Brazil’s Maternal Mortality Ratio May Be Substantially Higher Than Official Reports Because of Death Certificate Coding Errors
Highlights
In Brazil, 3,480 maternal deaths from 2010 to 2021 had pregnancy or puerperal status documented on the death certificate but were not coded as maternal deaths in the official system.
Reclassifying these uncoded deaths increased the median maternal mortality ratio from 58.2 to 67.5 per 100,000 live births, indicating meaningful national underreporting.
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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.