Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

Table 1

Indicators of severe maternal morbidity according to the WHO definition by ethnic/skin color groups.

Sample	PLTC	MNM	MD	Total	MNMR	SMOR
Total	8,645; 90.4%	770; 8.1%	140; 1.5%	9,555	9.37/1000 LB	11.08 /1000 LB
With information on ethnicity/skin color	6,415; 89.9%	608; 8.5%	116; 1.6%	7,139	-	-
Non-white	3,764; 91.6%	289; 7.0%	55; 1.3%	4,108	-	-
White	2,651; 87.5%	319; 10.5%	61; 2.0%	3,031	-	-
Total	Maternal near miss: mortality ratio: MNM: 1 MD = 5.2: 1
Non-white	Maternal near miss: mortality ratio: MNM: 1 MD =5.3: 1
White	Maternal near miss: mortality ratio: MNM: 1 MD = 5.2: 1
Total	Mortality index: MI = MD/(MNM+MD) = 0.154 = 15.4%
Non-white	Mortality index: MI = MD/(MNM+MD) = 0.159 = 15.9%
White	Mortality index: MI = MD/(MNM+MD) = 0.160 = 16.0%
Total	Maternal mortality ratio: MMR= MD/LB X100.000 = 170.4/100 000 LB

LB: 82,144; Deliveries: 82,388; a: indicators cannot be estimated for categories of skin color because this information was not available for the total number of livebirths; b: p=0.044 (white X non-white)
PLTC: potentially life-threatening condition; MNM: maternal near miss; MD: maternal death; MI: Mortality Index is the proportion of women with near miss who died; SMOR: Severe Maternal Outcome Ratio is the proportion of all women delivering a live newborn who had a maternal near miss event or died