> Details

Souza, Renato T.; Cecatti, Jose G.; Pacagnella, Rodolfo C.; Ribeiro-Do-Valle, Carolina C.; Luz, Adriana G.; Lajos, Giuliane J.; Nobrega, Guilherme M.; Griggio, Thayna B.; Charles, Charles M.; Bento, Silvana F.; Silveira, Carla; Surita, Fernanda G.; Miele, Maria J.; Tedesco, Ricardo P.; Fernandes, Karayna G.; Martins-Costa, Sérgio H. A.; Peret, Frederico J. A.; Feitosa, Francisco E.; Mattar, Rosiane; Traina, Evelyn; Cunha Filho, Edson V.; Vettorazzi, Janete; Haddad, Samira M.; Andreucci, Carla B.; [...]

The COVID-19 pandemic in Brazilian pregnant and postpartum women: results from the REBRACO prospective cohort study

Reference
management

Bookmarks

Remove from
bookmarks

Share this on Whatsapp

Close

Bookmarks



You can manage bookmarks using lists, please log in to your user account for this.
  • Media type: E-Article
  • Title: The COVID-19 pandemic in Brazilian pregnant and postpartum women: results from the REBRACO prospective cohort study
  • Contributor: Souza, Renato T.; Cecatti, Jose G.; Pacagnella, Rodolfo C.; Ribeiro-Do-Valle, Carolina C.; Luz, Adriana G.; Lajos, Giuliane J.; Nobrega, Guilherme M.; Griggio, Thayna B.; Charles, Charles M.; Bento, Silvana F.; Silveira, Carla; Surita, Fernanda G.; Miele, Maria J.; Tedesco, Ricardo P.; Fernandes, Karayna G.; Martins-Costa, Sérgio H. A.; Peret, Frederico J. A.; Feitosa, Francisco E.; Mattar, Rosiane; Traina, Evelyn; Cunha Filho, Edson V.; Vettorazzi, Janete; Haddad, Samira M.; Andreucci, Carla B.; [...]
  • Published: Springer Science and Business Media LLC, 2022
  • Published in: Scientific Reports, 12 (2022) 1
  • Language: English
  • DOI: 10.1038/s41598-022-15647-z
  • ISSN: 2045-2322
  • Keywords: Multidisciplinary
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:p>Brazil presented a very high number of maternal deaths and evident delays in healthcare. We aimed at evaluating the characteristics of SARS-CoV-2 infection and associated outcomes in the obstetric population. We conducted a prospective cohort study in 15 Brazilian centers including symptomatic pregnant or postpartum women with suspected COVID-19 from Feb/2020 to Feb/2021. Women were followed from suspected infection until the end of pregnancy. We analyzed maternal characteristics and pregnancy outcomes associated with confirmed COVID-19 infection and SARS, determining unadjusted risk ratios. In total, 729 symptomatic women with suspected COVID-19 were initially included. Among those investigated for COVID-19, 51.3% (n = 289) were confirmed COVID-19 and 48% (n = 270) were negative. Initially (before May 15th), only 52.9% of the suspected cases were tested and it was the period with the highest proportion of ICU admission and maternal deaths. Non-white ethnicity (RR 1.78 [1.04–3.04]), primary schooling or less (RR 2.16 [1.21–3.87]), being overweight (RR 4.34 [1.04–19.01]) or obese (RR 6.55 [1.57–27.37]), having public prenatal care (RR 2.16 [1.01–4.68]), planned pregnancies (RR 2.09 [1.15–3.78]), onset of infection in postpartum period (RR 6.00 [1.37–26.26]), chronic hypertension (RR 2.15 [1.37–4.10]), pre-existing diabetes (RR 3.20 [1.37–7.46]), asthma (RR 2.22 [1.14–4.34]), and anaemia (RR 3.15 [1.14–8.71]) were associated with higher risk for SARS. The availability of tests and maternal outcomes varied throughout the pandemic period of the study; the beginning was the most challenging period, with worse outcomes. Socially vulnerable, postpartum and previously ill women were more likely to present SARS related to COVID-19.</jats:p>
  • Access State: Open Access