RT Journal Article
T1 Panorama of Two Decades of Maternal Deaths in Brazil: Retrospective Ecological Time Series
A1 Gonçalves dos Santos, Gustavo
A1 Gonçalves Vidotti, Giovana Aparecida
A1 Faria Ichikawa, Carolliny Rossi de
A1 Ferreira Lima, Cindy
A1 Almeida Dionizio, Leticia de
A1 Silva Maia, Janize
A1 Franco Zihlmann, Karina
A1 Oliveira Neto, Joaquim Guerra de
A1 Morais Nascimento, Wágnar Silva
A1 Ramos Cardoso, Alexandrina Maria
A1 Neves Carvalho, Júlia Maria das
A1 Lima Ferreira Santa Rosa, Patrícia
A1 Oliveira Mouta, Ricardo José
A1 Rodrigues Reis, Cesar Henrique
A1 Azevedo Aguiar, Cláudia de
A1 Souza Santos, Débora de
A1 Pereira da Silva, Bruno
A1 Lima Cordeiro da Silva, Anderson
A1 Silva do Nascimento, Edson
A1 Bermejo Gil, Beatriz Maria
A1 López Pedraza, Leticia
PB MPDI
SN 2039-439X
YR 2025
FD 2025-11-11
LK https://hdl.handle.net/20.500.14352/133290
UL https://hdl.handle.net/20.500.14352/133290
LA eng
NO dos Santos, G. G., Vidotti, G. A. G., Ichikawa, C. R. d. F., Lima, C. F., Dionizio, L. d. A., Maia, J. S., Zihlmann, K. F., Neto, J. G. d. O., Nascimento, W. S. M., Cardoso, A. M. R., Carvalho, J. M. d. N., Santa Rosa, P. L. F., Mouta, R. J. O., Reis, C. H. R., Aguiar, C. d. A., Santos, D. d. S., Silva, B. P. d., Silva, A. L. C. d., Nascimento, E. S. d., ... Pedraza, L. L. (2025). Panorama of Two Decades of Maternal Deaths in Brazil: Retrospective Ecological Time Series. Nursing Reports, 15(11), 396. https://doi.org/10.3390/nursrep15110396
NO Background: Maternal mortality remains a significant public health challenge in Brazil, reflecting persistent social, racial, and regional inequalities. Objectives: This study aimed to analyze trends and characteristics of maternal deaths in Brazil from 2000 to 2020, identifying sociodemographic and clinical risk factors. Methods: A retrospective, population-based study was conducted using secondary data from the Sistema de Informações sobre Mortalidade (SIM) of the Brazilian Ministry of Health. Descriptive and comparative statistical analyses were performed, including chi-square (χ2) goodness-of-fit tests and 95% confidence intervals calculated by the Wilson method. Variables were stratified by region, age, race, education, type and period of death, and investigation status. Results: A total of 40,907 maternal deaths were recorded. From 2000 to 2020, Brazil recorded 40,907 maternal deaths. The maternal mortality ratio decreased from approximately 74 deaths per 100,000 live births in 2000 to 57 per 100,000 in 2020, representing a 23% reduction over two decades. Most deaths occurred among young, Brown women with low education levels, particularly in the Southeast and Northeast regions. Direct obstetric causes accounted for two-thirds of cases, and most deaths occurred in hospital settings, mainly during the early puerperium. Conclusions: Despite progress, maternal mortality in Brazil remains above the WHO target and is strongly influenced by social inequities. Strengthening primary care, improving referral networks, expanding postpartum follow-up, and enhancing surveillance systems are essential for preventing avoidable deaths and achieving reproductive justice.
DS Docta Complutense
RD 20 mar 2026