Mortalidade materna no Brasil: análise de conteúdo dos Planos Estaduais e Nacional de Saúde

Abstract

According to the World Health Organization (WHO), in its 10th revision of the International Classification of Diseases (ICD-10), direct maternal death is characterized as "the mortality of women during pregnancy or within 42 days of termination of pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes." Official data on maternal mortality (MM) in Brazil indicate deficiencies in the quality of pregnancy, childbirth, and postpartum care services. Therefore, the objective of this study was to analyze the healthcare actions outlined in the National and State Health Plans concerning strategies and goals for addressing maternal mortality in Brazil. This study employed a documentary research approach, using as information sources the current National and State Health Plans of Brazil from 2020 to 2023. The keywords used for the search were "maternal mortality" and "maternal." Content analysis categorized the obtained data into four categories, revealing a predominant emphasis on actions related to "Strengthening the Women's Care Network," while specific mentions related to "Reproductive Planning" were notably scarce. This study underscores that specific actions aimed at reducing maternal mortality are not prominently featured in the analyzed plans, nor are they sufficiently detailed. Increasing actions related to Reproductive Planning could enhance Women's Health care, alongside expanding efforts focused on care during the pregnancy and postpartum cycle, which may contribute to greater satisfaction among women and reduced maternal mortality.