Maternal mortality trends and profile in Baixada Maranhense, 2013-2022: time series analysis
DOI:
https://doi.org/10.17058/reci.v16i.20571Keywords:
Maternal death, Health profile, Public policy, Health information systems, Time series analysisAbstract
Background and Objectives: Reducing maternal mortality remains an unsolved global challenge and is part of the 2030 Agenda, established by the United Nations through the Sustainable Development Goals. This study aimed to analyze the temporal trend of the Maternal Mortality Ratio (MMR) and the epidemiological profile of maternal deaths in Baixada Maranhense, Brazil. Methods: Time-series analysis study, which included all maternal deaths reported in Baixada Maranhense, from 2013 to 2022, obtained from the Mortality Information System made available by the Department of Information and Informatics of the Unified Health System (DATASUS). Statistical analysis employed Prais-Winsten generalized linear regression modeling. Results: During the analyzed period, 90 maternal deaths were reported. The average MMR was 98.6 maternal deaths per 100,000 live births (standard deviation ± 23.83). A statistically significant increasing trend in the MMR was identified, with an average annual increase of 6.18% (95% CI: 3.12−9.32; p<0.0001). Brown women (62.2%), aged 20 to 29 years (40.0%), single (43.3%) and with 8 to 11 years of education (58.9%) constituted the main group of victims. Hypertensive syndromes (30.0%) and postpartum hemorrhage (13.3%) were the main causes of death. The majority of deaths occurred during pregnancy, childbirth or puerperium (36.7%), being classified as direct obstetric (88.9%), occurred in hospitals (88.9%) and investigated (66.7%). Conclusion: The RMM remains high in Baixada Maranhense, still far from achieving national and international targets, making its reduction a challenge.
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