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Maternal deaths in the city of Rio de Janeiro, Brazil, 2000-2003
Pauline Lorena Kale1, Antonio Jose Leal Costa
1Medical 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
Abstract:
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.
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