014, identificando por meio da investigaÃÃo epidemiolÃgica o trajeto realizado por essas mulheres, para acesso, atendimento, classificaÃÃo do Ãbito, e se houve parecer do Comità de PrevenÃÃo de Mortalidade Materna. Trata-se de um estudo do tipo epidemiolÃgico documental, descritivo e com abordagem quantitativa, com uma populaÃÃo e amostra de 56 Ãbitos maternos. Os dados foram coletados no primeiro semestre de 2016, utilizando as declaraÃÃes de Ãbito e fichas de investigaÃÃo M5 encontradas no Sistema de InformaÃÃo em Mortalidade. As variÃveis escolhidas foram analisadas pelo programa SPSS 17.0 e apresentadas em frequÃncia absoluta e proporÃÃo simples. A pesquisa foi submetida e aprovada no Comità de Ãtica em Pesquisa da Universidade Federal do CearÃ, com o parecer n 1.403.777. Identificou-se que os Ãbitos ocorreram em mulheres com idade mÃdia de 28,2 anos (62,4%), raÃa parda (62,5%), solteiras (57,1%), escolaridade baixa (33,9%) e donas de casa (48,2%). Os dados obstÃtricos revelaram vinculo à Equipe de SaÃde da FamÃlia (82,1%), prÃ-natal com mais de 5 consultas (51,8%), e apenas 25% encaminhadas ao prÃ-natal de alto risco. Em 80%; o parto ocorreu em maternidade, sendo 48,2% cesariana. As mortes ocorreram em hospital (76,8%), no perÃodo do puerpÃrio (69,7%), tendo como principais causas a hipertensÃo (16,1%), infecÃÃes (16,1%) e embolias (14,3%), caracterizando Ãbitos por causas obstÃtricas diretas (58,3%) e evitÃveis por adequada aÃÃo de prevenÃÃo, controle e atenÃÃo Ãs causas de morte materna (73,2%). O Comità de Mortalidade analisou 87,5% dos Ãbitos, apesar da facilidade no acesso, a qualidade da assistÃncia ruim. NÃo hà vinculaÃÃo garantida. As mortes poderiam ter sido evitadas mediante aÃÃes para a organizaÃÃo da Rede Materno-Infantil com ampliaÃÃo de serviÃos de saÃde resolutivos e de qualidade, capacitaÃÃo dos profissionais para os cuidados no prÃ-natal, parto e puerpÃrio, melhoria do registro das informaÃÃes, e fortalecimento do trabalho dos ComitÃs de Mortalidade Materna, Infantil e Fetal municipais e regional para a promoÃÃo da saÃde materna e infantil.

Thesis (M.S.P.H.)--University of Michigan, 1939.

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.H.)--University of Michigan, 1943.

Thesis (M.P.H.)--University of Michigan, 1943.

Thesis (M.S.P.H.)--University of Michigan, 1939.

Thesis (M.P.H.)--University of Michigan, 1945.

Made available in DSpace on 2014-06-11T19:29:52Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-08-28Bitstream added on 2014-06-13T18:39:59Z : No. of bitstreams: 1 viana_rc_me_botfm.pdf: 312488 bytes, checksum: 9cbe96e60f2b8c72151c29154796ac9e (MD5) / Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS) / Realizar uma revisão da literatura mundial e nacional sobre mortalidade materna, descrevendo a população vulnerável, os fatores de risco, as causas, as difi culdades para obtenção dos dados e as medidas de prevenção, de forma a subsidiar as ações de saúde. A coleta dos dados foi realizada por meio de pesquisa de artigos nas bases eletrônicas, SCIELLO, PUBMED, LILACS e MEDLINE, além de materiais publicados por organizações mundiais e nacionais. Foram selecionados estudos publicados no periodo de janeiro de 2000 a maio de 2011, utilizando-se os seguintes descritores: “maternal mortality”[MeSH Terms] OR (“maternal”[All Fields] AND “mortality”[All Fields]) OR “maternal mortality”[All Fields], nos idiomas português, inglês e espanhol. Foram selecionados 36 artigos que atendiam aos critérios de inclusão. O óbito materno está diretamente relacionado com as condições de vida da população e apresenta elevada disparidade entre as diversas regiões sócio-econômicas. Embora a mortalidade materna seja o melhor indicador de saúde da população feminina, seus números muitas vezes são apresentados de forma irreal, pela difi culdade da identifi cação dos casos nos registros de óbito. Medidas de prevenção associadas a diagnóstico e tratamento precoces e adequados são fatores benéfi cos na redução desses óbitos maternos. Apesar da tecnologia avançada e do reconhecimento de algumas medidas de prevenção, um grande número de mulheres morre diariamente por complicações no ciclo gravídico-puerperal. É evidente que para a redução desta tragédia é necessário o comprometimento político, social e econômico com a saúde, para promover as reformas necessárias na assistência ao ciclo gravídico-puerperal / Accomplishing a review of worldwide and Brazilian literature on maternal mortality, describing the vulnerable population, risk factors, causes, and difficulties in obtaining the data and preventive measures, in order to subsidize health actions. The data collection was accomplished through a search for articles in the electronic data basis SCIELLO, PUBMED, LILACS and MEDLINE, in addition to published materials from worldwide and Brazilian organizations. Studies published between January 2000 and May 2011 have been selected using the following reference: “maternal mortality” [MeSH Terms] OR (“maternal”[All Fields] AND “mortality” [All Fields]) OR “maternal mortality” [All Fields], in Portuguese, English and Spanish languages. 36 articles that fi tted the criteria for inclusion have been selected.. Maternal death is directly related to the quality of life of the population and presents high disparity among the diverse social-economic regions. Even though maternal mortality is the most accurate health indicator for the female population, its numbers many a time are presented in unreal manners, due to the diffi culties in identifying the cases based on obit registries. Preventing measures associated to early diagnosis and proper treatment are benefi cial factors to the decrease of such maternal deaths. In spite of advanced technology and the recognition of some preventive measures, a large number of women decease daily out of complications through the pregnant and puerperal cycle. It is evident that in order to reduce such tragedy, political, social and economical commitment to Health is necessary to promote the needed reforms in the pregnant and puerperal cycle assistance

No description available.

A research report submitted to the School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Public Health in the field of Health Systems and Policy / Introduction: The maternal mortality ratio in Sedibeng District, Gauteng Province, from 2002 – 2004 was 220/100000. For the past decade HIV has been identified as a factor that has slowed the decline in maternal deaths in South Africa. The purpose of this study was to describe personal and service level factors contributing to maternal mortality of HIV positive women. It is hoped that the results of this study will be useful in developing interventions that will assist to curb the maternal mortality ratio. Methodology: Maternal death records were reviewed for the period 2004-2009. Data was collected on antenatal care, hospital care after admission and access to HIV services. The data were analysed using Stata 10. The results were compared with the national guidelines for the care of HIV positive pregnant women so as to identify discrepancies between the two. Results: One hundred and twenty five maternal death records were reviewed. Of these, 90% booked late for antenatal care i.e. beyond 20 weeks gestation. The majority (60.8%) of the women were HIV positive. Of the HIV positive women, 37.5% had CD 4 counts less than 200, which made them eligible for antiretroviral therapy. Of those that were eligible for antiretroviral therapy, 50.0% did not access the antiretrovirals due to late booking and loss to follow-up. Another main finding was that 36% died during the postnatal period. Conclusion: The antenatal bookings occurred after 12 weeks gestation which limited the time for starting patients on antiretroviral therapy. The high number of deaths during the postnatal period may indicate poor postnatal care and follow-up; as antiretroviral therapy could have been started during the postnatal period. Recommendations: Early antenatal booking and early HIV testing should be encouraged in communities. Antenatal services should be integrated so that HIV positive pregnant women are treated comprehensively and that the focus is not only on HIV, but also on other conditions such as TB, pneumonia, anaemia and hypertension. All pregnant HIV positive women must be done CD 4 counts; and all those found to be eligible for antiretroviral therapy should be given antiretrovirals timeously. Such women should be followed up and monitored closely. Postnatal check-up at 3 days should be strengthened for the mother-and-baby pair.