EPIDEMIOLOGICAL ANALYSIS OF MATERNAL MORTALITY DUE TO COVID-19 AND ITS COMPLICATIONS BETWEEN APRIL 2020 AND JUNE 2021 IN BRAZIL

• DOI: 10.22533/at.ed.1593552320073

• Palavras-chave: COVID-19; maternal mortality; risk factors.

• Keywords: COVID-19; maternal mortality; risk factors.

• Abstract:

  Introduction: The SARS-CoV-2 pandemic that started in December 2019 triggered significant consequences in the economic, psychosocial and health fields on a global scale. With the increasing number of cases, it was possible to identify groups more vulnerable to morbidity and mortality, with the maternal population being a prominent community due to relevant clinical outcomes. Thus, the study in question will provide a comprehensive understanding of maternal mortality, exploring qualitative and quantitative data from financial, social and ethnic perspectives, so far scarce in the literature. Objective: To carry out an epidemiological analysis of maternal mortality due to complications of COVID-19. Materials and methods: This is a descriptive, cross-sectional and retrospective population cohort, carried out on the platforms SIVEP Gripe and ``Observatório Obstetrico Brasileiro`` COVID-19 in order to look for cases of pregnant and puerperal women from the 14th epidemiological week of 2020 to the 26th of 2021. race, area of residence, age group, type of ventilatory support, level of education, Brazilian regions, gestational trimester and puerperium. Results: This study found that education is not associated with maternal mortality (p-value > 0.05). On the other hand, the less developed areas - North, Northeast (RR 1.30 [CI95% 1.09-1.40]) and rural areas (RR 1.26 [CI95% 1.19-1.70]), respectively - are significantly related to higher mortality, as well as the brown (RR 1.13 [95%CI 1.02-1.26]) and black (RR 1.41 [95%CI 1.17-1.71]) populations., women aged over 35 years (RR 2.30 [95%CI 1.77-3.00]), pregnant women in the 2nd trimester (RR 1.61 [95%CI 1.26-2.06]), puerperium (RR 1.99 [95%CI 1.80-2.20]) and/or who were exposed to invasive procedures (RR 26.63 [95%CI 21.87-32.43]). Conclusion: The morbidity and mortality resulting from COVID-19 during pregnancy and the puerperium is directly associated with the sociodemographic and socioeconomic profiles evaluated in the research, except for the level of education. That said, it will be possible to direct measures to reduce maternal deaths related to SARS-CoV-2.