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Updated: Jul 14, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Gestational risk classification based on maternal death profile 2008-2013: an experience report from the municipality
Márcia Maria Dos Santos de Moraes1, Marcia Alves Quaresma2, Urânia Souza de Jesus Oliveira2
1Universidade Federal do Sul da Bahia, Centro de Formação em Saúde, Teixeira de Freitas, BA, Brasil.
Objective:
to portray the creation of a gestational risk classification based on the profile of maternal deaths in a municipality where the rate of these deaths is high, and its use in prenatal care.
Methods:
the profile was prepared using records of maternal deaths that occurred between 2008 and 2013, considering age, schooling, race/skin color, place of residence, pre-existing disease, reproductive history.
Results:
maternal death was most frequent in women of brown/black skin color, aged 30-39, with low schooling, living in socially vulnerable districts and with heart disease as the main pre-existing disease; gestational risk was classified based on this profile, whereby points (1-3) were assigned to each lowest/highest frequency and care priorities (P) were defined - PI=regular risk (4-9pt: routine consultation/examination), PII=high risk (10-16pt: reduce waiting time for consultation/examination by 50%), and PIII=very high Risk (≥17pt: access to consultation/examination within 7 days).
Conclusion:
the new classification improved healthcare professionals' awareness of determinants surrounding maternal death and the need to prioritize access to prenatal care according to risk.
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