Maternal mortality in adolescents and young adults: temporal trend and correlation with prenatal care coverage in the state of Bahia, Brazil, 2000-2020

• Main Authors: Lorena Ramalho Galvão (Author), Maria Conceição Oliveira Costa (Author), Silvana Granado Nogueira da Gama (Author), Magali Teresópolis Reis Amaral (Author), Djanilson Barbosa dos Santos (Author), Naysa Farias Barros (Author), Wanessa Oliveira Rosario (Author)
• Format: Book
• Published: Ministério da Saúde do Brasil, 2023-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2237-9622; 10.1590/s2237-96222023000200022
• Keywords: Time-Series Studies; Epidemiological Studies; Prenatal Care; Maternal Mortality; Adolescent; Young Adult.; Medicine; R; Public aspects of medicine; RA1-1270
• Source: Epidemiologia e Serviços de Saúde, Vol 32, Iss 2 (2023)

ABSTRACT Objective: to analyze the temporal trend of maternal mortality and correlate it with prenatal care coverage among adolescents and young adults, state of Bahia, Brazil, 2000-2020. Methods: this was an ecological time-series study and correlation between maternal deaths and prenatal care visits in 10-19 and 20-24 age groups, using the Mortality Information System; the trend analysis was performed by means of Prais-Winsten regression, according to race/skin color, timing and causes of death; and Spearman coefficient was used for correlation. Results: in the study period, 418 deaths among adolescents and 574 among young adults were recorded; maternal mortality ratio was 59.7 and 63.2 deaths/100,000 live births, with a significant decreasing trend (-2.2% and -2.9% respectively); it could be seen an inverse correlation between a higher number of prenatal care visits and maternal mortality in the age groups. Conclusion: maternal mortality showed a decreasing trend in the study period, but with high proportions of death; there was a significant correlation between prenatal care coverage and maternal mortality among adolescents and young adults.