scholarly journals Perfil sociodemográfico e clínico de mortalidade materna

2018 ◽  
Vol 12 (12) ◽  
pp. 3165
Author(s):  
Michelle Christini Araújo Vieira ◽  
Janaina Oliveira Gomes ◽  
Claudelí Mistura ◽  
Gabriela Garcia de Andrade ◽  
Kalliny Mirella Araújo Vieira ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Hospital Setting ◽  
Public Health Problem ◽  
Secondary Data ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Unified Health System ◽  
On Line ◽  
Microsoft Office ◽  
Mortalidade Materna

RESUMO Objetivo: conhecer o perfil sociodemográfico e clínico sobre a mortalidade materna. Método: trata-se de estudo quantitativo, transversal e descritivo, sendo o universo da pesquisa composto por todos os óbitos maternos ocorridos no período de 2004 a 2015 no Estado da Bahia/Brasil. Deu-se a coleta de dados por meio de dados secundários disponíveis on-line no Sistema de Informação de Mortalidade do Ministério da Saúde. Utilizaram-se para a tabulação e a análise dos dados, o programa Microsoft Office Excel, versão 2016, apresentando-se os resultados em forma de tabelas e figuras. Resultados: constatou-se que o número de mortes maternas no período analisado correspondeu a 1.907, com maior prevalência na faixa etária entre 20 e 29 anos (39,12%), em mulheres de cor parda (59,25%), solteiras (50,87%) e a ocorrência em ambiente hospitalar (88,99%). Viu-se que as causas obstétricas diretas (61,46%) ocorreram significativamente por eclâmpsia (12,89%). Conclusão: evidenciam-se nos resultados que a mortalidade materna é um grave problema de saúde pública e que o conhecimento sobre as circunstâncias e ocorrências das mortes maternas é fundamental para o planejamento de ações e estratégias de saúde. Descritores: Mortalidade Materna; Complicações na Gravidez; Monitoramento Epidemiológico; Sistema Único de Saúde; Taxa de Gravidez; Gravidez de Alto Risco.ABSTRACTObjective: to know the sociodemographic and clinical profile of maternal mortality. Method: this is a quantitative, cross-sectional and descriptive study, the research universe being composed of all maternal deaths occurring in the period from 2004 to 2015 in the State of Bahia / Brazil. Data collection was done through secondary data available online in the Mortality Information System of the Ministry of Health. The data was tabulated and analyzed by the Microsoft Office Excel program, version 2016, the results in the form of tables and figures. Results: it was found that the number of maternal deaths in the analyzed period corresponded to 1,907, with a higher prevalence in the age group between 20 and 29 years (39.12%), in women of brown color (59.25%), single 50.87%) and the occurrence in a hospital setting (88.99%). Direct obstetric causes (61.46%) were found to have occurred significantly due to eclampsia (12.89%). Conclusion: the results show that maternal mortality is a serious public health problem and that knowledge about the circumstances and occurrences of maternal deaths is fundamental for the planning of health actions and strategies. Descriptors: Maternal Mortality; Pregnancy Complications; Epidemiological Monitoring; Unified Health System; Pregnancy Rate; Pregnancy, High-Risk.RESUMENObjetivo: conocer el perfil sociodemográfico y clínico sobre la mortalidad materna. Método: se trata de un estudio cuantitativo, transversal y descriptivo, siendo el universo de la investigación compuesto por todas las muertes maternas ocurridas en el período de 2004 a 2015 en el Estado de Bahía / Brasil. Se dio la recolección de datos a través de datos secundarios disponibles on line en el Sistema de Información de Mortalidad del Ministerio de Salud. Se utilizaron para la tabulación y el análisis de los datos, el programa Microsoft Office Excel, versión 2016, presentando los resultados en forma de tablas y figuras. Resultados: se constató que el número de muertes maternas en el período analizado correspondió a 1.907, con mayor prevalencia en el grupo de edad entre 20 y 29 años (39,12%), en mujeres de color parda (59,25%), solteras (50, 87%) y la ocurrencia en ambiente hospitalario (88,99%). Se vio que las causas obstétricas directas (61,46%) ocurrieron significativamente por eclampsia (12,89%). Conclusión: se evidencian en los resultados que la mortalidad materna es un grave problema de salud pública y que el conocimiento sobre las circunstancias y ocurrencias de las muertes maternas es fundamental para la planificación de acciones y estrategias de salud. Descriptores: Mortalidad Materna; Complicaciones del Embarazo; Monitoreo Epidemiológico; Sistema Único de Salud; Índice de Embarazo; Embarazo de Alto Riesgo.

scholarly journals Profile and spatial distribution on maternal mortality

2020 ◽  
Vol 20 (2) ◽  
pp. 385-396
Author(s):  
Carla Alaíde Machado Ruas ◽  
Joice Fernanda Costa Quadros ◽  
Jucimere Fagundes Durães Rocha ◽  
Fernanda Cardoso Rocha ◽  
Gregório Ribeiro de Andrade Neto ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Maternal Mortality ◽  
Circulatory System ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
The North ◽  
System Disease ◽  
Strong Indicator ◽  
Post Abortion ◽  
Mortalidade Materna

Abstract Objectives: to describe profile and spatial distribution on maternal mortality in a city in the North of Minas Gerais-Brazil. Methods: a descriptive, cross-sectional, documentary and quantitative study was carried out in 31 (100%) Fichas de Investigação de Óbito Materno do Comitê de Mortalidade Materna (Maternal Mortality Investigation Data Forms from the Maternal Mortality Committee) from 2009 to 2013. Results: prevalence is observed in women between 20 and 34 years old, mixed race, single and with low schooling. Of the deaths classified, 48.2% are direct obstetric death and 74.2% would be likely avoidable. The most prevalent causes of death were pregnancy-specific hypertensive disease; circulatory system disease; neoplasms; coagulopathies and post-abortion infection. In relation to prenatal care, only 20 women performed it, and most performed less than six prenatal consultations and in relation to the end of gestation, 68.1% underwent cesarean childbirth. Regarding to the descriptive spatial analysis, we identified a higher occurrence of maternal deaths in the areas of medium and high social vulnerability. Conclusions: maternal mortality is a strong indicator of women's healthcare, there is a necessity to readjust women’s healthcare in the puerperal pregnancy cycle. New healthcare practices for women are needed, due to the referred bond and responsible care.

scholarly journals Changes in contraception use among Brazilian women after childbirth, 2006-2013

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Felisbino-Mendes ◽  
B Barrozo Siqueira
Keyword(s):  
Health System ◽  
Secondary Data ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Regional Inequalities ◽  
Unified Health System ◽  
Contraception Use ◽  
High Prevalence ◽  
Modern Methods ◽  
Low Prevalence

Abstract Introduction There are gaps in knowledge regarding the neglected and vulnerable subgroups of FP actions in Brazil, such as postpartum women and women in general, regardless of their marital status. Objective To assess changes in the prevalence of use and in the contraceptive pattern of Brazilian women up to two years after pregnancy, between 2006 and 2013. Methods Cross-sectional, descriptive and analytical study which used secondary data from national surveys. We studied Brazilian women with up to 2 years postpartum, of reproductive age, sexually active, non-pregnant and menstruating, and compared them with all the other women. We estimated the prevalence of use, contraception pattern of contraception and ranking of modern methods. Percentual change in indicators between the years was evaluated by calculating the difference between estimates. Results 85% of Brazilian women used CM, remaining stable in 2006 and 2013, with a high prevalence of modern methods use. An increase in the use of CM was observed among those with up to six months postpartum (71.0% to 89.0%). Pills and condoms accounted for about 60% of modern methods used in the postpartum period in both surveys. There was an increase in dual protection (2.9% to 10.1%) and contraceptive insecurity (1.6% to 5.7%) and a reduction in sterilization (16.2% to 13.4%) and traditional methods (2.1% to 1.4%). Conclusions Even with the maintenance of a high prevalence of use of CM and with the increase in contraception among women with up to six months postpartum, regional inequalities in access to CM and low prevalence of the use of other methods made available by the Unified Health System (SUS) persist, pointing out the maintenance of the insufficient care, failures in the means to regulate fertility and that public policies still hinder to guarantee the sexual and reproductive rights of the most vulnerable population. Key messages Regional inequalities in access to contraceptive methods and low prevalence of other methods made available by the Unified Health System (SUS) persist. There was an increase in contraception use among women with up to six months postpartum in Brazil.

scholarly journals Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 332
Author(s):  
Ferry Efendi ◽  
Susy Katikana Sebayang ◽  
Erni Astutik ◽  
Setho Hadisuyatmana ◽  
Eka Mishbahatul Mar'ah Has ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Economic Status ◽  
Full Range ◽  
Unwanted Pregnancy ◽  
Secondary Data ◽  
Binary Logistic Regression ◽  
Wealth Quintile ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Chi Squared

Background: Improving maternal health and reducing maternal mortality are part of the United Nations global Sustainable Development Goals for 2030. Ensuring every woman’s right to safe delivery is critical for reducing the maternal mortality rate. Our study aimed to identify determinants of safe delivery utilization among women in the eastern Indonesia. Methods: This study was cross-sectional and used a secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 2,162 women who had their last child in the five years preceding the survey and lived in the eastern part of Indonesia were selected as the respondents. Chi-squared test and binary logistic regression were used to understand the determinants of safe delivery. Results: Higher child rank and interval ≤2 years (OR: 0.30, 95% CI: 0.19-0.47), unwanted pregnancy at time of becoming pregnant (OR: 1.48, 95% CI: 1.05-2.08), richest wealth quintile (OR: 5.59, 95% CI: 3.37-9.30), more than four antenatal care visits (OR: 3.62, 95% CI: 2.73-4.79), rural residence, good composite labor force participation, and a good attitude towards domestic violence were found to be significantly associated with delivery at health facility. Higher child rank and interval ≤2 years (OR: 0.49, 95% CI: 0.29-0.83), husband/partner having completed secondary or higher education (OR: 2.18, 95% CI: 1.48-3.22), being in the richest wealth quintile, and four other factors were found to be significantly associated with the assistance of skilled birth attendants. Conclusions: This research extends our knowledge on the determinants of safe delivery among women in the eastern part of Indonesia. This study revealed that the economic status of household remains an important issue in improving safe delivery among women in eastern part of Indonesia. An open innovation and partnership process to improve safe delivery program that engages the full range of stakeholders should be developed based on economic situation.

scholarly journals The Relationship of age, attitude, knowladge, cost to cataract surgery

2017 ◽  
Vol 4 (2) ◽  
pp. 176
Author(s):  
Aminatul Fitria
Keyword(s):  
Cataract Surgery ◽  
Public Health Problem ◽  
Secondary Data ◽  
Simple Random Sampling ◽  
Operating Costs ◽  
Chi Square ◽  
Cross Sectional ◽  
Age Attitudes ◽  
Relationship Of ◽  
The Relationship

Cataract is the leading cause of 51% blindness case in the world. Cataract can only be cured trough surgery, but most people with cataract in Indonesia is not in undergoing surgery due to several factors. The increasing number of cataract victim whose not undergoing any treatment to cure them will resulting in increasing number of blindness case, so blindness cause by cataracts can be a public health problem. This research was conducted to determine the relationship of age, attitudes, knowledge and the cost of the action to perform cataract surgery. This research was an observational analytic study with cross sectional design. The samples were cataract patients in Undaan Eye Hospital Surabaya who were randomly selected using a simple random sampling based on medical records of 60 people. Data collection was done by taking secondary data and interviews to patients. Those variables was analyzed with chi square or Fisher’s exact with significancy level at 95%. The result showed that there were correlation between knowledge (p = 0.017), operating costs (p = 0.001) and attitude (0.000) while age was not related (p = 1.000), the actions to perform cataract surgery. The conclusion from this research was the attitude, knowledge and operating costs related to the actions to perform cataract surgery, while age was not related to the actions to perform cataract surgery. It is recommended to give through leaflets or other media in the lobby for improving patient education, counseling to the patient family, the doctor’s advice to convince patient for surgery.Keywords: practice, surgery, cataract, attitudes, costs

scholarly journals Maternal mortality by direct obstetric causes in an urban referral hospital: case of Boulmiougou District Hospital in Ouagadougou, Burkina Faso

2019 ◽  
Vol 8 (8) ◽  
pp. 3009
Author(s):  
Yobi Alexis Sawadogo ◽  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Sansan Rodrigue Sib ◽  
Dantola Paul Kain ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Analytical Study ◽  
District Hospital ◽  
Contributing Factors ◽  
Childbearing Age ◽  
Continuous Training ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Pregnancy And Childbirth ◽  
Technical Platform

Background: Complications during pregnancy and childbirth are the leading causes of death and disability for women of childbearing age. Objective of this study was to study maternal mortality of direct obstetric origin at the Boulmiougou district hospital from 2010 to 2014.Methods: This was a retrospective cross-sectional descriptive and analytical study of maternal deaths by direct obstetric cause at the maternity ward of Boulmiougou District Hospital during the period from January 1st 2010 to December 31st, 2014, i.e. 5 years.Results: The maternal mortality rate by direct obstetric cause of 147.68 maternal deaths per 100,000 live births. The average age of the patients was 27.09 years old. The direct causes of maternal death were hemorrhage (47.06%), hypertensive disorders (20.59%), infections (14.71%) and unsafe abortion (11.76%). Contributing factors to maternal deaths were delay in evacuation (47.06%) and delay in care (38.23%).Conclusions: Maternal mortality remains high in the Boulmiougou District Hospital. To effectively combat maternal mortality, it is important to focus on the continuous training of staff and the strengthening of the technical platform.

scholarly journals Etiology of Maternal Mortality at Nepalgunj Medical College

2018 ◽  
Vol 16 (2) ◽  
pp. 27-30
Author(s):  
Durga B.C. ◽  
Ganesh Prasad Neupane ◽  
Maya Rai ◽  
Aseem Sharma
Keyword(s):  
Maternal Mortality ◽  
Health Care Services ◽  
College Teaching ◽  
Public Health Problem ◽  
Obstetric Care ◽  
World Health ◽  
Maternal Deaths ◽  
Medical College ◽  
Surgical Teams ◽  
Health Organization

Introduction: Maternal mortality is an indicator of the quality of obstetric care in a community directly reflecting the utilization of health care services available. Maternal mortality has been recognised as a public health problem in the developing countries. Aim and Objective: To analyse the etiology of maternal deaths. Material and Methods: This descriptive study was conducted in the gynaecology and obstetrics department of the Nepalgunj Medical College Teaching Hospital Banke Nepal for a period of two years from august 2016-august 2018. All cases of maternal deaths in line with the definition of World Health Organization have been included. Data were collected and analyzed. Results: Twenty three (23) maternal deaths were identified during the study period. 69.56% of deaths occurred due to direct obstetric causes. Uncontrollable postpartum haemorrhage with 37.5 % was the leading cause of maternal death followed by eclampsia (18.75%) and sepsis (18.75%). Indirect causes were dominated by heart disease. Maximum 56.5% of deaths had occurred after 48 hours of admission. Conclusions: Haemorrhage, eclampsia and infections are the main causes of maternal deaths in our study. access to emergency medication, transfusion and anaesthetic and surgical teams in hospitals but also through the involvement of religious leaders, traditional and any community to better understand the population obstacles to reducing maternal mortality.

scholarly journals Relationship Between Postpartum Health Care With Contraceptive After Childbirth In Indonesia

2019 ◽  
Vol 6 (3) ◽  
pp. 13
Author(s):  
Arantika Meidya Pratiwi
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Health Research ◽  
Secondary Data ◽  
Postpartum Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Result Show ◽  
Chi Square Test ◽  
Cross Sectional Design

<p>Result of SDKI 2012 show that MMR in Indonesia is 359 deaths per 100,000 live births. This result show that Indonesia still far from the target SDGs (Suitable Development Goals), who reducing the Maternal Mortality Rate (MMR) to 70 per 100,000 live birth. One of the breakthrough programs of the Ministry of Health in an effort to accelerate the reduction in maternal mortality is to increase contraceptive after childbirth. The coverage of contraceptive after childbirth in Indonesia is still far from what is expected, from the 2013 Riskesdas data the coverage of contraceptive after childbirth in Indonesia was only 59.6%. Papua became a province with the lowest coverage of only 26%. The purpose of this study was to determine the relationship between postpartum health care and contraceptive after childbirth in Indonesia. This study using  secondary data from "2013 Basic Health Research" conducted by the Health Research and Development Institute. The 2013 Riskesdas survey uses a cross sectional design. The results of the Chi-Square test showed that there were 0,0001, which meant that there was a relationship between postpartum health care and contraceptive after childbirth in Indonesia. While the results of the analysis of OR values were 1.595, which means that mothers who received health care during the postpartum were 1.6 times more likely to use contraceptive after childbirth.</p>

scholarly journals Epidemiological profile of patients served due to official accidents in the north of Brazil, Amazon Region, in the period from 2009 to 2019

2020 ◽  
pp. 47-59
Author(s):  
Larissa Queiroz Costa Carneiro ◽  
Isabela Menezes Barbosa ◽  
Igor de Souza Cardoso ◽  
Cláudio Alberto Gellis de Mattos Dias ◽  
Euzébio de Oliveira ◽  
...  
Keyword(s):  
Rural Areas ◽  
Public Health Problem ◽  
Secondary Data ◽  
Northern Region ◽  
Protective Equipment ◽  
The North ◽  
Unified Health System ◽  
Significant Public Health Problem ◽  
Significant Public Health ◽  
Epidemiological Profile

Ophidian accidents are a significant public health problem worldwide, due to both their frequency and morbidity and mortality. In Brazil, during the years 2009 to 2019 there were 313,139 registered cases, of which 151,565 occurred in the North Region, making explicit the importance of studying this disease in that Region. The objective of the present study is to determine the epidemiological profile of the affected patients (age and sex), the accident itself (UF, month, year, time to attend) and the snake gender of the accidents that occurred in the Northern region of Brazil. Secondary data were obtained through access to the Information Department of the Brazilian Unified Health System (DATASUS), at the electronic address www.datasus.gov.br, in the SIH / SUS Hospital Information System. It was found that the accidents occurred mainly in rural areas, with men, in socioeconomically active age, caused by snakes of the Bothrops genus. Several cases could be classified as accidents at work, these could be avoided or minimized with appropriate personal protective equipment and guidelines.

scholarly journals Chronic Energy Deficiency and Its Determinant Factors among Adults Aged 18–59 Years in Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Samuel Dagne ◽  
Yonatan Menber ◽  
Yosef Wassihun ◽  
Gedefaw Dires ◽  
Atitegeb Abera ◽  
...  
Keyword(s):  
Public Health Problem ◽  
Secondary Data ◽  
Sampling Technique ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Limited Information ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

Background. The prevalence of undernutrition in low- and middle-income countries is still remarkably high. Undernutrition during adulthood is a greater risk factor for low productivity, poor health, and mortality. There is limited information on the prevalence and determinants of chronic energy deficiency in Ethiopia. Objective. To assess the prevalence and determinants of chronic energy deficiency among adults aged 18–59 years in Ethiopia. Method. A secondary data analysis was conducted using the data obtained from the 2016 Ethiopia Demographic and Health Survey. Data were collected using a multistage stratified cluster sampling technique, and the analytic sample consisted of 9,280 adults aged 18–59 years. The chi-square test and multivariable logistic regression analyses were used, and p value <0.05 was taken as statistically significant. Result. A total of 9280 adults aged 18–59 years were included in the study and 2911 (28.7%) (95% CI: 27.0%–30.4%) of whom were chronic energy deficient. Adults who have no work (AOR = 1.41, 95% CI: 1.16, 1.72), male adults from Tigray region (AOR = 2.23, 95% CI: 1.61, 3.09), Afar region (AOR = 2.98, 95% CI: 2.04, 4.36), Somali region (AOR = 3.14, 95% CI: 2.19, 4.52), Gambella region (AOR = 1.89, 95% CI: 1.29, 2.76), Harari region (AOR = 1.54, 95% CI: 1.09, 2.19), Amhara region (AOR = 1.53, 95% CI: 1.09, 2.13), Oromia region (AOR = 1.53, 95% CI: 1.07, 2.19), Dire Dawa (AOR = 1.45, 95% CI: 1.03, 2.05), adults live lonely (AOR = 1.44, 95% CI: 1.21, 1.71), and adults residing in poor wealth index households (AOR = 1.26 : 95% CI: 1.07, 1.49) were significantly associated with chronic energy deficiency. Conclusion and recommendation. Chronic energy deficiency among male adults in Ethiopia was a high public health problem. Marital status, wealth index, occupation, and region were significant predictors of chronic energy deficiency. The Ministry of Health with other partners should strictly monitor and evaluate interventions that are being applied and should give focus to adult men to prevent malnutrition.

scholarly journals Economic burden of malaria on rural households in Gwanda district, Zimbabwe

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Resign Gunda ◽  
Shepherd Shamu ◽  
Moses J. Chimbari ◽  
Samson Mukaratirwa
Keyword(s):  
Economic Burden ◽  
Public Health Problem ◽  
Secondary Data ◽  
Household Survey ◽  
Sub Saharan Africa ◽  
Malaria Episode ◽  
Cross Sectional ◽  
Average Loss ◽  
Sub Saharan ◽  
Vulnerable Households

Background: Malaria is a serious public health problem in sub-Saharan Africa and is a leading cause of morbidity and mortality.Aim: To estimate the economic burden of malaria in rural households.Setting: The study was conducted in Gwanda district of Matabeleland South in Zimbabwe. A total of five malarious wards and all their households were selected for the study frame, out of which 80 households were chosen using clinic records.Methods: A retrospective analysis of secondary data and a cross-sectional household survey were conducted to estimate the household economic burden of malaria. Eighty households from five rural wards were identified from the health facility malaria registers and followed up. A household was eligible for inclusion if there had been at least one reported malaria case during the period of 2013−2015. Interviewer administered questionnaires were used to collect household data on economic costs of malaria.Results: Our findings showed that households spent an average of $3.22 and $56.60 for managing an uncomplicated and a complicated malaria episode respectively. A household lost an average of eight productive working days per each malaria episode resulting in an average loss of 24% of the monthly household income. An estimated 35%, mostly poorer households suffered catastrophic health expenditures.Conclusion: Malaria imposes significant economic burdens particularly on the poorer and vulnerable households. Although there are no user fees at rural clinics, households incur other costs to manage a malaria patient. These costs are far worse for complicated cases.

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