Maternal deaths in the city of Rio de Janeiro, Brazil, 2000-2003.
The study describes the characteristics of maternal deaths in the city of Rio de Janeiro, Brazil, during 2000-2003. After investigation by public-health services, 217 maternal deaths were identified among predominantly non-white (48.9%), single (57.1%) women aged 29.6 +/- 7.3 years on average. Direct obstetric causes corresponded to 77.4% of the maternal deaths, mainly due to hypertensive disorders. HIV-related diseases accounted for 4% of the maternal deaths. Almost three-fourths of the mothers who died were aged 20-39 years, although the highest risk of maternal death corresponded to the age-group of 40-49 years (248.9 per 100,000 livebirths). The socioeconomic and demographic profiles of maternal deaths in the city of Rio de Janeiro reflected a vulnerable social situation. Appropriate interventions aimed at reducing maternal mortality need to encompass all women of childbearing age, irrespective of the magnitude of the risk of maternal death.
Kale
Pauline Lorena
PL
Medical School and Institute of Public Health Studies, Federal University of Rio de Janeiro (IESC/UFRJ), Praça Jorge Machado Moreira, 100 Cidade Universitária Ilha do Fundão, Rio de Janeiro, RJ, Brazil-CEP 21944-970. pkale@iesc.ufrj.br
Costa
Antonio Jose Leal
AJ
D017088:AIDS-Related Opportunistic Infections / Q000401:mortality; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D002423:Cause of Death; D005260:Female; D015658:HIV Infections / Q000150:complications; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000401:mortality; D015994:Incidence; D017533:Marital Status; D008428:Maternal Mortality; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000401:mortality*; D011247:Pregnancy; D044469:Racial Groups; D012959:Socioeconomic Factors; D055815:Young Adult