{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T04:48:10Z","timestamp":1783918090972,"version":"3.55.0"},"reference-count":4,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"09","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"vor","delay-in-days":49,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To determine the profile of maternal deaths occurred in the period between 2000 and 2019 in the Hospital de Cl\u00ednicas de Porto Alegre (HCPA, in the Portuguese acronym) and to compare it with maternal deaths between 1980 and 1999 in the same institution.<\/jats:p><jats:p>\n          Methods\u2003Retrospective study that analyzed 2,481 medical records of women between 10 and 49 years old who died between 2000 and 2018. The present study was approved by the Ethics Committee (CAAE 78021417600005327).<\/jats:p><jats:p>\n          Results\u2003After reviewing 2,481 medical records of women who died in reproductive age, 43 deaths had occurred during pregnancy or in the postpartum period. Of these, 28 were considered maternal deaths. The maternal mortality ratio was 37.6 per 100,000 live births. Regarding causes, 16 deaths (57.1%) were directly associated with pregnancy, 10 (35.1%) were indirectly associated, and 2 (7.1%) were unrelated. The main cause of death was hypertension during pregnancy (31.2%) followed by acute liver steatosis during pregnancy (25%). In the previous study, published in 2003 in the same institution4, the mortality rate was 129 per 100,000 live births, and most deaths were related to direct obstetric causes (62%). The main causes of death in this period were due to hypertensive complications (17.2%), followed by postcesarean infection (16%).<\/jats:p><jats:p>\n          Conclusion\u2003Compared with data before the decade of 2000, there was an important reduction in maternal deaths due to infectious causes.<\/jats:p>","DOI":"10.1055\/s-0041-1735300","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T22:37:18Z","timestamp":1634769438000},"page":"662-668","source":"Crossref","is-referenced-by-count":12,"title":["Temporal Evolution of Maternal Mortality: 1980-2019"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9278-6861","authenticated-orcid":false,"given":"Janete","family":"Vettorazzi","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"},{"name":"Department of Gynecology and Obstetrics, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4681-3088","authenticated-orcid":false,"given":"Edim\u00e1rlei Gonsales","family":"Val\u00e9rio","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"},{"name":"Department of Gynecology and Obstetrics, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8803-4015","authenticated-orcid":false,"given":"Maria Alexandrina","family":"Zanatta","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8077-6604","authenticated-orcid":false,"given":"Mariana Hollmann","family":"Scheffler","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0565-9747","authenticated-orcid":false,"given":"Sergio Hofmeister de Almeida Martins","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"},{"name":"Department of Gynecology and Obstetrics, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3789-885X","authenticated-orcid":false,"given":"Jos\u00e9 Geraldo Lopes","family":"Ramos","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"},{"name":"Department of Gynecology and Obstetrics, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"issue":"02","key":"ref2","first-page":"1","article-title":"Maternal mortality in the United States: changes in coding, publication, and data release, 2018","volume":"69","author":"D L Hoyert","year":"2020","journal-title":"Natl Vital Stat Rep"},{"issue":"06","key":"ref4","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1590\/S0100-72032003000600008","article-title":"[Maternal mortality at a tertiary hospital in Rio Grande do Sul - Brazil: a twenty-year study]","volume":"25","author":"J G Ramos","year":"2003","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"04","key":"ref6","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1590\/S0102-311X2011000400002","article-title":"Mortalidade materna no Brasil: o que mostra a produ\u00e7\u00e3o cient\u00edfica nos \u00faltimos 30 anos?","volume":"27","author":"M L Morse","year":"2011","journal-title":"Cad Saude Publica"},{"issue":"06","key":"ref7","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"L Say","year":"2014","journal-title":"Lancet Glob Health"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/temporal-evolution-of-maternal-mortality-1980-2019\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1735300.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:53:18Z","timestamp":1721335998000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/temporal-evolution-of-maternal-mortality-1980-2019\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":4,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2021,10,20]]},"published-print":{"date-parts":[[2021,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1735300","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}