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Published on: October 10, 2025
Temporal Evolution of Maternal Mortality: 1980-2019.
Janete Vettorazzi1,2, Edimárlei Gonsales Valério1,2, Maria Alexandrina Zanatta1
1Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Maternal deaths significantly decreased between 2000-2018 compared to earlier periods, with hypertension remaining a key cause. Infectious causes of maternal mortality saw a notable reduction.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Maternal mortality remains a critical public health concern globally.
- Understanding trends in maternal deaths is crucial for improving healthcare interventions.
- Previous studies at Hospital de Clínicas de Porto Alegre (HCPA) documented maternal mortality rates and causes.
Purpose of the Study:
- To analyze the profile of maternal deaths at HCPA between 2000 and 2019.
- To compare contemporary maternal death data with historical data from 1980-1999.
- To identify changes in causes and rates of maternal mortality over two decades.
Main Methods:
- A retrospective study of 2,481 medical records of women aged 10-49 who died between 2000 and 2018.
- Identification of maternal deaths occurring during pregnancy or postpartum.
- Comparison of findings with a previous study from the same institution.
Main Results:
- A maternal mortality ratio of 37.6 per 100,000 live births was observed.
- Hypertension during pregnancy (31.2%) and acute liver steatosis (25%) were the leading causes of maternal death.
- A significant decrease in maternal deaths due to infectious causes was noted compared to the 1980-1999 period.
Conclusions:
- There has been a substantial reduction in maternal mortality at HCPA.
- Infectious causes of maternal death have significantly decreased.
- Hypertensive disorders remain a primary concern in maternal mortality.
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