Causas múltiplas de morte relacionada ao aborto no Brasil no período 1996-2016

Abstract

In Brazil, hospitalizations for abortion recorded in the hospital network of the SUS evidence the problems that affect female sexual and reproductive health. Mortality from abortions is influenced by underreporting and underreporting thus, the study of multiple causes of death, incorporating the basic causes associated with death, seems to be an effective method for better measurement of these deaths. Analyze abortion-related mortality in Brazil from 1996 to 2016, focusing on multiple causes of death. Method: A time series study, with secondary data analysis, from the Mortality Information System, available on datasus. Sociodemographic characteristics of women, year, place of occurrence, basic causes and associated with death were studied. The specific maternal death ratio (MMR) for abortion was calculated each year and the increase or decrement of the reasons was evaluated. To evaluate the evolution of the MMR for abortion in the period were calculated Spearman's correlation coefficients and the significance level considered was 0.05. Results: In the analyzed period there were 3,389 deaths related to abortion in the country and the reason cause regression/basic cause of death of 1.2. The MMRS by abortion general remained stable at around 6.0 100 deaths for every thousand live births, with higher ratios in the north and northeast regions. In relation to the criminalization of abortion, the higher reasons related to specific causes and the ectopic pregnancy. Final Considerations: The abortion remains as a public health problem due to factors such as the illegality, the underreporting and especially by the inequities in health care of women. The use of the method of analysis of multiple causes proved effective to give greater visibility to abortion to highlight causes that mask these deaths.