A mortalidade materna segundo escolaridade no Distrito Federal no período de 2008 a 2018

Abstract

The maternal mortality ratio is an important health indicator because it makes it possible to assess women's health care and evidence as existing gaps, in addition, it signals the country's socioeconomic problems (FERREIRA, 2016). Low education, when associated with the number of prenatal consultations, is a factor that can influence the appearance of potentially risky events for women and the newborn (HAIDAR et al., 2001). This study aims to analyze the behavior of the occurrence of maternal deaths when related to the level of education of women in the Federal District from 2008 to 2018. This is a descriptive ecological study of the time series on maternal mortality in the Federal District between the years 2008 to 2018, using the data provided by the Mortality Information System. A descriptive statistic of the stratified indicators was performed using the Excel software (version 10) and time series by Prais-Winsten regression of the maternal mortality ratio according to the woman's schooling over those years. The level of significance considered for the analysis was 5%. The dependent variable was the maternal mortality ratio stratified by education level and the independent variable the years according to the established period. Statistical analyzes were performed using the STATA software version 13.0 for Windows. According to SIM data, 237 maternal deaths were recorded in the Federal District, in the period from 2008 to 2018. In 2008, MMR was 59 deaths per 100 thousand born alive, the highest record in the analysis of 10 years, while the lowest reason was identified in 2015, with MMR of 35 deaths per 100 thousand born alive. The other periods show MMR between 44 to 55 maternal deaths per 100 thousand born alive. The maternal mortality ratio in 2018 was 54 maternal deaths per 100 thousand born alive. It was possible to see a stable trend for the maternal mortality ratio in all categories of education. Social factors such as age, race, marital status, education and socioeconomic pattern are presented in several studies, demonstrating that there is a more vulnerable population with a higher risk of complications (RONSMANS and GRAHAM, 2006). In relation to low maternal education, it is concluded that the indicator is an important factor in the follow-up of pregnancy and childbirth, being associated with higher maternal mortality rates.