Year: 2025
Type: article
Study design: Observational Study
Abstract: 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 cohort study was conducted using secondary data from the Mortality Information System. Descriptive and comparative statistical analyses were performed, stratifying variables such as region, age, ethnicity, education, type and period of death, and investigation status. Results: A total of 40,907 maternal deaths were recorded. Most deaths occurred among young, brown-skinned women with low education levels, particularly in the Southeast and Northeast regions. Direct obstetric causes were predominant, and most deaths occurred in hospital settings. Conclusions: Maternal mortality in Brazil is preventable and deeply influenced by structural inequities. Improving maternal care, enhancing surveillance, and addressing social determinants are critical for meeting Sustainable Development Goals and ensuring reproductive justice.
Source: Nursing Reports
Authors: Gustavo Gonçalves dos Santos, Giovana Aparecida Gonçalves Vidotti, Tatiana Carvalho de Souza Bonetti, Carolliny Rossi de Faria Ichikawa, Cindy Ferreira Lima, Leticia de Almeida Dionizio, Janize Silva Maia, Karina Franco Zihlmann, Joaquim Guerra de Oliveira Neto, Wágnar Silva Morais Nascimento, Alexandrina Maria Ramos Cardoso, Júlia Maria das Neves Carvalho, Patrícia Lima Ferreira Santa Rosa, Ricardo José Oliveira Mouta, Cesar Henrique Rodrigues Reis, Cláudia de Azevedo Aguiar, Debora de Souza Santos, Bruno Pereira da Silva, Anderson Lima Cordeiro da Silva, Edson Silva do Nascimento, Beatriz María Bermejo-Gil, Letícia López Pedraza
Institutions: Universidade Federal de São Paulo, Faculdade de Medicina do ABC, Universidade de Santo Amaro, Universidade Federal do Norte do Tocantins, Universidade Federal do Piauí, Escola Superior de Enfermagem da Universidade do Porto, Escola Superior de Enfermagem de Coimbra, Universidade de São Paulo, Universidade do Estado do Rio de Janeiro, Universidade Federal de Mato Grosso do Sul, Universidade Federal do Triângulo Mineiro, Universidade Estadual de Campinas (UNICAMP), Universidade Federal do Acre, Universidad de Salamanca, Universidad Complutense de Madrid
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,172
OpenAlex ID: W4416133455