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https://www.arca.fiocruz.br/handle/icict/43425
MATERNAL MORTALITY AND COVID-19
Coronavírus
Coronavírus da Síndrome Respiratória Aguda Grave 2
Gravidez
Pós-parto
Mortalidade materna
Coronavirus
Severe acute respiratory syndrome coronavirus 2
Pregnancy
Postpartum period
Maternal mortality
Author
Affilliation
São Paulo State University. Medical School of Botucatu. Botucatu, São Paulo, SP, Brazil.
São Paulo State University. Medical School of Botucatu. Botucatu, São Paulo, SP, Brazil.
Universidade Federal de São Carlos. Department of Medicine. São Carlos, SP, Brazil.
Universidade Federal de Santa Catarina. Department of Gynecology and Obstetrics. Florianópolis, SC, Brazil.
Universidade Federal do Ceara. Department of Obstetrics and Gynecology. Fortaleza, CE, Brazil.
Instituto de Medicina Integral Professor Fernando Figueira. Recife, PE, Brazil.
Universidade Federal da Paraíba. Division of Obstetrics and Gynecology. João Pessoa, PB, Brazil.
São Paulo State University. Medical School of Botucatu. Botucatu, São Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.
Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Rio de Janeiro, RJ, Brazil.
Universidade Federal de Campina Grande. Department of Obstetrics and Gynecology. Campina Grande, PB, Brazil.
Instituto de Medicina Integral Professor Fernando Figueira. Recife, PE, Brazil.
São Paulo State University. Medical School of Botucatu. Botucatu, São Paulo, SP, Brazil.
Universidade Federal de São Carlos. Department of Medicine. São Carlos, SP, Brazil.
Universidade Federal de Santa Catarina. Department of Gynecology and Obstetrics. Florianópolis, SC, Brazil.
Universidade Federal do Ceara. Department of Obstetrics and Gynecology. Fortaleza, CE, Brazil.
Instituto de Medicina Integral Professor Fernando Figueira. Recife, PE, Brazil.
Universidade Federal da Paraíba. Division of Obstetrics and Gynecology. João Pessoa, PB, Brazil.
São Paulo State University. Medical School of Botucatu. Botucatu, São Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.
Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Rio de Janeiro, RJ, Brazil.
Universidade Federal de Campina Grande. Department of Obstetrics and Gynecology. Campina Grande, PB, Brazil.
Instituto de Medicina Integral Professor Fernando Figueira. Recife, PE, Brazil.
Abstract
Objective: The aim of this study was to collect and analyze data from different sources to have a general overview of COVID-19-related maternal deaths in Brazil, as well as to compare data with worldwide reports. Study design: We systematically searched data about COVID-19 maternal deaths from the Brazilian Ministry of Health surveillance system, State Departments of Health epidemiological reports, and media coverage. Data about timing of symptom onset and death (pregnancy or postpartum), gestational age, mode of birth, maternal age, comorbidities and/or risk factors, date of death, and place of death were retrieved when available. Results: We identified 20 COVID-19-related maternal deaths, age range 20–43 years. Symptoms onset was reported as on pregnancy for 12 cases, postpartum for 3 cases, and during the cesarean section for 1 case (missing data for 4). In 16 cases, death occurred in the postpartum period. At least one comorbidity or risk factor was present in 11 cases (missing data for 4). Asthma was the most common risk factor (5/11). Ten cases occurred in the Northeast region, and nine cases occurred in the Southeast region (5 of them in S~ao Paulo, the first epicenter of COVID-19 in the country). Conclusions: To the best of our knowledge, this is the largest available series of maternal deaths due to COVID-19. Barriers to access healthcare, differences in pandemic containment measures in the country and high prevalence of concomitant risk factors for COVID-19 severe disease may play a role in the observed disparity compared to worldwide reports on maternal outcomes.
Keywords in Portuguese
COVID-19Coronavírus
Coronavírus da Síndrome Respiratória Aguda Grave 2
Gravidez
Pós-parto
Mortalidade materna
Keywords
COVID-19Coronavirus
Severe acute respiratory syndrome coronavirus 2
Pregnancy
Postpartum period
Maternal mortality
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