Prediction and secondary prevention of preeclampsia from the perspective of public health management – the initiative of the State of Rio de Janeiro - Revista Brasileira de Ginecologia e Obstetrícia

Prediction and secondary prevention of preeclampsia from the perspective of public health management – the initiative of the State of Rio de Janeiro |

At least in the last two decades, Brazil has established policies to reduce maternal mortality (MM). Despite international agreements, in which the Millennium Development Goals stand out, as well as proposed actions by the Rede Cegonha Program, it was impossible to achieve minimum MM indicators, even thought around 90% of these deaths are preventable.⁽⁾

This scenario worsened with the COVID-19 pandemic, resulting in a high maternal mortality (MM) rate in Brazil. Therefore, it established a great challenge to achieve the respective Sustainable Development Goals (SDGs), defined as an MM rate of 30 maternal deaths for every 100,000 live births by 2030.^(–) In Rio de Janeiro state, the MM scenario is drastic. Historically, the MM rate in the state of Rio de Janeiro was consistently above the SDGs’ agreement, and in 2021, it occupied the worst raking in the Southeast, with the 4th worst position in Brazil.^(,)

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