Evidence map›Paper›PMID 41191696›Full record

ArticleRevista latino-americana de enfermagem2025

Analysis of the influence of the COVID-19 pandemic on maternal mortality trends, 2011-2021.

Mariana Vitor Peppe, Fernanda Bruzadelli Paulino da Costa, Livia Sanches Pedrilio, Caio Antonio de Campos Prado, Ana Cyntia Paulin Baraldi, Juliana Stefanello

Abstract read
In one paragraph

Article in Revista latino-americana de enfermagem, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mariana Vitor PeppeUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.ORCID 0000-0001-6274-4900
Fernanda Bruzadelli Paulino da CostaUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.ORCID 0000-0001-5310-5592
Livia Sanches PedrilioSociedade Beneficente Israelita Brasileira Albert Einstein, Escritório de Excelência, São Paulo, SP, Brazil.ORCID 0000-0003-3422-0071
Caio Antonio de Campos PradoFundação de Apoio ao Ensino, Pesquisa e Assistência, Centro de Referência da Saúde da Mulher-Mater, Ribeirão Preto, SP, Brazil.ORCID 0000-0003-1767-4725
Ana Cyntia Paulin BaraldiUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.ORCID 0000-0002-6405-6164
Juliana StefanelloUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.ORCID 0000-0003-3926-0144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

to analyze the time-series trend for maternal mortality before and during the COVID-19 pandemic. ecological time-series study in the state of São Paulo and in its seventeen Regional Health Departments. Collection of secondary data provided by the Ministry of Health. Study variables: total, direct and indirect maternal mortality ratios. Analysis was performed by segmented regression model. maternal mortality ratio trends were stationary in 2011-2019, followed by a 25.6% increase in 2019-2021. The direct maternal mortality ratio had an upward trend of 7.2% in 2011-2017 and a stationary trend in 2017-2021. The indirect maternal mortality ratio was stationary in 2011-2019, followed by a 70.5% increase in 2019-2021. The regional health departments of the Metropolitan Area of São Paulo, Araçatuba, Bauru, Campinas, Presidente Prudente, São João da Boa Vista, São José do Rio Preto and Sorocaba showed an upward trend for maternal mortality in 2011-2021. the COVID-19 pandemic severely influenced the increase in maternal mortality, especially from indirect causes, with 2021 being the worst year in the time series. The findings were important to assist in the organization of maternal mortality reduction strategies by directing them to priority areas.

Indexed as

COVID-19Maternal MortalityBrazilFemaleHumansPandemicsPregnancyTime Factors

Identifiers

PMID41191696
PMCPMC12587756

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.