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Long‐term systematic records of cetacean strandings are valuable indicators of temporal responses of specific cetacean populations and communities to natural or anthropogenic pressures. They also help guide management objectives and conservation actions.Generalized additive models (GAMs) were used to analyse 10 years of systematic and opportunistic surveys of Guiana dolphin strandings in the Amazon Estuary region, Northern Brazil. The spatial distribution of strandings was assessed through kernel density maps, and age‐at‐death structure of this population was described.The model results revealed marked seasonality in the strandings and, by extension, the mortality of Guiana dolphins in the Amazon Estuary. This seasonality varied between the inner estuarine regions and Atlantic coastal area, reflecting the environment's characteristics. Long‐term decline of strandings in the Amazon Estuary inner region and unusual high mortality of young sexually mature individuals were detected. These results, besides the high stranding rate detected for the species, are mostly attributed to the species' interaction with intense fishing activity in the region.Conservation efforts should consider the seasonality of Guiana dolphin strandings in the Amazon Estuary. The systematic monitoring of strandings, especially in high‐frequency areas, is recommended for assessing long‐term species mortality. Additionally, implementing management actions related to the species' interaction with fishing activities, such as regulatory enhancements, gillnet modifications and seasonal no‐fishing zones, is advised. Educational campaigns targeting fishermen and riverine communities are essential to reduce bycatch and the folkloric use of the species.This study underscores the effectiveness of stranding data as a source of biological and ecological information, and as a tool for understanding human actions affecting coastal populations of aquatic mammals. It emphasizes the need for urgent studies to characterize this population, clarify the influence of bycatch as an anthropogenic pressure and implement effective conservation actions to preserve the Guiana dolphin population. [ABSTRACT FROM AUTHOR]