Perfil da mortalidade materna por aborto no Paraná: 2003-2005 Perfil de la mortalidad materna, por aborto en el Paraná: 2003-2005 Characteristics of maternal mortality by abortion in Parana: 2003-2005

Estudo descritivo cujo objetivo foi identificar o perfil das mulheres que tiveram como causa de morte o aborto, no Estado do Paraná, no período entre 2003 e 2005, com destaque para aspectos sociodemográficos, reprodutivos e relacionados à assistência prestada. Os dados foram obtidos a partir dos estudos de série de casos de óbitos maternos elaborados pelo Comitê Estadual de Prevenção da Mortalidade Materna/Paraná. Foram analisados 17 casos. Os resultados apontaram que 88% dos óbitos poderiam ter sido evitados. O aborto seguido de infecção (59%) foi a causa básica de maior concentração entre as mortes. As mulheres jovens, casadas, com baixo status socioeconômico e reprodutivo foram as mais atingidas. Reafirma-se a importância do acesso a bens sociais, da redução das desigualdades sociais e da educação em saúde voltada para o planejamento reprodutivo de qualidade.<br>Estudio descriptivo cuyo objetivo fue identificar las características de las mujeres que tuvieron como causa de muerte el aborto en el estado de Paraná en el período entre 2003 a 2005, con destaque para aspectos sociodemográficos, reproductivos y al cuidado que recibieron. Los datos fueron obtenidos con la serie de casos de óbitos maternos elaborados por el Comité Estadual de Prevención de la Mortalidad Materna/Paraná. Fueron analizados 17 casos. Los resultados mostraron que 88% de los óbitos podrían haber sido evitados. El aborto seguido de infección (59%) fue a causa básica de mayor concentración, entre las muertes evitables. Las mujeres jóvenes, casadas; con bajo status socioeconómico y reproductivo fueron las más alcanzadas. Se reafirma la importancia del acceso a bienes sociales y a la educación sanitaria hacia un planeamiento reproductivo calificado.<br>A descriptive study whose objective was to identify the characteristics of women who died while having an abortion in the state of Parana between 2003 and 2005, outlining the sociodemographical, reproductive aspects and to the care received. The data was obtained from case series of maternal mortality by the State Committee of Maternal Death Prevention/Parana. There were seventeen cases analyzed and the figures showed 88% of them could have been avoided. The abortion cases followed by infection (59%) were the basic cause of the major concentration of avoidable mortalities. Young married women with a low socio-economic status and fertility were the most affected. This way, it reaffirms the importance of access to social welfare and to health education towards a qualified reproductive planning

A good death – can the concept be applied to anatomy?

The importance of patient‐centered decisions is embedded throughout clinical practice. The principle that the patient is at the center of all decisions has helped form the contemporary approach to death and dying. The concept of a ‘good death’ will naturally mean different things to different individuals, but is based on the foundation of being pain free, comfortable and able to make informed decisions. Potential donors are faced with many personal, ethical and often spiritual considerations when they come to think about their wishes after death. One consideration is that of a ‘good death’. This article explores how the concept of a ‘good death’ may be applied to anatomy. Where first person consent is in place, the motivating factors frequently include the wish for others to learn from the donation, and this notion may form part of the ‘good death’ for the donor. Such motivations may impact positively on how students feel about dissecting and may provide comfort, assuaging feelings of discomfort and allowing students to focus on anatomical learning. For donors where second person consent is in place, the concept of a ‘good death’ must depend on whether the individual wanted to donate their body in the first instance. The notion of a ‘bad death’ may also be considered with body donation where no consent for donation is in place. This article proposes that there is ultimately a place for the concept that a ‘good death’ may involve an individual donating their body to medical education