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The traditional prenatal care model has recently b een questioned. New strategies with less appointments which strictly include evide nce-based effective actions are being tested worldwide. In Brazil, works point flaws in the cont e of pregnancy-directed care. Aiming to analyze the evolution of prenatal care utilization n Brazil and its relation with maternal and neonatalmortality, we studied a time series from 19 96 to 2000 of prenatal care utilization in 22 Brazilian capitals, testing for its correlation with maternal and early neonatal mortality, low birth-weight and prematurity. The Ambulatory, H ospital, Mortality and Birth Information Systems were the databases. Correlation between ant en tal care utilization and the morbimortality indicators studied was not found. The def ici ncies of Brazilian prenatal care are discussed, as a possible explanation for the lack o f effectiveness in the reduction of unfavorable outcomes of pregnancy.

Efetividade da assistência pré-natal sobre a mortalidade materna e a morbi-mortalidade neonatal no Brasil