Factors associated with death among postpartum women with COVID-19: a Brazilian population-based study
DOI:
https://doi.org/10.1590/1518-8345.5446.3507Keywords:
Coronavirus Infections; Pandemic; Postpartum Period; Maternal Death; Clinical Evolution; Nursing Care.Abstract
Objective: to identify the factors associated with death due
to COVID-19 among Brazilian postpartum women in the first
five months of the pandemic and five subsequent months, and
describe the sociodemographic and clinical characteristics of
postpartum women who developed the disease. Method: crosssectional
population-based study using a secondary database
available in the Sistema de Informação de Vigilância
Epidemiológica da Gripe -SIVEP-Gripe (Influenza Epidemiological
Surveillance Information System), Brazilian Ministry of Health. A
total of 869 postpartum women were included, and the analysis
considered the first five months of the pandemic and subsequent
five months. Association between the variables of interest
and outcome (death due to COVID-19/cure) was investigated
using logistic regression. Results: most participants were aged
between 20 and 34, of mixed race or Caucasian, and lived in the
urban/peri-urban area. The proportion of deaths was 20.2% in
the first period and 11.2% in the second. The likelihood of death
increased in both periods due to the presence of respiratory
signs and symptoms: dyspnea, respiratory distress, and oxygen
saturation below 95%, in addition to the need for ventilatory
support and intensive care. Conclusion: the proportion of
deaths among postpartum women was high and decreased in
the second period under study. Respiratory signs and symptoms,
mechanical ventilation, and intensive care were associated with
death in both periods.
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