Observational analysis of Birth, Neonatal Intensive Care Unit and Deaths in Brazil during the first year of the New Corona Virus Pandemic





Neonatal intensive care unit; Covid-19; Live birth.


The Brazilian healthcare structure has evolved in recent decades, but there are still shortages of beds in Intensive Care Units, especially in Neonatal Units. In early December 2019 they reported the first cases of a new infectious coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The present work makes an observational assessment of the number of deaths in the year 2020 related to the New Coronavirus Pandemic, the number of births and the panorama of Neonatal Intensive Care Unit (NICU) in the last decade. The results showed an increase in the number of deaths, with a predilection for elderly men; reduction in the number of births evaluated by the civil registry and an increase in NICUs in the last decade. This ratio was 2.6 beds per thousand births in 2010, rising to 2.9 per thousand in 2019 and reaching 3.4 beds per thousand births in 2020. Thus, the forced increase in the number of beds in the therapy unit The intensive care unit approached the proportion recommended by the Brazilian Society of Pediatrics, which is 4 beds for every thousand births.

Author Biographies

Mario Cezar Saffi Junior, Universidade Estadual de Ponta Grossa; Centro Universitário de Maringá

Ponta Grossa State University;
University Center of Maringá (UNICESUMAR)

Luiz Antonio Favero Filho, Universidade Federal do Espirito Santo

Federal University of Espirito Santo


Chan, J. F. (2020) A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet.395(10223):514–523.

Fontoura, F. C., & Cardoso, M. V. L. M. L. (2021). Association between congenital malformation and neonatal and maternal variables in neonatal units of a Northeast Brazilian city. Texto & Contexto - Enfermagem [online]. 2014, 23(4), pp. 907-914. <https://doi.org/10.1590/0104-07072014002320013>. Epub Oct-Dec 2014. ISSN 1980-265X. https://doi.org/10.1590/0104-07072014002320013.

Huang, C. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet; 395(10223):497–506.

López-Morales, H., et al. “Mental health of pregnant women during the COVID-19 pandemic: A longitudinal study.” Psychiatry research vol. 295 (2021): 113567. 10.1016/j.psychres.2020.113567

Li, R. (2020). Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2). Science.

Machado, C. V., Silva, G. A. E. (2019) Political struggles for a universal health system in Brazil: successes and limits in the reduction of inequalities. Global Health. Nov 28;15(Suppl 1):77. 10.1186/s12992-019-0523-5.

Meyerowitz-Katz, G., & Merone, L. (2020). A systematic review and meta-analysis of published research data on COVID-19 infection fatality rates, International Journal of Infectious Diseases,Volume 101.

Perrotta, F., Corbi, G., Mazzeo, G., et al. (2020). COVID-19 and the elderly: insights into pathogenesis and clinical decision-making. Aging Clin Exp Res 32, 1599–1608. https://doi.org/10.1007/s40520-020-01631-y

Registro Civil. (2021). https://registrocivil.org.br/

Richtmann, R., Torloni, M. R., Otani, A. R. O., Levi, J. E., Tobara, M. C., Silva, C. A., Dias, L., Miglioli-Galvão, L., Silva, P. M., & Kondo, M. M. Fetal deaths in pregnancies with SARS-CoV-2 infection in Brazil: A case series. (2020). Case Reports in Women's Health, 2020, Volume 27, e00243, ISSN 2214-9112, https://doi.org/10.1016/j.crwh.2020.e00243.

Rocca-Ihenacho, L., & Alonso, C. (2020). Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic. Journal of Global Health Science, 2(e4), 10.35500/jghs.2020.2.e4

Rothe C. (2020). Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med. 2020;382(10):970–971.

Sabino, E. C. (2021). Resurgence of COVID-19 in Manaus, Brazil, despite high seroprevalence. The Lancet. 397(10273):452-455.

SBP (2018a). Faltam 3,3 mil leitos de UTI neonatal no País, denuncia a SBP ao cobrar medidas para o Nascimento Seguro de brasileiros. Website da Sociedade Brasileira de Pediatria. https://www.sbp.com.br/imprensa/detalhe/nid/faltam-33-mil-leitos-de-uti-neonatal-no-pais-denuncia-a-sbp-ao-cobrar-medidas-para-o-nascimento-seguro-de-brasileiros/

SBP (2018b). Levantamento da Sociedade Brasileira de Pediatria revela que Brasil tem déficit de leitos de UTI neonatal. Website da Sociedade Brasileira de Pediatria. https://www.sbp.com.br/imprensa/detalhe/nid/levantamento-da-sociedade-brasileira-de-pediatria-revela-que-brasil-tem-deficit-de-leitos-de-uti-neonatal/

Victora, C. G., & Barros, F. C. (2001). Infant mortality due to perinatal causes in Brazil: trends, regional patterns and possible interventions. Sao Paulo Med J. 119: 33-42

Vrancken B. (2021). Phylogenetic analyses of SARS-CoV-2 B. 1.1. 7 lineage suggest a single origin followed by multiple exportation events versus convergent evolution. bioRxiv.

World Health Organization (2021). WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/

Wu A. (2020). Genome composition and divergence of the novel coronavirus (2019-nCoV) originating in China. Cell Host & Microbe. 27(3):325-328.

Zangrillo, A., et. al., (2020). Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: Facing the COVID-19 pandemic emergency. Critical Care and Resuscitation, 22(2), 91–94.

Zhu N. (2020). A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med.382(8):727–733.




How to Cite

SAFFI JUNIOR, M. C.; FAVERO FILHO, L. A.; FAVERO, G. M. Observational analysis of Birth, Neonatal Intensive Care Unit and Deaths in Brazil during the first year of the New Corona Virus Pandemic. Research, Society and Development, [S. l.], v. 10, n. 10, p. e81101018578, 2021. DOI: 10.33448/rsd-v10i10.18578. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18578. Acesso em: 24 feb. 2024.



Health Sciences