RESUMO
We report the performance indicators in 2004 of a follow-up on the system for recording maternal deaths which was established in 1999. The system was operating in 69.8% of public hospitals, and 96% of maternal deaths investigations were completed. In 69.8% of maternal deaths there was a direct obstetric cause. Haemorrhage was the major cause of maternal death (30.8%), followed by eclampsia (11%). The proportion of avoidable (certain or possible) deaths was 75.3%. There were problems in evaluation of risk presented by women and inadequate follow-up during the postpartum period and delay in appropriate treatment. Incomplete documentation and difficulty in ascertaining avoidability were problems faced by the regional follow-up committee.
Assuntos
Mortalidade Hospitalar/tendências , Hospitais Públicos/tendências , Mortalidade Materna/tendências , Vigilância da População/métodos , Sistema de Registros/normas , Assistência ao Convalescente/normas , Causas de Morte , Eclampsia/mortalidade , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Erros Médicos/métodos , Erros Médicos/prevenção & controle , Erros Médicos/estatística & dados numéricos , Cuidado Pós-Natal/normas , Hemorragia Pós-Parto/mortalidade , Gravidez , Indicadores de Qualidade em Assistência à Saúde , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Tunísia/epidemiologiaRESUMO
We report the performance indicators in 2004 of a follow-up on the system for recording maternal deaths which was established in 1999. The system was operating in 69.8% of public hospitals, and 96% of maternal deaths investigations were completed. In 69.8% of maternal deaths there was a direct obstetric cause. Haemorrhage was the major cause of maternal death [30.8%], followed by eclampsia [11%]. The proportion of avoidable [certain or possible] deaths was 75.3%. There were problems in evaluation of risk presented by women and inadequate follow-up during the postpartum period and delay in appropriate treatment. Incomplete documentation and difficulty in ascertaining avoidability were problems faced by the regional follow-up committee
