Mortalidade materna e sua distribuição nos distritos sanitários de São Luís-MA no período de 2003 a 2013

Abstract

Introduction: The Maternal Mortality (MM) is a problem of public health in several countries. It represents a grave violation of the human rights and of women’s reproductive functions. Its statistics points out the level of women’s and population’s health in general. Although efforts have been implemented to its reduction, most of the countries still have high values of maternal mortality, including Brazil. It presents important variations among the regions and cities of the country. Objective: To analyse the maternal mortality and its distribution in Sanitary Districts of São Luís - MA in the period from 2003 to 2013. Methodology: Descriptive study performed by means of secondary data of the Mortality Information System (SIM) and Information System of Living Born One (Sinasc) available electronically through the site of the through the Computing Department of the Brazilian National Health System (SUS; Datasus). Results: it was analyzed 201 deaths of women residents in São Luís - MA, present in 07 sanitary districts of the city. It was observed a major perceptual of deaths among singles (women) (64.1%), dark ones (51.7%), between 20 and 29 years old (51.7%) and with 8 to 11 years of schooling (39,3%), being the majority by direct causes (62.7%), detaching the years 2007 and 2010 as the ones of major death event. The reason for maternal mortality was bigger than that one of the state of Maranhão and Brazil. Among the sanitary districts Tirirical detached itself for its major number of deaths (13.9%) besides the Itaqui-Bacanga (12.9%) and Cohab (12.0%) being by direct causes. The puerperium was the period under a major number of deaths. Conclusion: We observed that São Luís presented higher values as yet of Maternal Mortality, not being possible to reach the fifth aim of the goals of the millennium. The not informed data were present under high perceptual so showing clearly the need of a better data register in the death declarations. The Primary Health Care must be strengthened, so getting high their percentage of coverage, making systematized actions of that level of attention as to the maternal health, for effective services of prenatal care offered in the ESF of the different Sanitary Districts can represent an important intervention for the increase of the mother’s health and, extensively, of the whole population.