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Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil

Purpose In 2013, it was estimated that 289,000 maternal deaths occurred worldwide. The maternal mortality ratio has decreased in many countries in the past decades, due to early identification and treatment of obstetric complications, despite the dissimilarities observed in diverse locations and pop...

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Autores principales: Fernandes, Karayna Gil, Sousa, Maria Helena, Cecatti, José Guilherme
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309337/
https://www.ncbi.nlm.nih.gov/pubmed/28561138
http://dx.doi.org/10.1055/s-0037-1603498
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author Fernandes, Karayna Gil
Sousa, Maria Helena
Cecatti, José Guilherme
author_facet Fernandes, Karayna Gil
Sousa, Maria Helena
Cecatti, José Guilherme
author_sort Fernandes, Karayna Gil
collection PubMed
description Purpose In 2013, it was estimated that 289,000 maternal deaths occurred worldwide. The maternal mortality ratio has decreased in many countries in the past decades, due to early identification and treatment of obstetric complications, despite the dissimilarities observed in diverse locations and populations. Black women, for instance, have always been more susceptible to the occurrence of maternal mortality and severe morbidity. Therefore, the objective of this study is to assess skin color as a predictive factor for maternal near miss (MNM) in a sample of Brazilian women interviewed in the Brazilian National Demographic and Health Survey (DHS) of 2006. Method A secondary analysis of the DHS database, a population-based cross-sectional nationally representative study was conducted. This database is of public domain. The risk of maternal complications according to ethnic group and the associated sociodemographic characteristics were evaluated. For the data analysis, the odds ratios and respective 95% confidence intervals were calculated. Results In the sample interviewed, 59% of women were black or brown (mixed-race). Approximately 23% of women had some complication, and 2% of these women had at least one MNM pragmatic criterion. The MNM rate was 31 per 1,000 live births, and its occurrence was not statistically different among the ethnic groups. The only factors identified that were considered to be associated with the occurrence of MNM were maternal age above 40 and women not currently attending school, but only among white women. Conclusion The 2006 DHS results did not show a higher occurrence of maternal complications, and specifically of MNM associated with black/brown skin color.
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spelling pubmed-103093372023-07-27 Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil Fernandes, Karayna Gil Sousa, Maria Helena Cecatti, José Guilherme Rev Bras Ginecol Obstet Purpose In 2013, it was estimated that 289,000 maternal deaths occurred worldwide. The maternal mortality ratio has decreased in many countries in the past decades, due to early identification and treatment of obstetric complications, despite the dissimilarities observed in diverse locations and populations. Black women, for instance, have always been more susceptible to the occurrence of maternal mortality and severe morbidity. Therefore, the objective of this study is to assess skin color as a predictive factor for maternal near miss (MNM) in a sample of Brazilian women interviewed in the Brazilian National Demographic and Health Survey (DHS) of 2006. Method A secondary analysis of the DHS database, a population-based cross-sectional nationally representative study was conducted. This database is of public domain. The risk of maternal complications according to ethnic group and the associated sociodemographic characteristics were evaluated. For the data analysis, the odds ratios and respective 95% confidence intervals were calculated. Results In the sample interviewed, 59% of women were black or brown (mixed-race). Approximately 23% of women had some complication, and 2% of these women had at least one MNM pragmatic criterion. The MNM rate was 31 per 1,000 live births, and its occurrence was not statistically different among the ethnic groups. The only factors identified that were considered to be associated with the occurrence of MNM were maternal age above 40 and women not currently attending school, but only among white women. Conclusion The 2006 DHS results did not show a higher occurrence of maternal complications, and specifically of MNM associated with black/brown skin color. Thieme Revinter Publicações Ltda 2017-05-22 2017-05 /pmc/articles/PMC10309337/ /pubmed/28561138 http://dx.doi.org/10.1055/s-0037-1603498 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Fernandes, Karayna Gil
Sousa, Maria Helena
Cecatti, José Guilherme
Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title_full Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title_fullStr Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title_full_unstemmed Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title_short Skin Color and Maternal Near Miss: Exploring a Demographic and Health Survey in Brazil
title_sort skin color and maternal near miss: exploring a demographic and health survey in brazil
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309337/
https://www.ncbi.nlm.nih.gov/pubmed/28561138
http://dx.doi.org/10.1055/s-0037-1603498
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