STRATEGIC INTERVENTIONS IN REDUCING MATERNAL MORTALITY IN 2014 IN THE PROGRAM AREA 3.3 OF THE CITY OF RIO DE JANEIRO

Introduction: Reducing maternal mortality is one of the important challenges in public health. With the creation of the National Pact to Reduce Maternal and Neonatal Mortality (2004) commitments were made by various government entities. In this sense, Rio de Janeiro have been engaged in this confrontation, with priority actions and interventions aimed magnitude of this issue. Objective: To describe important strategic management interventions in 2014 in the Programatic Area of 3.3 on Rio de Janeiro. Method: Descriptive, identifying problems encountered in prenatal care and proposals for immediate intervention, in order to minimize possible hazardous conditions for pregnant women. Results: Medical assistance failures were identified with regard to the shared monitoring by Primary Health Care, gestational risk assessment, laboratory tests, nutritional evaluation in women with obesity, active search for defaulting pregnants referrals women to prenatal risk and monitoring of pregnant women with vulnerabilities. Interventions were: professionals training through workshops and in service training, joint monitoring (CAP and health clinic) of pregnant women referred to the prenatal high risk, implementing a nominal list of the women, reason for referral and current situation , discussion of all cases of death in the Working Group, weekly, and also on the spot with the professionals involved in direct assistance. Conclusion: Obtained a real reduction of maternal deaths in AP 3.3 in 2014 compared to the previous year (78.12%), reducing the mortality rate (39.3%).