ANALYSIS OF MATERNAL MORTALITY AT CAXIAS DO SUL, RS, BRAZIL, BETWEEN 2000 AND 2014

Goals: Study the situation do maternal mortality in a municipality of Southern of Brazil between 2000 and 2014. Methods: Transversal study, that was rewiew all maternal death at Caxias do Sul between 2000 and 2014. Results: Of the 41 maternal deaths , were excluded them from accidental or incidental causes or occurred after 42 days of birth. The 34 cases remaning accounted of an anual average MMR of 37,9 (+- 24,7) per 100.000 live births (LB). It was found an increase of 39.6% of the cases studied years. Although predominats (64,7%) the direct causes (most avoidable) declined 7,1%, however the indirect increaced 85,8% (less avoidable). The most frequently direct causes were: hemorrhage, septic abortion and thromboembolism. The most common indirect causes (35,3% of the cases) were: cardiovascular diseases, lúpus and respiratory infection. Mosto f the cases occured on SUS (70,6%) where the average MMR was 27,6 (+-16,5)/100.000 LB, reaching 11.6 ( + -1.8 )/100.000 LB in Health Additional. Conclusion: The maternal mortality at Caxias do Sul is incresing, overtaking the minimun level accepted by World Health Oraganition (20 cases/100.000 LB). Was identified in this city a strong phenomenon due to the increasing trend of indirect causes (pregnancy chronic conditions that are aggravated by pregnancy). This finding may reflect the local health policies that would be containing the direct causes (avoidable), these more related to issues such as pre-conception counseling and family planning. More studies are needed in order to obtain further clarification on the issue.