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TeleICU obstetrics: a strategy to decrease maternal mortality in Brazil
Carlos R R Carvalho1,2, Pedro Rizzi de Oliveira3, Thais Suemi Yokoyama3
1Saude Digital, Nucleo de Inovacao Tecnologica (InovaHC), Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Brazil carlos.carvalho@hc.fm.usp.br.
BMJ Global Health
|March 26, 2026
Summary
The TeleICU Obstetric project significantly reduced maternal mortality by 45% in Brazilian hospitals. This initiative demonstrates a feasible approach to improving maternal health outcomes in resource-limited settings.
Area of Science:
- Healthcare Innovation
- Maternal Health
- Telemedicine
Background:
- Elevated maternal mortality rates persist in Brazil despite existing initiatives.
- The TeleICU Obstetric (TIO) project was implemented to support intensive care units in key obstetric hospitals.
Purpose of the Study:
- To evaluate the impact of the TeleICU Obstetric (TIO) project on maternal mortality in Brazil.
- To assess the feasibility and scalability of the TIO project.
Main Methods:
- 25 Brazilian hospitals participated in the TIO program (April 2022-May 2024).
- The program involved multidisciplinary teletraining, specialist teleconsultations, and health indicator monitoring.
- Maternal mortality ratio (MMR) was compared pre- and post-intervention.
Main Results:
- A significant 45% reduction in MMR was observed (p<0.05).
- Pre-intervention MMR was 190, decreasing to 104 post-intervention.
- High satisfaction rates were reported for training modules.
Conclusions:
- The TIO project is a feasible and scalable solution for reducing maternal mortality.
- The model can be adapted for other low-resource countries facing similar challenges.
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