Mortalidade de Mulheres em Idade Fértil por Causas Externas: Análise de 2274 Necropsias do IML-BH

P. Bordoni, Alice de Sá Gontijo Silva, Ana Carolina Fernandes Monteiro, Luciana de Resende Neiva, Talita Alvarenga Petrini Carvalho, W. Marinho, L. Bordoni
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Abstract

Female mortality presents important peculiarities in relation to the male, especially when studying the deaths due to external causes (DDEC). These are the third most important cause of death among women in Brazil. Considering the importance of DDEC for the criminal forensic sciences as well as the deficiency of national information involving necroscopic studies with these causes of death in women of reproductive age group (RAG), this research aimed to evaluate its epidemiological profile at the Forensic Medicine Institute of Belo Horizonte (FMI-BH). A descriptive and retrospective study was carried out in which the RAG women autopsied in the FMI-BH were evaluated in the period from 2006 to 2012. The 2,274 RAG autopsy reports in the period corresponded to 5.39% of the total necropsies and to 24.8 % of female autopsies performed in FMI-BH. This sample accounted for 67.8% of the total number of women victims of violent death necropsied in the same period. The mean age was 29.4 years, the majority had brown skin and 79.6% were single, widowed or legally separated. The most frequent circumstance of death was homicide (42%) and suicide the second (33%). Alcohol was found in 25.1% of the cases. In the positive cases for the toxicological examination, cocaine and marijuana were the most found substances. Together, these data better define the epidemiological profile of deaths due to external causes in women of childbearing age, contributing in the elaboration of intervention and prevention strategies.
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外因育龄妇女死亡率:2274例IML-BH尸检分析
与男性相比,女性死亡率呈现出重要的特点,特别是在研究外因死亡(DDEC)时。这是巴西妇女死亡的第三大原因。考虑到DDEC对刑事法医科学的重要性,以及缺乏涉及对育龄妇女这些死因进行尸检研究的国家信息,本研究旨在评估贝洛奥里藏特法医研究所(FMI-BH)的流行病学概况。对2006年至2012年期间在FMI-BH尸检的RAG妇女进行了描述性和回顾性研究。在此期间,2,274例RAG尸检报告占总尸检报告的5.39%,占FMI-BH女性尸检报告的24.8%。这一样本占同期死于暴力死亡的女性受害者尸体总数的67.8%。平均年龄为29.4岁,大多数为棕色皮肤,79.6%为单身、丧偶或合法分居。最常见的死亡原因是他杀(42%)和自杀(33%)。在25.1%的病例中发现了酒精。在毒理学检查呈阳性的病例中,可卡因和大麻是发现最多的物质。总之,这些数据更好地界定了育龄妇女因外因死亡的流行病学概况,有助于制定干预和预防战略。
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