A new study has revealed the devastating toll of the COVID-19 pandemic on maternal health in Brazil. Researchers used advanced forecasting models and mortality data to uncover a staggering increase in maternal and comprehensive maternal deaths during the first two years of the pandemic. The findings highlight the immense challenges faced by Brazil’s healthcare system and the urgent need for targeted interventions to protect the lives of expectant and new mothers. This research serves as a critical wake-up call, underscoring the pandemic’s far-reaching consequences and the importance of prioritizing maternal care, especially in vulnerable regions. Maternal health and maternal mortality are crucial public health issues that require immediate attention.

Alarming Trends in Maternal Mortality
The COVID-19 pandemic has had a devastating impact on maternal health in Brazil, according to a comprehensive new study published in the journal Scientific Reports. Researchers used advanced forecasting models and mortality data to examine the pandemic’s toll on both maternal deaths and comprehensive maternal deaths, which include deaths up to one year after pregnancy.
The findings are truly staggering. The researchers found that the observed maternal mortality ratio (MMR) in 2021 was more than double the predicted MMR based on pre-pandemic trends. Comprehensive maternal deaths, which provide a broader measure of the pandemic’s impact, followed a similar trajectory, with the observed number in 2021 more than twice the predicted value.
Disproportionate Burden on Vulnerable Regions
The study also revealed significant regional disparities in maternal mortality across Brazil. The researchers calculated standardized mortality ratios (SMRs) for both maternal and comprehensive maternal deaths, which showed that the southern and central-west regions experienced the largest relative increases during the pandemic.
These regional differences highlight the persistent social and economic inequities that have long plagued Brazil’s healthcare system, with the country’s poorer northern and northeastern areas bearing a disproportionate burden of maternal deaths.

COVID-19’s Direct and Indirect Impacts
Interestingly, the researchers found that direct COVID-19-related maternal deaths did not account for the majority of the excess mortality observed. This suggests that the pandemic’s indirect effects, such as disruptions to prenatal care and the overwhelming strain on the healthcare system, played a significant role in the tragic increase in maternal and comprehensive maternal deaths.
The study’s findings underscore the need for targeted interventions to improve access to high-quality maternal care, especially in the regions most affected by the pandemic’s impact. This may include increased investment in community-based healthcare programs, better coordination between local and national authorities, and targeted public health campaigns to encourage COVID-19 vaccination among pregnant and postpartum individuals.
A Call to Action for Maternal Health
The COVID-19 pandemic has shone a spotlight on the persistent challenges facing maternal healthcare in Brazil. This new research serves as a sobering reminder of the devastating toll that the pandemic has taken on expectant and new mothers, particularly in the country’s most vulnerable regions.
By addressing the underlying inequities and strengthening the healthcare system’s capacity to support maternal health, Brazil can work towards its goal of reducing maternal mortality and improving outcomes for women and their families. This study underscores the urgent need for a comprehensive, coordinated response to protect the lives of mothers during and beyond the pandemic.
Author credit: This article is based on research by Mary Catherine Cambou, Hollie David, Corrina Moucheraud, Karin Nielsen-Saines, Warren Scott Comulada, James Macinko.
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