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Updated: Mar 28, 2026

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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
BrazilHealth education and promotionMaternal healthObstetricsTelemedicine

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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.