Data on maternal mortality, whether in developed or developing countries, are more disparate
than any other indicator of public health in Brazil. During the United Nations Millennium
Development Pact, eight Development Goals were adopted, among them, to reduce maternal
mortality by 75% by 2015. The aim of the study was to conduct a study on the occurrence of
maternal deaths in the region Metropolitan area of Belém that were notified through the
Mortality Information System (MIS) from January 2013 to December 2015, in addition to
describing the main causes of maternal mortality. The study is an epidemiological, descriptive,
quantitative, analytical, retrospective and documentary approach. It is performed with
secondary data stored at the Maternal Mortality Committee consisting of results reported as
maternal deaths. From January 2013 to December 2015, 53 deaths were reported in 2013, 45
maternal deaths in 2014 and 40 deaths in 2015. The data identified a maternal mortality ratio
(MMR) of 160.3 deaths per 100 A thousand live births in 2013, 136.0 deaths per 100,000 live
births in 2014 and 121.9 deaths per 100,000 live births in 2015. We can say that the
epidemiological profile is not well defined, diverging with several Literatures. The main causes
of maternal mortality are in the world, in Brazil and especially in the metropolitan region I of
the state of Pará, the four apocalyptic horsemen, who kill women, Hypertensive Syndrome,
Hemorrhage, Sepsis and Abortion remain. That is, despite all the discussions on the subject, the
RMM does not diminish over the years, reinforcing the need for improvements in the state's
public health.
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