ArticleScientific reports2024
Time series analysis of comprehensive maternal deaths in Brazil during the COVID-19 pandemic.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Beyond 42 Days: A National Cohort Study of Maternal and Late Maternal Deaths in Brazil from 2010 to 2023.Epidemiologia (Basel, Switzerland) · 2026Article
- Persistent subnational disparities in the recovery of maternal mortality magnitude in Brazil after the COVID-19 pandemic.BMC pregnancy and childbirth · 2026Article
- Binational Analysis of Maternal Mortality Between Brazil and Portugal in 2020-2023: A Population-Based Epidemiological Study.Nursing reports (Pavia, Italy) · 2026Article
- Mechanistic insights into the impact of prenatal viral infections on maternal and offspring immunity.Npj viruses · 2026Review
- Maternal Mortality Among Black Women in Brazil: A Retrospective Cohort Study.International journal of environmental research and public health · 2026Article
- Championing maternal health and reducing maternal mortality: a global multidisciplinary imperative.Scientific reports · 2025Article
- Article
- Trends in advanced maternal age pregnancies in Brazil: a time-series study (2011-2021).Revista da Associacao Medica Brasileira (1992) · 2025Article
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6 authors.
Funding
Abstract
The effects of the COVID-19 pandemic on comprehensive maternal deaths in Brazil have not been fully explored. Using publicly available data from the Brazilian Mortality Information (SIM) and Information System on Live Births (SINASC) databases, we used two complementary forecasting models to predict estimates of maternal mortality ratios using maternal deaths (MMR) and comprehensive maternal deaths (MMRc) in the years 2020 and 2021 based on data from 2008 to 2019. We calculated national and regional standardized mortality ratio estimates for maternal deaths (SMR) and comprehensive maternal deaths (SMRc) for 2020 and 2021. The observed MMRc in 2021 was more than double the predicted MMRc based on the Holt-Winters and autoregressive integrated moving average models (127.12 versus 60.89 and 59.12 per 100,000 live births, respectively). We found persisting sub-national variation in comprehensive maternal mortality: SMRc ranged from 1.74 (95% confidence interval [CI] 1.64, 1.86) in the Northeast to 2.70 (95% CI 2.45, 2.96) in the South in 2021. The observed national estimates for comprehensive maternal deaths in 2021 were the highest in Brazil in the past three decades. Increased resources for prenatal care, maternal health, and postpartum care may be needed to reverse the national trend in comprehensive maternal deaths.
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