Author:

• Breno Gonçalves da Silva - Silva, BG - <brenogonacalves@id.uff.br>
ORCID: https://orcid.org/0009-0006-3454-2408

Co-author(s):

• Guilherme Marins Lima Sousa - Sousa, GML - <marinsguilherme@id.uff.br>
ORCID: https://orcid.org/0009-0004-8533-9747
• Raquel Luiz Queres - Queres, RL - <raquelqueres@id.uff.br>
ORCID: https://orcid.org/0009-0007-8081-9807
• Laila Pimentel Lourenço - Lourenço, LP - <lailalourenco@id.uff.br>
ORCID: https://orcid.org/0009-0005-2980-5579
• Mariana Ponciano Oliveira Martins - Martins, LPOM - <marianaponciano@id.uff.br>
ORCID: https://orcid.org/0000-0002-1299-9945
• Sandra Costa Fonseca - Fonseca, SC - <sandrafonseca@id.uff.br>
ORCID: https://orcid.org/0000-0001-5493-494X
• Cynthia Boschi-Pinto - Boschi-Pinto, C. - <cboschi200@gmail.com>
ORCID: https://orcid.org/0000-0002-0069-7974
• Helia Kawa - Kawa, H - <hkawa@id.uff.br>
ORCID: https://orcid.org/0000-0003-0864-804X

Abstract:

Maternal mortality is a serious public health problem in Brazil, particularly in the state of Rio de Janeiro, which holds the worst position in the Southeast Region.
The objective of the study is to analyze maternal mortality trends according to its main causes and race in the state of Rio de Janeiro,2008 to 2021. It is an ecological time series study, with secondary datahealth information systems. The classification of maternal causes of death was the ICD-MM, proposed by WHO. The annual percentage change was determined, using Joinpoint regression analysis. From 2008 to 2021, 2522 maternal deaths occurred, with the Maternal Mortality Ratio (MMR) ranging81.6 to 131.9 for every 100,000 live births (LB). The main trend pattern was stability for both total and race specific RMM, except for browns, whose RMM showed a decreasing trend between 2008 and 2016. Racial inequalities were evident, and MMR was highest for black women throughout the entire period. The current scenario is still farthat proposed by the Brazilian Ministry of Health of 30/100,000 LB by 2030, especially due to the influence of the pandemic and of racial inequalities on maternal health indicators.

Keywords:

Maternal Mortality, Cause of Death, Health status disparities, Racial groups, Time Series Studies.

Content:

Access Issue in Scielo

Other languages: