Regional and racial inequalities in maternal deaths from abortion in Brazil (2015-2023): cross-sectional epidemiological analysis
DOI:
https://doi.org/10.59464/2359-4632.2025.3698Keywords:
Abortion, Women's Health, Maternal Mortality, Health Information SystemsAbstract
Objective: Analyze maternal deaths and deaths from abortions of women of reproductive age in Brazil between 2015 and 2023. Method: A cross-sectional, descriptive and exploratory population-based study, with data extracted from the TabNet database of the Brazilian National Health System (DATASUS). Maternal deaths whose cause was categorized as abortion (ICD-10 O003 to O07) were included. Incomplete data was excluded. Descriptive analysis included demographic and social variables, and EPI-INFO 7.2® software was used for statistical calculations. Results: There was a higher concentration of deaths among women aged 40-49, with a predominance of maternal deaths in the 30-39 age group. Brown and single women were the most affected. The Southeast had the highest number of deaths, followed by the Northeast. Deaths in hospitals predominated, but deaths also occurred in homes and other places. Infectious and hemorrhagic complications were frequent in abortion cases. Conclusion: The data reveal regional and racial inequalities in maternal mortality, as well as highlighting the vulnerability of women with low levels of schooling and limited family support. The analysis emphasizes the need for public policies to improve access to reproductive health care and the importance of interventions targeting specific groups to reduce maternal mortality in Brazil.
Keywords: Abortion; Women's Health; Mortality; Maternal Mortality; Information Systems
References
World Health Organization. Maternal mortality declined by 34 per cent between 2000 and 2020. Geneva, 2023. https://data.unicef.org/topic/maternal-health/maternal-mortality/
Ganatra B, Gerdts C, Rossier C, Johnson BR Jr, Tuncalp O, Assifi A, et al. Global, regional, and subregional classification of abortions by safety, 2010–14: Estimates from a Bayesian hierarchical model. Lancet. 2017;390(10110):2372–81
Sedgh G, Bearak J, Singh S, Bankole A, Popinchalk A, Ganatra B, et al. Abortion incidence between 1990 and 2014: Global, regional, and subregional levels and trends. Lancet. 2016;388(10041):258–67
Berer M. Abortion Law and Policy Around the World: In Search of Decriminalization. Health Hum Rights. 2017;19(1):13–27
Shah IH, Åhman E. Unsafe abortion: global and regional incidence, trends, consequences, and challenges. J Obstet Gynaecol Can. 2009;31(12):1149–58
Grimes DA, Benson J, Singh S, Romero M, Ganatra B, Okonofua FE, et al. Unsafe abortion: the preventable pandemic. Lancet. 2006;368(9550):1908–19
Lemos A. Direitos sexuais e reprodutivos: percepção dos profissionais da atenção primária em saúde. Saúde debate [Internet]. 2014Apr;38(101):244–53. https://doi.org/10.5935/0103-1104.20140022
Ávila MB. Direitos sexuais e reprodutivos: desafios para as políticas de saúde. Cad Saúde Pública [Internet]. 2003;19:S465–9. https://doi.org/10.1590/S0102-311X2003000800027
Conselho Federal de Enfermagem. Uma mulher morre a cada 2 dias por aborto inseguro, diz Ministério da Saúde. 2018. https://www.cofen.gov.br/uma-mulher-morre-a-cada-2-dias-por-causa-do-aborto-inseguro-diz-ministerio-da-saude/
Academia Brasileira de Ciências. A Violação dos Direitos Humanos e a Revitimização das Mulheres no PL 1904/2024. 18 de junho de 2024. https://www.abc.org.br/2024/06/18/a-violacao-dos-direitos-humanos-e-a-revitimizacao-das-mulheres-no-pl-1904-2024/
Silva SG da. Preconceito e discriminação: as bases da violência contra a mulher. Psicol cienc prof [Internet]. 2010Sep;30(3):556–71. https://doi.org/10.1590/S1414-98932010000300009
Silva SG da. Preconceito e discriminação: as bases da violência contra a mulher. Psicol cienc prof [Internet]. 2010Sep;30(3):556–71. https://doi.org/10.1590/S1414-98932010000300009
Barros AT de, Busanello E. Machismo discursivo: modos de interdição da voz das mulheres no parlamento brasileiro. Rev Estud Fem [Internet]. 2019;27(2):e53771. https://doi.org/10.1590/1806-9584-2019v27n253771
Mello DM, Souza JD da S. A devastação no masculino e a violência contra o feminino nas mulheres. Rev latinoam psicopatol fundam [Internet]. 2021Oct;24(4):749–75. https://doi.org/10.1590/1415-4714.2021v24n4p749.13
Torrão Filho A. Uma questão de gênero: onde o masculino e o feminino se cruzam. Cad Pagu [Internet]. 2005Jan;(24):127–52. https://doi.org/10.1590/S0104-83332005000100007
Teixeira JM da S, Paiva SP. Violência contra a mulher e adoecimento mental: Percepções e práticas de profissionais de saúde em um Centro de Atenção Psicossocial. Physis [Internet]. 2021;31(2):e310214. https://doi.org/10.1590/S0103-73312021310214
Netto L de A, Moura MAV, Queiroz ABA, Tyrrell MAR, Bravo M del MP. Violence against women and its consequences. Acta paul enferm [Internet]. 2014Sep;27(5):458–64. https://doi.org/10.1590/1982-0194201400075
Pamplona MA, Damasceno R dos S, Cattaneo SG de A, de Holanda JRC, Coelho NC, Alonso TD, Campos GB, Rezende ME de C. Perfil da mortalidade materna no sudeste brasileiro. Braz. J. Hea. Rev. [Internet]. 2023 May 12;6(3):9439-48. https://doi.org/10.34119/bjhrv6n3-083
Assis FH dos S, Gonçalves LMB, Peixoto Y da S, Santos CM dos, Palermo TA de C. Epidemiologia da morte materna no Sudeste do Brasil. POBS [nternet]. 17º de julho de 2024;13(47):1-10. https://doi.org/10.25242/8868134720232666
Alves LB, Costa HDM, Catao JR, Oliveira AF dos SM, Trabulsi RK, Almeida BGD, Sousa CE da S, Nicolau ADMF, Soares RA, Costa S de S. Analysis of Maternal Mortality in Northeast Brazil between 2010 and 2019 . RSD [Internet]. 2022Aug.13;11(11):e01111132427. https://doi.org/10.33448/rsd-v11i11.32427
Santos SM dos, Guimarães MJB, Araújo TVB de. Desigualdades raciais na mortalidade de mulheres adultas no Recife, 2001 a 2003. Saude soc [Internet]. 2007May;16(2):87–102. https://doi.org/10.1590/S0104-12902007000200009
Martins AL. Mortalidade materna de mulheres negras no Brasil. Cad Saúde Pública [Internet]. 2006Nov;22(11):2473–9. https://doi.org/10.1590/S0102-311X2006001100022
Teixeira NZF, Pereira WR, Barbosa DA, Vianna LAC. Mortalidade materna e sua interface com a raça em Mato Grosso. Rev Bras Saude Mater Infant [Internet]. 2012Jan;12(1):27–35. https://doi.org/10.1590/S1519-38292012000100003
Pícoli RP, Cazola LH de O, Lemos EF. Maternal mortality according to race/skin color in Mato Grosso do Sul, Brazil, from 2010 to 2015. Rev Bras Saude Mater Infant [Internet]. 2017Oct;17(4):729–37. https://doi.org/10.1590/1806-93042017000400007
Goes EF, Menezes GMS, Almeida M-da-CC, Araújo TVB de, Alves SV, Alves MTSSB e, et al. Vulnerabilidade racial e barreiras individuais de mulheres em busca do primeiro atendimento pós-aborto. Cad Saúde Pública [Internet]. 2020;36:e00189618. https://doi.org/10.1590/0102-311X00189618
Diniz D, Medeiros M, Souza PHGF de, Goés E. Aborto e raça no Brasil, Pesquisa Nacional de Aborto 2016 a 2021. Ciênc saúde coletiva [Internet]. 2023Nov;28(11):3085–92. https://doi.org/10.1590/1413-812320232811.14062023
Feitosa-Assis AI, Santana VS. Ocupação e mortalidade materna no Brasil. Rev Saude Publica. 2020;54:64. http://doi.org/10.11606/s1518-8787.2020054001736
Menezes, GMS. et al. Aborto e saúde no Brasil: desafios para a pesquisa sobre o tema em um contexto de ilegalidade. Cadernos de Saúde Pública [online]. v. 36, n. Suppl 1, e00197918. https://doi.org/10.1590/0102-311X00197918
Cardoso BB, Vieira FM dos SB, Saraceni V. Aborto no Brasil: o que dizem os dados oficiais?. Cad Saúde Pública [Internet]. 2020;36:e00188718. https://doi.org/10.1590/01002-311X00188718
Adesse L, Silva KS da, Bonan C, Fonseca VM. Complicações do abortamento e assistência em maternidade pública integrada ao Programa Nacional Rede Cegonha. Saúde debate [Internet]. 2015Jul;39(106):694–706. https://doi.org/10.1590/0103-1104201510600030011
Nunes M das DS, Madeiro A, Diniz D. Mortes maternas por aborto entre adolescentes no Piauí, Brasil. Saúde debate [Internet]. 2019Oct;43(123):1132–44. https://doi.org/10.1590/0103-1104201912312
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