Desigualdades raciais e etárias na mortalidade por hemorragia pós-parto no Brasil: estudo com dados do DATASUS
DOI:
https://doi.org/10.36557/2674-8169.2026v8n3p661-674Keywords:
Postpartum Hemorrhage, Maternal Mortality, Hemorrhage, Ethnicity, Maternal Age;Abstract
Background: Postpartum hemorrhage (PPH) is a leading cause of preventable maternal death and may mirror inequities in access to and quality of obstetric care. Objective: To assess racial and age-related inequalities in in-hospital mortality due to PPH in Brazil from 2015 to 2024. Methods: Observational retrospective study using secondary data from Brazil’s Hospital Information System of the Unified Health System (SIH/SUS-DATASUS). In-hospital admissions and deaths due to PPH (2015-2024) were included. Variables comprised deaths by race/skin color and admissions and deaths by age group. Descriptive analyses (absolute and relative frequencies) were performed, and in-hospital case fatality by age group was calculated (deaths/admissions ×100). Results: A total of 251 PPH deaths were identified. By race/skin color, deaths were more frequent among brown/mixed-race women (122; 48.6%) and white women (74; 29.5%), with 16 (6.4%) deaths among black women and 28 (11.2%) records with missing race/skin color. Admissions were concentrated in 20-29 years (11,673) and 30-39 years (8,281), whereas deaths predominated in 30-39 years (127; 51.0%), followed by 20-29 (65; 26.1%), 40-49 (36; 14.5%), and 15-19 (21; 8.4%). Case fatality increased with age: 0.57% (15-19); 0.56% (20-29); 1.53% (30-39); and 2.57% (40-49). Conclusion: PPH mortality clustered among brown/mixed-race women and case fatality rose markedly from age 30 onward, supporting the need for equity-oriented obstetric strategies and targeted surveillance for higher-risk groups.
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Copyright (c) 2026 Alana Beatriz Bueno Vieira, Lara Rufato Figueiredo, Roberta Wisch Sobiesiak, Juliana Paisana Del Quiqui, Maria Leticia Teixeira de Paiva, Amanda Simanavicius Pezzutti, Alana De Oliveira Vicentin, Thamera Gabriele Darmin, Felipe Roberto Volpato Pereira, Gregório dos Reis Veiga, Maria Luiza Prezybylski, Manuela das Neves Ribas , Anderson Avelino Tomaz , Isadora Fernandes Casotti, Gabriela Fernandes Gobor, Izadora Graça de Moura , Rafaela Marques Valone, Sophia Guimarães Barreto de Carvalho, Laura Willemann Furlanetto , Maria Eduarda dos Santos
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