Banca de QUALIFICAÇÃO: LUANA VITÓRIA DA COSTA SILVA
Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.STUDENT : LUANA VITÓRIA DA COSTA SILVA
DATE: 27/02/2026
TIME: 16:00
LOCAL: MORTALIDADE MATERNA PRECOCE E TARDIA NO BRASIL: ANÁLISE TEMPORAL E ESPACIAL, 20122024
TITLE:
EARLY AND LATE MATERNAL MORTALITY IN BRAZIL: TEMPORAL AND SPATIAL ANALYSIS, 2012–2024
KEY WORDS:
Maternal Mortality; Health Information Systems; Postpartum Period.
PAGES: 70
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:
Introduction: Maternal mortality remains an important indicator of health conditions and the quality of obstetric care. Maternal deaths are classified as early when they occur during pregnancy or up to 42 days after its termination, and as late when they occur between 43 days and less than one year after the end of pregnancy, excluding deaths due to external causes. The differentiated analysis of these periods allows the identification of specific vulnerabilities within the pregnancy–puerperal cycle. Objective: To analyze the temporal trend and spatial pattern of early and late maternal mortality rates in Brazil from 2012 to 2024. Methods: This is a dissertation in article-based format comprising two population-based ecological studies. The first study consists of a time-series analysis of early and late maternal mortality ratios among women aged 10 to 49 years, using data from the Mortality Information System and the Live Birth Information System. Trends were estimated using Joinpoint regression, calculating Annual Percent Change (APC), Average Annual Percent Change (AAPC), and 95% confidence intervals. Sociodemographic and healthcare-related variables were also analyzed. The second study, currently under development, examines the spatial distribution of maternal mortality rates in Brazil. Preliminary Results: A total of 15,482 maternal deaths were recorded in Brazil during the study period, of which 13,011 were early deaths (84.1%) and 2,471 were late deaths (15.9%). Increasing trends in early maternal mortality were observed in the states of Amapá (AAPC = 7.66%; 95% CI: 0.96–14.8), Rio Grande do Norte (AAPC = 6.45%; 95% CI: 2.26–10.81), and Santa Catarina (AAPC = 6.72%; 95% CI: 0.04–13.83). For late maternal mortality, increasing trends were identified in Pará (APC = 15.13; 95% CI: 4.9–26.3), Ceará (APC = 15.95; 95% CI: 2.0–31.7), Rio de Janeiro (APC = 7.9; 95% CI: 5.5–10.3), and São Paulo (APC = 15.5; 95% CI: 6.2–25.6). Deaths were more frequent among women aged 30–39 years, with 8–11 years of schooling, single marital status, and mixed race (“parda”). Most deaths occurred in hospital settings, particularly early deaths. A high proportion of cases were investigated in both groups. Final Considerations: The findings reveal regional heterogeneity and increasing trends in specific states, indicating weaknesses in obstetric care and postpartum follow-up, including beyond 42 days after childbirth. The continuation of the spatial analysis will allow a deeper understanding of territorial inequalities associated with early and late maternal mortality in the country.
COMMITTEE MEMBERS:
Presidente - 2507055 - CRISTIANE DA SILVA RAMOS MARINHO
Interno - 3359142 - MERCIO GABRIEL DE ARAUJO
Externa ao Programa - 1774309 - JANMILLI DA COSTA DANTAS SANTIAGO - UFRN