Death by AIDS or maternal death: classification of mortality as a social practice

Cadernos de saúde pública
Rosa Dalva F Bonciani, Mary Jane P Spink

Abstract

This paper analyzes the decision on whether to include deaths of HIV+ pregnant women in the classification of maternal mortality. The study focuses on deaths of childbearing-age women in S o Paulo in 1998, investigated by the State's Central Committee on Maternal Mortality (CCMM). Working from a social constructionist perspective, the research was based on documental analysis and interviews with the president of the CCMM and members of one regional committee. The analysis focused on the selection, investigation, and classification of maternal death, with special attention to the negotiation among various actors involved in the classificatory procedures. The data suggest that in the deaths of HIV+ women, other factors are present including the precedence of HIV status over maternal death and the moral and symbolic aspects of AIDS. The results suggest that improving data through a better understanding of decisions to include or exclude cases is only one side of the issue; it is also important to improve quality of care in pregnancy and childbirth in order to prevent maternal death.

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Citations

Nov 22, 2017·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Manuella Coutinho Brayner, Sandra Valongueiro Alves
May 25, 2006·Revista da Escola de Enfermagem da U S P·Flávia Azevedo GomesYuriko Kanashiro Matuo
Aug 23, 2006·Revista de saúde pública·Estela M L Aquino
Feb 6, 2019·Lasers in Medical Science·Pierre Augusto Victor da SilvaFlávia de Paoli
Oct 11, 2020·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Mayara Castro de MoraisDamião Pergentino de Sousa

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