Maternal mortality of black women in a city of São Paulo Metropolitan Region: inequalities, gaps and possibilities of intervention

Abstract

The study discusses elements related to primary care and maternal mortality among black women, amenable to intervention in collective health by public representatives, managers and health professionals. The quanti-qualitative approach, of descriptive nature, conducted in 2019 evaluates the (dis)information on variables of prenatal care from data obtained from investigation reports of maternal deaths that occurred between 2008 and 2018 in the municipality of Franco da Rocha-SP. Thirteen reports were analyzed; the data produced by the documentary research were organized by thematic modality and interpreted in light of the literature that deals with sexual and reproductive rights. The research reaffirms the biopsychosocial conditions and care in sexual and reproductive health impaired with which black women live in the municipality in question and that favor fatal outcomes, but it is pointed out as a strategy for change the promotion of the completeness of data and information on maternal mortality. It is considered necessary to resume dialogues and actions on the qualification of health practices, as well as the recognition and overcoming of structural racism, the intersectionalities that influence the prenatal care, delivery and puerperium of black women.