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Related Experiment Videos

Maternal mortality in Campinas: evolution, under-registration and avoidance.

J G Cecatti1, A Faúndes, F G Surita

  • 1Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas, Brazil.

Sao Paulo Medical Journal = Revista Paulista De Medicina
|July 22, 1999
PubMed
Summary
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Maternal mortality in Campinas was high and largely avoidable, primarily due to direct obstetric causes. This highlights the urgent need for targeted public health interventions to reduce preventable maternal deaths.

Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Epidemiology

Background:

  • Maternal mortality (MM) previously received limited global health attention, often overshadowed by infant mortality rates.
  • Focus on infant death as the primary health indicator has historically marginalized maternal health concerns.

Purpose of the Study:

  • To determine the incidence, characteristics, causes, and preventability of maternal mortality (MM) in Campinas.
  • Analyze maternal deaths among women aged 10-49 years between 1985 and 1991 using death certificate data.

Main Methods:

  • Retrospective, descriptive, population-based study design.
  • Utilized university referral center data.
  • Screened death certificates using Laurenti criteria for declared and presumed maternal deaths, supplemented with clinical record reviews.

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Main Results:

  • Identified 62 confirmed maternal deaths, revealing an under-registration rate of 37.1%.
  • Reported a maternal mortality (MM) ratio of 45.5 per 100,000 live births.
  • Found that approximately 75% of maternal deaths resulted from direct obstetric causes and were deemed avoidable.

Conclusions:

  • Maternal mortality in Campinas remains a significant public health concern, though lower than the Brazilian average.
  • The high proportion of deaths from direct obstetric causes underscores their preventability.
  • Emphasizes the critical need for public health strategies focused on preventing maternal deaths.