5 (83) In stock
Background Most studies on the effects of SARS-CoV-2 infection have been conducted with adults and non-pregnant women. Thus, its impacts on maternal health are not yet fully established. This study aimed to verify the relationship between the maternal mortality ratio and the incidence of COVID-19 in the State of Bahia, Brazil, 2020. Methods This time-series study used publicly available information in Brazil, to obtain data on maternal deaths and live births in Bahia, State, from January 1, 2011, to December 31, 2020. The time trend of Maternal Mortality Ratio (MMR) was analysed through polynomial regression, of order 6. Expected MMR, monthly (Jan-Dec) and annual values for 2020, were predicted by the additive Holt-Winters exponential smoothing algorithm, with 95% confidence interval, based on the time series of the MMR from 2011 to 2019, and the accuracy of the forecasts for 2020 was assessed by checking the smoothing coefficients and the mean errors. According to the statistical forecast, the MMR values recorded in the year 2020 were compared to those expected. Results In 2020, the annual MMR in Bahia, Brazil, was 78.23/100,000 live births, 59.46% higher than the expected ratio (49.06 [95% CI 38.70–59.90]). The increase in maternal mortality ratio relative to expected values was observed throughout the 2020 months; however, only after May, when the COVID-19 epidemic rose sharply, it exceeded the upper limit of the 95% CI of the monthly prediction. Of the 144 registered maternal deaths in 2020, 19 (13.19%) had COVID-19 mentioned as the cause of death. Conclusions Our study revealed the increase in maternal mortality, and its temporal relationship with the incidence of COVID-19, in Bahia, Brazil, in 2020. The COVID-19 pandemic may be directly and indirectly related to this increase, which needs to be investigated. An urgent public health action is needed to prevent and reduce maternal deaths during this pandemic, in Brazil.
Healthcare utilization and maternal and child mortality during the COVID-19 pandemic in 18 low- and middle-income countries: An interrupted time-series analysis with mathematical modeling of administrative data
CoronaVac vaccine is effective in preventing symptomatic and severe COVID-19 in pregnant women in Brazil: a test-negative case-control study. - Abstract - Europe PMC
Effects of health education on spousal knowledge and participation in birth preparedness in Farafenni Regional Hospital, The Gambia: a randomized trial
PDF) OC04.04: Maternal mortality due to COVID‐19 in Brazil
Estimation of Basic Reproduction Number and Herd Immunity for COVID-19 in India
Maternal mortality during the COVID-19 pandemic in Mexico: a preliminary analysis during the first year, BMC Public Health
Modelling the economic burden of SARS-CoV-2 infection in health care workers in four countries
SciELO - Brasil - Análisis temporal de la mortalidad por causas evitables en las primeras 24 horas de vida, 2000-2021 Análisis temporal de la mortalidad por causas evitables en las primeras 24 horas de vida, 2000-2021
Maternal Health: Outcomes Worsened and Disparities Persisted During the Pandemic
SciELO - Brasil - Análisis temporal de la mortalidad por causas evitables en las primeras 24 horas de vida, 2000-2021 Análisis temporal de la mortalidad por causas evitables en las primeras 24 horas de vida, 2000-2021
The COVID-19 crisis will exacerbate maternal and child undernutrition and child mortality in low- and middle-income countries
Study: COVID-19 Raises Maternal Mortality in Latinas - Salud America
Frontiers Pregnant Women in Low- and Middle-Income Countries Require a Special Focus During the COVID-19 Pandemic
CDC Museum COVID-19 Timeline, David J. Sencer CDC Museum
PDF) Tracking excess of maternal deaths associated with COVID-19 in Brazil: a nationwide analysis
