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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O Estudo da Mortalidade Materna conduz uma investiga\u00e7\u00e3o hospitalar dos \u00f3bitos maternos ocorridos em 2020\/2021 nas maternidades amostradas na pesquisa Nascer no Brasil II, com os seguintes objetivos: estimar o sub-registro da mortalidade materna e calcular um fator de corre\u00e7\u00e3o e a raz\u00e3o de mortalidade materna (RMM) corrigida; validar as causas de mortalidade materna informadas na declara\u00e7\u00e3o de \u00f3bito (DO); e analisar os fatores associados \u00e0 mortalidade materna. O Nascer no Brasil II inclui aproximadamente 24.255 pu\u00e9rperas distribu\u00eddas em 465 hospitais p\u00fablicos, privados e mistos com \u2265 100 partos de nascidos vivos\/ano nas cinco macrorregi\u00f5es do pa\u00eds. Os dados do Estudo da Mortalidade Materna ser\u00e3o preenchidos utilizando o mesmo question\u00e1rio do Nascer no Brasil II, a partir da consulta aos prontu\u00e1rios hospitalares. Obstetras treinados preencher\u00e3o uma nova DO (DO refeita) a partir de an\u00e1lise independente desse question\u00e1rio, comparando aos dados oficiais. A base de dados dos \u00f3bitos investigados ser\u00e1 relacionada com os \u00f3bitos constantes no Sistema de Informa\u00e7\u00f5es sobre Mortalidade do Minist\u00e9rio da Sa\u00fade, permitindo a estimativa do sub-registro e c\u00e1lculo da RMM corrigida. Para o c\u00e1lculo da confiabilidade das causas de morte, ser\u00e3o utilizados os testes kappa e kappa ajustado \u00e0 preval\u00eancia com intervalo de 95% de confian\u00e7a. Um estudo de caso-controle para estimar os fatores de risco para mortalidade materna ser\u00e1 desenvolvido com os \u00f3bitos investigados (casos) e os controles obtidos na pesquisa Nascer no Brasil II, utilizando-se modelos de regress\u00e3o log\u00edstica m\u00faltipla condicional. Espera-se contribuir para a corre\u00e7\u00e3o do sub-registro da mortalidade materna e para a melhor compreens\u00e3o dos fatores determinantes da persist\u00eancia de RMM elevada no Brasil.<\/jats:p>","DOI":"10.1590\/0102-311xpt107723","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T06:54:17Z","timestamp":1715928857000},"source":"Crossref","is-referenced-by-count":7,"title":["Mortalidade materna: protocolo de um estudo integrado \u00e0 pesquisa Nascer no Brasil II"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9200-0387","authenticated-orcid":false,"given":"Silvana Granado Nogueira da","family":"Gama","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2466-1797","authenticated-orcid":false,"given":"Sonia Azevedo","family":"Bittencourt","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7075-9819","authenticated-orcid":false,"given":"Mariza Miranda","family":"Theme Filha","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7016-2879","authenticated-orcid":false,"given":"Maira Libertad Soligo","family":"Takemoto","sequence":"additional","affiliation":[{"name":"Levatrice Cursos,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5533-4858","authenticated-orcid":false,"given":"S\u00f4nia","family":"Lansky","sequence":"additional","affiliation":[{"name":"Secretaria Municipal de Sa\u00fade de Belo Horizonte,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-8898","authenticated-orcid":false,"given":"Paulo Germano de","family":"Frias","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6228-5932","authenticated-orcid":false,"given":"Barbara Vasques da Silva","family":"Ayres","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-8127","authenticated-orcid":false,"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1386-7001","authenticated-orcid":false,"given":"Marcos Augusto Bastos","family":"Dias","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0236-2043","authenticated-orcid":false,"given":"Ana Paula","family":"Esteves-Pereira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4231-0205","authenticated-orcid":false,"given":"Marcos","family":"Nakamura-Pereira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3047-515X","authenticated-orcid":false,"given":"Maria do Carmo","family":"Leal","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","first-page":"607","article-title":"Mortalidade materna evit\u00e1vel enquanto injusti\u00e7a social","volume":"20","author":"Freitas-J\u00fanior RA","year":"2020","journal-title":"Rev Bras Sa\u00fade Mater Infant"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1055\/s-0038-1672181","article-title":"Maternal mortality in Brazil proposals and strategies for its reduction","volume":"40","author":"Pacagnella RC","year":"2018","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"4397","DOI":"10.1590\/1413-812320212610.10752021","article-title":"O Brasil cumprir\u00e1 o ODS 3 1 da Agenda 2030? 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