Banca de DEFESA: DAYANA KELLY SOARES FERREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : DAYANA KELLY SOARES FERREIRA
DATE: 27/08/2021
TIME: 14:00
LOCAL: Google Meet - https://meet.google.com/cgz-jmyj-kgy
TITLE:

TEMPORAL ANALYSIS OF MATERNAL MORTALITY IN THE STATE OF RIO GRANDE DO NORTE

KEY WORDS:

Maternal mortality. Epidemiology. Health care. Obstetrics.

PAGES: 65
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: pregnancy is a phase full of changes and that involves not only the woman, but everyone around her. When we think about maternal death, we must reflect on the consequences that involve this fact and shake an entire family. About 830 women die daily due to avoidable situations related to pregnancy and childbirth. Objective: to analyze the temporal evolution of maternal mortality between age groups and its correlation with prenatal and childbirth variables in the state of Rio Grande do Norte from 2000 to 2019. Methodology: This is an ecological study, of the type time series, based on secondary data, with the total number of maternal death records and total reported live births, obtained from the Live Birth Information System and the Mortality Information System. Trend analysis was performed using generalized linear regression, the Prais-Winsten method and the correlation between maternal mortality and prenatal and delivery variables, using Spearman's Correlation Coefficient. In addition to using the Chi-square, Fisher, Wilcoxon, Kruskal Wallis and Dunn tests to analyze demographic characteristics, the type of obstetric cause, direct and indirect obstetric causes, and health regions, according to maternal age group. The significance level was 5%. Data were tabulated in Microsoft Office Excel program (version 365) and statistically analyzed in R software (version 3.5.3.). The project waived submission to the Ethics and Research Committee for dealing with secondary data in the public domain. Results: in the period 2000-2019, there were 495 cases of maternal deaths in the state, with a predominance of women aged 25 to 29 years; self-declared brown; single; instruction ignored; type of direct cause of death, with hypertensive disorders being the main direct cause, followed by hemorrhages. The Metropolitan Region had the most expressive number of deaths as a region of residence and occurrence of death. The Maternal Mortality Ratio ranged from 24.93 to 75.72/100,000. In the Corrected Ratio analysis, there was a variation from 39.27 to 118.09/100,000. There was evidence of an association between marital status and indirect obstetric causes with maternal age; that there is a difference between the medians in the schooling classifications of the age groups 10-19 years and 30-34 years with RMME; the indication of differences between the median level of education ≥ 8 years compared to the other classifications. As well as, between the medians of the type obstetric cause for the age groups 20-24; 25-29 and 30-34 years with RMME. In the period studied, the corrected RMME showed an increasing trend, in the range 10-19 years and 25-29 years, with a significant result and an estimated annual increase of 7.96% and 36.72%. The RMMC indicated a growing trend, in the 10-19 age group, with a significant result and an estimated annual increase of 3.62%. On the other hand, the 30-34 age group showed a decreasing trend of -1%. The correlation coefficient between RMME, according to prenatal variables and the type of delivery showed a statistically significant inverse relationship between the number of prenatal consultations and the RMME of adolescent mothers, that is, consultations 1 to 3 (r = -0.50 and p-value=0.024) and 4 to 6 (r= 0.49 and p-value= 0.028). This same inverse and significant relationship was verified for the variable type of vaginal delivery with age range 10-19 years (r= -0.50 and p-value= 0.025) and 25-29 years (r= -0.63 and p-value=0.003). And according to prenatal variables and the type of delivery, they showed a statistically significant positive relationship between the number of prenatal consultations and the RMMC with a range of 30-34 years, that is, no consultation (r= -0.53 and p-value=0.017) and 1 to 3 (r=0.46 and p-value=0.043). A correlation was identified between prenatal coverage and MMR, and also with the choice of type of delivery, in which the greater the number of vaginal deliveries, the lower the MMR. Conclusion: in the state of Rio Grande do Norte, maternal mortality remains high, with a significant increasing trend for adolescents and young people during the period studied. The results point to the need for reflections and strategies implemented by management and health teams to improve obstetric care in prenatal care, childbirth and puerperium, at national and local levels, and reduce maternal deaths.

BANKING MEMBERS:
Presidente - 1214075 - SORAYA MARIA DE MEDEIROS
Externa ao Programa - 2724246 - CECILIA NOGUEIRA VALENCA
Externa ao Programa - 1855608 - KARINA CARDOSO MEIRA
Externa ao Programa - 347900 - MARIA FRANCINETE DE OLIVEIRA
Externa à Instituição - ANNELISSA ANDRADE VIRGÍNIO DE OLIVEIRA