Keywords
Complications
Pre-eclampsia
How to Cite
Abstract
INTRODUCTION: It is estimated that hypertensive disorders of pregnancy (HDP) account for up to 10% of complications in pregnant women worldwide. The prevalence of HDP is increasing and is associated with factors such as advanced maternal age, excessive weight gain during pregnancy, pre-existing obesity, and cardiometabolic diseases. Prevention, timely diagnosis, and proper management of HDP are associated with a lower risk of complications and, therefore, lower maternal and fetal morbidity and mortality. Maternal mortality is a good qualitative indicator of attention to women's health and access to obstetric care, as most cases can be prevented through quality health services. OBJECTIVES: To identify maternal deaths due to hypertensive disorders in the city of São Paulo and compare the epidemiological characteristics of maternal deaths, including types of obstetric causes, distribution by age group, associations with maternal education level, variations between racial/ethnic groups, and possible temporal changes over the last decade. METHODOLOGY: A descriptive cross-sectional study was conducted based on data from maternal deaths available in the Mortality Information System (SIM) of TABNET/DATASUS. Maternal deaths with geographical scope only in the state of São Paulo during the period from 2010 to 2020 were selected. RESULTS: Eclampsia was the hypertensive disorder with the highest maternal mortality. The peak of total deaths occurred in 2017. White women, with 8 to 11 years of education, in the 30 to 39 age group, were the most affected during the study period, and the most frequent type of obstetric cause was direct causes. CONCLUSION: More health services focused on the most affected population are needed, through quantitative and qualitative prevention actions in prenatal care, as well as an increase in awareness about the hypertensive disorders that most commonly cause pregnancy-related deaths.
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