Maternal Mortality and the Public Health Service in Brazil

Sá, Marcos Felipe Silva de

doi:10.1055/s-0041-1736537

Cited by 1 publication

(1 citation statement)

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“…Strategies have been proposed to reduce maternal mortality. The main proposals are to improve access to health services and the quality of care from preconception to postpartum through prenatal care 27 , 28 . Considering that Black women have a higher risk of inadequate prenatal care and lack of attachment to motherhood 29 , reducing racial disparities in obstetric care is crucial for reducing maternal mortality.…”

Section: Discussionmentioning

confidence: 99%

Racial disparities and maternal mortality in Brazil: findings from a national database

Silva,

Guida,

Santos

et al. 2024

Rev. saúde pública

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OBJECTIVE: To assess maternal mortality (MM) in Brazilian Black, Pardo, and White women. METHODS: We evaluated the maternal mortality rate (MMR) using data from the Brazilian Ministry of Health public databases from 2017 to 2022. We compared MMR among Black, Pardo, and White women according to the region of the country, age, and cause. For statistical analysis, the Q2 test prevalence ratio (PR) and confidence interval (CI) were calculated. RESULTS: From 2017 to 2022, the general MMR was 68.0/100,000 live births (LB). The MMR was almost twice as high among Black women compared to White (125.81 vs 64.15, PR = 1.96, 95%CI:1.84–2.08) and Pardo women (125.8 vs 64.0, PR = 1.96, 95%CI: 1.85–2.09). MMR was higher among Black women in all geographical regions, and the Southeast region reached the highest difference among Black and White women (115.5 versus 60.8, PR = 2.48, 95%CI: 2.03–3.03). During the covid-19 pandemic, MMR increased in all groups of women (Black 144.1, Pardo 74.8 and White 80.5/100.000 LB), and the differences between Black and White (PR = 1.79, 95%CI: 1.64–1.95) and Black and Pardo (PR = 1.92, 95%CI: 1.77–2.09) remained. MMR was significantly higher among Black women than among White or Pardo women in all age ranges and for all causes. CONCLUSION: Black women presented higher MMR in all years, in all geographic regions, age groups, and causes. In Brazil, Black skin color is a key MM determinant. Reducing MM requires reducing racial disparities.

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Section: Discussionmentioning

confidence: 99%