Distribution and spatial autocorrelation of maternal mortality from preeclampsia and eclampsia in Brazil / Distribuição e autocorrelação espacial da mortalidade materna por pré-eclâmpsia e eclâmpsia no Brasil

Authors

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v15.11926

Keywords:

Mortalidade Materna, Pré-Eclâmpsia, Eclâmpsia

Abstract

Objective: to analyze the distribution and spatial autocorrelation of maternal mortality rates from preeclampsia and eclampsia in Brazil. Method: an ecological, cross-sectional study of mortality rates from preeclampsia and eclampsia in women residing in Brazil in 2019. Rates were calculated according to state and region of residence. Spatial dependence was analyzed by the Global and Local Moran autocorrelation coefficient. Results: 278 deaths were analyzed (9.7 deaths per 100,000 live births). Spatial autocorrelation indicated a high-high cluster involving the North and Northeast regions and a single low-low cluster in the South. There was a predominance of deaths in women aged 20 to 34 years (60.79%), with eight or more years of study (55.04%), without a partner (63.31%), occurring in a hospital environment (92.81%) and black/brown (70.50%). Conclusion: the disparities in the distribution of maternal mortality rates show the need for public policies that consider the specificities of each location for prevention actions.

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Author Biographies

Ana Maria Batista Tavares, State University of Maringá

Ana Marian Batista Tavares works as a nurse at Hospital Bom Samaritano. Maringá, Paraná, Brazil. Her research focuses on maternal and child health. ORCID: https://orcid.org/0000-0002-3645-7366. Affiliation: Ingá University Center.

Márcia Moroskoski, State University of Maringá

Marcia Moroskoski is a doctoral student in nursing at the State University of Maringá (UEM). Maringá, Paraná, Brazil. Her research focuses on epidemiological studies, the health-disease process, violence against women and femicide. ORCID: https://orcid.org/0000-0003-4377-4025. Affiliation: State University of Marina (UEM).

Juliana Karyna Romanini Cioffi, State University of Maringá

Juliana Karyna Romanini Cioffi currently working as a nurse at the 15th Health Regional of Paraná. Master in Nursing from the State University of Maringá (UEM). Maringá, Paraná, Brazil. In her research, she emphasizes epidemiological studies and the HIV epidemic. Affiliation: State University of Marina (UEM).

Rosana Rosseto de Oliveira, State University of Maringá

Rosana Rosseto de Oliveira holds a PhD in Nursing from the State University of Maringá (UEM). She works as a professor in the undergraduate nursing course at Centro Universitário Ingá -UNINGÁ. Maringá, Paraná, Brazil. Researcher in the field of epidemiological studies, health-disease process, health determinants, maternal and child health and violence. ORCID: https://orcid.org/0000-0003-3373-1654. Affiliation: State University of Marina (UEM).

References

OPAS. Saúde materna. 2022 [Internet]. Disponível em: https://www.paho.org/pt/node/63100#:~:text=A%20mortalidade%20materna%20%C3%A9%20inaceitavelmente,parto%20em%20todo%20o%20mundo. Acesso em 26 Mar. 2022

Cortinhas ABB, Miranda FFS, Toth MVB, Freitas RF, Costa TR, Esteves APVS. Pré- eclampsia e mortalidade materna. Revista Caderno de Medicina Vol 2. No 1, 2019. Disponível em: https://www.unifeso.edu.br/revista/index.php/cadernosdemedicinaunifeso/article/viewFile/1296/578

Who. Trends in maternal mortality: 1990 to 2010. 2012. Disponível em: http://apps.who.int/iris/bitstream/handle/10665/44874/97892415?sequence=1. Acesso em 26 Mar. 2022.

Ruas CAM, Quadros JFC, Rocha JFD, Rocha JFD, Rocha FC, Andrade Neto GR, Piris AP. et al. Perfil e distribuição espacial da mortalidade materna. Rev. Bras. Saude Mater. Infant., Recife, v. 20, n. 2, p. 385-396, 2020. DOI: Disponível em: https://doi.org/10.1590/1806-93042020000200004

Kahhale S, Francisco RPV, Zugaib M. Pré-eclâmpsia. Rev Med (São Paulo). 2018 mar.-abr.;97(2):226-34. Disponível em: https://doi.org/10.11606/issn.1679-9836.v97i2p226-234

Moreira Neto R. Aumento do complexo miointimal da carótida na pré-eclâmpsia. 2020. Tese de doutorado. Programa de Pós-Graduação em Ciências da Saúde – Universidade Federal do Rio Grande do Sul. Disponível em: https://lume.ufrgs.br/handle/10183/213997

Petersen EE, Davis NL, Goodman D, Cox S, Mayes N, Johnston E. et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011–2015, and Strategies for Prevention, 13 States, 2013–2017. MMWR Morb Mortal Wkly Rep 2019;68:68:423-429. DOI: http://dx.doi.org/10.15585/mmwr.mm6818e1

Gomes TB, Silva LILP, Mangueira NP, Silva CS, Paiva MTG, Lira VMLP. et al. Pré-eclâmpsia: importante causas de óbitos maternos no Brasil entre os anos de 2010-2017. Braz. J. of Develop., Curitiba, v. 6, n. 10, p. 75496-75510, oct. 2020. DOI: 10.34117/bjdv6n10-107

Dias JMG, Oliveira APS, Cipolotti R, Monteiro BKSM, Pereira RO. Mortalidade materna. Rev Med Minas Gerais. 2014. DOI 10.5935/2238-3182.20150034

Demitto MO, Gravena AAF, Dell’Agnolo CM, Antunes MB, Pelloso SM. Gestação de alto risco e fatores associados a óbito neonatal. Rev. esc. enferm. USP vol.51 São Paulo 2017 Epub Apr 03, 2017. DOI: https://doi.org/10.1590/S1980-220X2016127103208

IBGE. Panorama do Brasil. 2020. 23/03/2021. Disponível em: https://cidades.ibge.gov.br/brasil/panorama

Janani F, Changaee F. Seasonal variation in the prevalence of preeclampsia. J Family Med Prim Care. 2017 Oct-Dec; 6(4): 766-769. DOI: 10.4103/jfmpc.jfmpc_132_17

Belay AS, Wudad T. Prevalence and associated factors of pre-eclampsia among pregnant women attending anti-natal care at Mettu Karl referal hospital, Ethiopia: cross-sectional study. Clinical Hypertension; (2019). DOI: https://doi.org/10.1186/s40885-019-0120-1

Mou AD, Barman Z, Hasan Z, Miah R, Hafsa JM, Trisha A, Ali N. Prevalence of preeclampsia and the associated risk factors among pregnant women in Bangladesh. Scientific Reports (2021) 11:21339. DOI:| https://doi.org/10.1038/s41598-021-00839-w

Yang Y, Ray IL, Zhu J., Zhang J, Hua J, Reilly M. Prevalence of preeclampsia, risk factors and pregnancy outcomes in Sweden and China. JAMA Network Open. 2021;4(5):e218401. DOI: 10.1001/jamannetworkopen.2021.8401

Torres NMF, Santos JLC, Silva BL, Silva PT, Linhares BO, Silva ALF. et al. Mortalidade materna no Nordeste brasileiro. Revista de Casos e Consultoria, V. 12, N. 1, e23821, 2021. Disponível em: https://periodicos.ufrn.br/casoseconsultoria/article/view/23821

Dantas MN, Souza DLB, Souza AMG, Aiquoc KM, Souza TA, Barbosa IR. Fatores associados ao acesso precário aos serviços de saúde no Brasil. Rev. bras. epidemiol. 2021. Disponível em: https://doi.org/10.1590/1980-549720210004

Oliveira ACM, Santos AA, Bezerra AR, Barros AMR, Tavares MCM. Fatores maternos e resultados perinatais adversos em portadoras de pré-eclâmpsia em Maceió, alagoas. Arq. Bras. Cardiol. 106 (2).2016. Disponível em: https://www.scielo.br/j/abc/a/3rM3YsZ9xQZFCBQvwjt3KVF/?lang=pt&format=html

Macedo TCC, Montagna E, Trevisan CM, Zaia V, Oliveira R, Barbosa CP. et al. TREVISAN, C. M. et al. Prevalence of preeclampsia and eclampsia in adolescente pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. Eur J Obstet Gynecol Reprod Biol. 2020 May;248:177-186. DOI: 10.1016/j.ejogrb.2020.03.043

Sousa FC, Souza SRC. Prevalência da Pré-eclâmpsia e eclâmpsia e suas implicações para assistência de enfermagem: Revisão integrativa. 2019. Trabalho de Conclusão de Curso. Bacharelado em Enfermagem – Universidade Tiradentes. Disponível em: https://openrit.grupotiradentes.com/xmlui/handle/set/2494

Santos LO, Nascimento VFF, Rocha FLCO, Silva ETC. Estudo da mortalidade materna no Nordeste Brasileiro, de 2009 a 2018. REAS Vol.13,2021. Disponível em: https://doi.org/10.25248/REAS.e5858.2021

Almeida SL. Racismo estrutural. São Paulo: Pólen, 2019.

Theophilo RL, Rattner D, Pereira EL. The vulnerability of Afro-Brazilian women in perinatal care in the Unified Health System: analysis of the Active Ombudsman survey. Rev. Ciên Saúde Coletiva, 23(11):3505-3516, 2018. DOI: 10.1590/1413-812320182311.31552016.

Alves NCC, Feitosa KMA, Mendes MÊS, Caminha MFC. Complicações na gestação em mulheres com idade maior ou igual a 35 anos. Rev. Gaúcha Enferm. 38 (04) 2017. DOI: https://doi.org/10.1590/1983-1447.2017.04.2017-0042

Garcia EM, Candelorio AP, Pelloso SM, Antunes MC. Perfil e resultados perinatais de gestantes com síndrome hipertensiva do Sul do Brasil. 2020 Disponível em: https://doi.org/10.36489/saudecoletiva.2020v10i53p2450-2459

Brasil. Manual da gestação de alto risco. [Internet]. 2022. Disponível em: http://aps.saude.gov.br/biblioteca/visualizar/MjA4Ng==. Acesso em: 25 Mar. 2022.

Barreto BL. Perfil epidemiológico da mortalidade materna no Brasil no período de 2015 a 2019. Rev. Enferm. Contemp., 2021; 10(1):127-133. DOI: https://doi.org/10.17267/2317-3378rec.v10i1.3709

Souza RSS, Silva LA, Santos EA, Ferreira NKF, Santos EA, Lima ED. et al. Atuação da enfermagem no atendimento às emergências obstétricas: Eclâmpsia e Pré-eclâmpsia. Brazilian Journal of Health Review. Vol 4, N. 1, 2021. DOI: 10.34119/bjhrv4n1-089

Brasil. Rede Cegonha. 2021. [Internet]. Disponível em: https://www.gov.br/saude/pt-br/acesso-a-informacao/acoes-e-programas/rede-cegonha#:~:text=Toda%20mulher%20tem%20o%20direto,Sa%C3%BAde%20com%20a%20Rede%20Cegonha. Acesso em: 26 Mar. 2022.

Morais RM, Costa ML. An evaluation of the Brazilian Mortality Information System. Saúde Debate. V. 41, n. especial, 101-117, 2017. DOI: 10.1590/0103-11042017S09

Published

2023-02-09 — Updated on 2023-06-30

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1.
Tavares AMB, Moroskoski M, Cioffi JKR, de Oliveira RR. Distribution and spatial autocorrelation of maternal mortality from preeclampsia and eclampsia in Brazil / Distribuição e autocorrelação espacial da mortalidade materna por pré-eclâmpsia e eclâmpsia no Brasil. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) [Internet]. 2023Jun.30 [cited 2024Nov.21];15:e-11926. Available from: https://seer.unirio.br/cuidadofundamental/article/view/11926

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