Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014
| Ano de defesa: | 2016 |
|---|---|
| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Dissertação |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Não Informado pela instituição
|
| Programa de Pós-Graduação: |
Não Informado pela instituição
|
| Departamento: |
Não Informado pela instituição
|
| País: |
Não Informado pela instituição
|
| Palavras-chave em Português: | |
| Link de acesso: | http://www.repositorio.ufc.br/handle/riufc/22134 |
Resumo: | he objective of this study was to determine the clinical and epidemiological profile of women who died at the Caucaia Health Region from 2009 to 2014, through the epidemiological investigation of the pathway performed by these women to access, Death, and if there was an opinion of the Maternal Mortality Prevention Committee. This is a documental, descriptive and quantitative approach, with a population and a sample of 56 maternal deaths. Data were collected in the first half of 2016, using death certificates and M5 investigation forms found in the Information System on Mortality. The chosen variables were analyzed using SPSS 17.0 program and presented in absolute frequency and simple proportion. The research protocol was approved by the Ethics Committee of the Federal University of Ceará, with opinion No. 1,403,777. It was found that the deaths occurred in women with a mean age 28.2 years (62.4%), mulattos (62.5%), single (57.1%), incomplete primary education (33.9%), housewives (48.2%). Obstetric data revealed bond to the Family Health Team (82.1%), prenatal consultations with more than 5 (51.8%), and only 25% directed to high-risk prenatal care. 80% delivery occurred in maternity, 48.2% caesarean section. The deaths occurred in hospital (76.8%), postpartum period (69.7%), the main causes of hypertension (16.1%) and infections (16.1%) and emboli (14.3 %), characterizing deaths from direct obstetric causes (58.3%) and preventable by appropriate action to prevent, control and attention to the causes of maternal death (73.2%). The Mortality Committee analyzed 87.5% of deaths. Despite the ease of access, there is poor quality of care. There is no guaranteed linking. The deaths could have been prevented through actions for the organization of the Maternal and Child Network with the expansion of resolutive and quality health services, the training of professionals for prenatal, childbirth and puerperium care, improvement of the recording of information, and strengthening the work of the municipal and regional Maternal, Child and Fetal Mortality Committees for the promotion of maternal and child health. |
| id |
UFC-7_c249b8837aef1c66a4768d0b71a150b5 |
|---|---|
| oai_identifier_str |
oai:repositorio.ufc.br:riufc/22134 |
| network_acronym_str |
UFC-7 |
| network_name_str |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
| repository_id_str |
|
| spelling |
Oliveira, Francisca Verônica Moraes deAlves, Renata de Sousa2017-03-06T13:25:49Z2017-03-06T13:25:49Z2016-08-12OLIVEIRA, F. V. M. Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014. 2016. 95 f. Dissertação (Mestrado em Saúde da Família) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2016.http://www.repositorio.ufc.br/handle/riufc/22134he objective of this study was to determine the clinical and epidemiological profile of women who died at the Caucaia Health Region from 2009 to 2014, through the epidemiological investigation of the pathway performed by these women to access, Death, and if there was an opinion of the Maternal Mortality Prevention Committee. This is a documental, descriptive and quantitative approach, with a population and a sample of 56 maternal deaths. Data were collected in the first half of 2016, using death certificates and M5 investigation forms found in the Information System on Mortality. The chosen variables were analyzed using SPSS 17.0 program and presented in absolute frequency and simple proportion. The research protocol was approved by the Ethics Committee of the Federal University of Ceará, with opinion No. 1,403,777. It was found that the deaths occurred in women with a mean age 28.2 years (62.4%), mulattos (62.5%), single (57.1%), incomplete primary education (33.9%), housewives (48.2%). Obstetric data revealed bond to the Family Health Team (82.1%), prenatal consultations with more than 5 (51.8%), and only 25% directed to high-risk prenatal care. 80% delivery occurred in maternity, 48.2% caesarean section. The deaths occurred in hospital (76.8%), postpartum period (69.7%), the main causes of hypertension (16.1%) and infections (16.1%) and emboli (14.3 %), characterizing deaths from direct obstetric causes (58.3%) and preventable by appropriate action to prevent, control and attention to the causes of maternal death (73.2%). The Mortality Committee analyzed 87.5% of deaths. Despite the ease of access, there is poor quality of care. There is no guaranteed linking. The deaths could have been prevented through actions for the organization of the Maternal and Child Network with the expansion of resolutive and quality health services, the training of professionals for prenatal, childbirth and puerperium care, improvement of the recording of information, and strengthening the work of the municipal and regional Maternal, Child and Fetal Mortality Committees for the promotion of maternal and child health.Este estudo teve por objetivo conhecer o perfil clínico-epidemiológico das mulheres que foram a óbito materno na Região de Saúde de Caucaia no período de 2009 a 2014, identificando por meio da investigação epidemiológica o trajeto realizado por essas mulheres, para acesso, atendimento, classificação do óbito, e se houve parecer do Comitê de Prevenção de Mortalidade Materna. Trata-se de um estudo do tipo epidemiológico documental, descritivo e com abordagem quantitativa, com uma população e amostra de 56 óbitos maternos. Os dados foram coletados no primeiro semestre de 2016, utilizando as declarações de óbito e fichas de investigação M5 encontradas no Sistema de Informação em Mortalidade. As variáveis escolhidas foram analisadas pelo programa SPSS 17.0 e apresentadas em frequência absoluta e proporção simples. A pesquisa foi submetida e aprovada no Comitê de Ética em Pesquisa da Universidade Federal do Ceará, com o parecer nº 1.403.777. Identificou-se que os óbitos ocorreram em mulheres com idade média de 28,2 anos (62,4%), raça parda (62,5%), solteiras (57,1%), escolaridade baixa (33,9%) e donas de casa (48,2%). Os dados obstétricos revelaram vinculo à Equipe de Saúde da Família (82,1%), pré-natal com mais de 5 consultas (51,8%), e apenas 25% encaminhadas ao pré-natal de alto risco. Em 80%; o parto ocorreu em maternidade, sendo 48,2% cesariana. As mortes ocorreram em hospital (76,8%), no período do puerpério (69,7%), tendo como principais causas a hipertensão (16,1%), infecções (16,1%) e embolias (14,3%), caracterizando óbitos por causas obstétricas diretas (58,3%) e evitáveis por adequada ação de prevenção, controle e atenção às causas de morte materna (73,2%). O Comitê de Mortalidade analisou 87,5% dos óbitos, apesar da facilidade no acesso, a qualidade da assistência ruim. Não há vinculação garantida. As mortes poderiam ter sido evitadas mediante ações para a organização da Rede Materno-Infantil com ampliação de serviços de saúde resolutivos e de qualidade, capacitação dos profissionais para os cuidados no pré-natal, parto e puerpério, melhoria do registro das informações, e fortalecimento do trabalho dos Comitês de Mortalidade Materna, Infantil e Fetal municipais e regional para a promoção da saúde materna e infantil.Saúde da MulherMortalidade MaternaAcesso aos Serviços de SaúdeAvaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014Evaluation of maternal mortality in the health Region of Caucaia - Ceará from 2009 to 2014info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/22134/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52ORIGINAL2016_dis_fvmoliveira.pdf2016_dis_fvmoliveira.pdfapplication/pdf4943523http://repositorio.ufc.br/bitstream/riufc/22134/1/2016_dis_fvmoliveira.pdff064656d312f4a892cd164412502c08fMD51riufc/221342018-12-14 14:36:09.979oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2018-12-14T17:36:09Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
| dc.title.pt_BR.fl_str_mv |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| dc.title.en.pt_BR.fl_str_mv |
Evaluation of maternal mortality in the health Region of Caucaia - Ceará from 2009 to 2014 |
| title |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| spellingShingle |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 Oliveira, Francisca Verônica Moraes de Saúde da Mulher Mortalidade Materna Acesso aos Serviços de Saúde |
| title_short |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| title_full |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| title_fullStr |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| title_full_unstemmed |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| title_sort |
Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014 |
| author |
Oliveira, Francisca Verônica Moraes de |
| author_facet |
Oliveira, Francisca Verônica Moraes de |
| author_role |
author |
| dc.contributor.author.fl_str_mv |
Oliveira, Francisca Verônica Moraes de |
| dc.contributor.advisor1.fl_str_mv |
Alves, Renata de Sousa |
| contributor_str_mv |
Alves, Renata de Sousa |
| dc.subject.por.fl_str_mv |
Saúde da Mulher Mortalidade Materna Acesso aos Serviços de Saúde |
| topic |
Saúde da Mulher Mortalidade Materna Acesso aos Serviços de Saúde |
| description |
he objective of this study was to determine the clinical and epidemiological profile of women who died at the Caucaia Health Region from 2009 to 2014, through the epidemiological investigation of the pathway performed by these women to access, Death, and if there was an opinion of the Maternal Mortality Prevention Committee. This is a documental, descriptive and quantitative approach, with a population and a sample of 56 maternal deaths. Data were collected in the first half of 2016, using death certificates and M5 investigation forms found in the Information System on Mortality. The chosen variables were analyzed using SPSS 17.0 program and presented in absolute frequency and simple proportion. The research protocol was approved by the Ethics Committee of the Federal University of Ceará, with opinion No. 1,403,777. It was found that the deaths occurred in women with a mean age 28.2 years (62.4%), mulattos (62.5%), single (57.1%), incomplete primary education (33.9%), housewives (48.2%). Obstetric data revealed bond to the Family Health Team (82.1%), prenatal consultations with more than 5 (51.8%), and only 25% directed to high-risk prenatal care. 80% delivery occurred in maternity, 48.2% caesarean section. The deaths occurred in hospital (76.8%), postpartum period (69.7%), the main causes of hypertension (16.1%) and infections (16.1%) and emboli (14.3 %), characterizing deaths from direct obstetric causes (58.3%) and preventable by appropriate action to prevent, control and attention to the causes of maternal death (73.2%). The Mortality Committee analyzed 87.5% of deaths. Despite the ease of access, there is poor quality of care. There is no guaranteed linking. The deaths could have been prevented through actions for the organization of the Maternal and Child Network with the expansion of resolutive and quality health services, the training of professionals for prenatal, childbirth and puerperium care, improvement of the recording of information, and strengthening the work of the municipal and regional Maternal, Child and Fetal Mortality Committees for the promotion of maternal and child health. |
| publishDate |
2016 |
| dc.date.issued.fl_str_mv |
2016-08-12 |
| dc.date.accessioned.fl_str_mv |
2017-03-06T13:25:49Z |
| dc.date.available.fl_str_mv |
2017-03-06T13:25:49Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
| format |
masterThesis |
| status_str |
publishedVersion |
| dc.identifier.citation.fl_str_mv |
OLIVEIRA, F. V. M. Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014. 2016. 95 f. Dissertação (Mestrado em Saúde da Família) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2016. |
| dc.identifier.uri.fl_str_mv |
http://www.repositorio.ufc.br/handle/riufc/22134 |
| identifier_str_mv |
OLIVEIRA, F. V. M. Avaliação da mortalidade materna na Região de Saúde de Caucaia – Ceará de 2010 a 2014. 2016. 95 f. Dissertação (Mestrado em Saúde da Família) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2016. |
| url |
http://www.repositorio.ufc.br/handle/riufc/22134 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.source.none.fl_str_mv |
reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
| instname_str |
Universidade Federal do Ceará (UFC) |
| instacron_str |
UFC |
| institution |
UFC |
| reponame_str |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
| collection |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
| bitstream.url.fl_str_mv |
http://repositorio.ufc.br/bitstream/riufc/22134/2/license.txt http://repositorio.ufc.br/bitstream/riufc/22134/1/2016_dis_fvmoliveira.pdf |
| bitstream.checksum.fl_str_mv |
8a4605be74aa9ea9d79846c1fba20a33 f064656d312f4a892cd164412502c08f |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
| repository.name.fl_str_mv |
Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
| repository.mail.fl_str_mv |
bu@ufc.br || repositorio@ufc.br |
| _version_ |
1847793405595222016 |