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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2018; 40(03): 103-105
DOI: 10.1055/s-0038-1639587
Editorial
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Strategy for Zero Maternal Deaths by Hemorrhage in Brazil: A Multidisciplinary Initiative to Combat Maternal Morbimortality

Estratégia zero morte materna por hemorragia no Brasil: uma iniciativa multidisciplinar de combate à morbimortalidade maternal
Gabriel Costa Osanan   *
1   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
2   Universidade José do Rosário Vellano, Belo Horizonte, MG, Brazil
,
Haydeé Padilla
3   Pan American Health Organization, World Health Organization, Washington, United States
,
Mônica Iassanã Reis
3   Pan American Health Organization, World Health Organization, Washington, United States
,
Adriano Bueno Tavares   *
3   Pan American Health Organization, World Health Organization, Washington, United States
4   Fundação de Ensino e Pesquisa em Ciências da Saúde, Brasília, DF, Brazil
› Author Affiliations
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Publication History

Publication Date:
02 April 2018 (online)

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Scenario of Maternal Mortality by Obstetric Hemorrhage

Obstetric hemorrhage is one of the leading causes of preventable maternal deaths in the world. There are 14 million cases of postpartum hemorrhage and 140 thousand related deaths annually worldwide.[1] There is also a large contingent of women who survive a postpartum hemorrhage event with related reproductive and emotional consequences. Postpartum hemorrhage stands out as the second major cause of maternal deaths in Brazil.[2] However, it continues to be a leading cause of numerous preventable maternal deaths in many areas of the country, especially the countryside and the Amazon region, where there is a low density of health care facilities, fewer health care professionals, and an inefficient logistic network for quickly obtaining blood supply.

Maternal mortality is an indicator of a population's living conditions and health care, and it also reflects the human development of a country. Almost all maternal deaths occur in developing countries. Low instruction levels, inadequate nutrition conditions, insufficient social support, and lack of access to health care are strongly associated with maternal deaths. In addition, maternal mortality is an indicator of inequity between the richest and the poorest, and it also reveals gender inequalities within a society. Given this scenario, the acceleration of maternal mortality reduction was established as one of the priority global targets in the United Nation's Sustainable Development Goals.[3] The reduction in maternal morbidity and mortality has been widely sought, but despite ongoing efforts, the current results are still disappointing.

* Member, Specialized National Commission for Obstetric Emergencies, Federação das Associações de Ginecologia e Obstetrícia – FEBRASGO, Brazil.


 

  • References

  • 1 AbouZahr C. Global burden of maternal death and disability. Br Med Bull 2003; 67: 1-11
    CrossrefPubMedSearch in Google Scholar
  • 2 Rocha Filho EA, Costa ML, Cecatti JG. , et al; Brazilian Network for Surveillance of Severe Maternal Morbidity Study Group. Severe maternal morbidity and near miss due to postpartum hemorrhage in a national multicenter surveillance study. Int J Gynaecol Obstet 2015; 128 (02) 131-136
    CrossrefPubMedSearch in Google Scholar
  • 3 GBD 2015 Maternal Mortality Collaborators. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388 (10053): 1775-1812
    CrossrefPubMedSearch in Google Scholar