Predictors of maternal mortality by COVID-19: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18888

Keywords:

Pregnancy; COVID-19; Mortality; Mortality.

Abstract

Objective: to review scientific production on factors related to maternal mortality caused by COVID-19 infection. Methods: This is an integrative review. The survey of publications took place in May 2021 using the descriptors “Maternal Mortality”, “COVID-19” and “Pregnancy”, in the Virtual Health Library (VHL). After analyzing the studies, four articles were included as the final sample. Results: Complications and evolution to death in pregnant women contaminated by COVID-19 are linked to the association of physiological changes in the pregnancy process, comorbidities such as cardiovascular disease, obesity and diabetes; inadequate assistance in prenatal, postpartum and advanced service (ICU and ventilatory support), in addition to racial issues. Conclusion: The identification of some factors that aggravate the health status of pregnant women contaminated by COVID-19, which can lead to fatal complications, since the physiological and anatomical changes of the gestational period, combined with comorbidities resulting from chronic diseases, predispose to greater risk of hospitalizations. Continuing education actions are needed so that the service is provided in a specialized, effective and equitable manner, in order to mitigate the risk of death in pregnant women.

References

Barbosa, A. C. S., Costa, C. M. da., Santos, D. T. da S., Fonseca, I. C. V., Freitas, L. C. D., Fonseca, L. B., Rezende, C. A., Bernardo, G. J. R., & Oliveira, M. M. (2021). Repercussions in newborns infected by the new coronavirus during pregnancy: Integrative review. Research, Society and Development, 10(8), e31510817364. https://doi.org/10.33448/rsd-v10i8.17364

BRASIL, Ministério da Saúde. (2021). Boletim N20 e N21. Fundação Oswaldo Cruz. https://agencia.fiocruz.br/sites/agencia.fiocruz.br/files/u34/boletim_covid_2021-semanas_20-21-red.pdf

BRASIL. Ministério da Saúde. Nota Informativa nº 13/2020 – SE/GAB/SE/MS. Manual de Recomendações para a Assistência à Gestante e Puérpera frente à Pandemia de Covid-19. https://www.gov.br/saude/pt-br/coronavirus/publicacoes-tecnicas/guias-e-planos/manual-instrutivo-para-a-assistencia-a-gestante-e-puerpera-frente-a-pandemia-da-covid-19

BRASIL. Ministério da Saúde. Nota Técnica nª 12/2020-COSMU/CGCIVI/DAPES/SAPS/MS. Infecção COVID-19 e os riscos às mulheres no ciclo gravídico-puerperal. https://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2020/04/SEI_MS-0014496630-Nota-T%C3%A9cnica-4_18.04.2020.pdf

Campos, M. R., Schramm, J. M. A., Emmerick, I. C. M., Rodrigues, J. M., Avelar, F. G., & Pimentel, T. G. (2020). Carga de doença da COVID-19 e de suas complicações agudas e crônicas: reflexões sobre a mensuração (daly) e perspectivas no sistema único de saúde. Cadernos de Saúde Pública,. 36(11), 1-14. https://www.scielo.br/j/csp/a/bHbdPzJBQxfwkwKWYnhccNH/abstract/?lang=pt. DOI: https://doi.org/10.1590/0102-311X00148920

Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., Li, J., et. al. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical. The Lancet, 395(10226), 1-7. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30360-3/fulltext#. DOI: https://doi.org/10.1016/S0140-6736(20)30360-3

Guan, W., Ni, Z., Yu Hu, W., Liang, C. O., He, J., Liu, L., et. al. (2021). Clinical Characteristics of Coronavirus Disease 2019 in China. New England Journal Of Medicine, 303(18), https://www.nejm.org/doi/full/10.1056/nejmoa2002032. DOI: 10.1056 / NEJMoa2002032

Guardo, F. D., Grazia, F. M. D., Gregorio, L. M. D., Zambrotta, E., Carrara, G., Gulino, F. A., Tuscano, A. et. al. Poor maternal–neonatal outcomes in pregnant patients with confirmed SARS-Cov-2 infection: analysis of 145 cases. Archives Of Gynecology And Obstetrics, 303(6), 1483-1488. https://link.springer.com/article/10.1007/s00404-020-05909-4#citeas. DOI: https://doi.org/10.1007/s00404-020-05909-4

Kadiwar, S., Smith, J. J., Ledot, S., Johnson, M., Bianchi, P., Singh, N., Montanaro, C., et. al. (2021). Were pregnant women more affected by COVID-19 in the second wave of the pandemic? The Lancet, 397(10284), 1-2. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00716-9/fulltext#. DOI: https://doi.org/10.1016/S0140-6736(21)00716-9

Mendes, K. D. S., Pereira Silveira, R. C. C., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto -enferm, 17(4), 1-7. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072008000400018&lng=en. DOI: https://doi.org/10.1590/S0104-07072008000400018

Nascimento, JM, Silva, APM da, Stuart, MR, Pereira Junior, AC, Pimentel, B., Souza, ML da SP de, & Costa, R. (2021). O protagonismo da enfermagem em um centro cirúrgico / obstétrico COVID-19 nas adaptações assistenciais: Relato de experiência. Research, Society and Development , 10 (8), e19210817307. https://doi.org/10.33448/rsd-v10i8.17307

Pereira, M. N., Amorim, M. M. R., Pacagnella, R. C., Takemoto, M. L. S., Penso, F. C. C., Filho, J. R., & Leal, M. C. (2020). COVID-19 and Maternal Death in Brazil: An Invisible Tragedy. Revista Brasileira Ginecolia Obstetrica, 42(8), 445-447. Retrieved 10 maio, 2021, from https://pubmed.ncbi.nlm.nih.gov/32898910/. DOI: 10.1055 / s-0040-1715138

Qeadan, F., Mensah, N. A., Tingey, B., & Stanford, J. B. (2021). The risk of clinical complications and death among pregnant women with COVID-19 in the Cerner COVID-19 cohort: a retrospective analysis. Bmc Pregnancy And Childbirth, 21(1), 1-14. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03772-y#citeas. DOI: https://doi.org/10.1186/s12884-021-03772-y

Souza, A. S. R., & Amorim, M. M. R. (2021). Maternal mortality by COVID-19 in Brazil. Revista Brasileira de Saúde Materno Infantil, 21(1), S253- S256. https://www.scielo.br/j/rbsmi/a/R7MkrnCgdmyMpBcL7x77QZd/?lang=en#. DOI: https://doi.org/10.1590/1806-9304202100S100014

Stetler, C. B., Morsi, D., Rucki, S., Broughton, S., Corrigan, B., Fitzgerald, J., Giuliano, K., et. al. (1998). . Utilization-focused integrative reviews in a nursing service. Appl Nurs Re, 11(4), 195-206. https://pubmed.ncbi.nlm.nih.gov/9852663/. DOI: 10.1016 / s0897-1897 (98) 80329-7

Sutton, D., Fuchs, K., D'Alton, M., & Goffman, D. (2020). Universal Screening for SARS-CoV-2 in Women Admitted for Delivery. New England Journal Of Medicine, 38(22), 2163- 2164. https://www.nejm.org/doi/full/10.1056/NEJMc2009316. DOI: 10.1056 / NEJMc2009316

Takemoto, M. L. S., Menezes, M.O., Andreucci, C. B., Knobel, R., Sousa, L., Katz, L., Fonseca, E. B., et. al. (2020a). Maternal deaths in Brazil from severe COVID‐19 respiratory disease: time for a global commitment to ending health disparities. Bjog: An International Journal of Obstetrics & Gynaecology, 127(19), 1-9. https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.16470. DOI: https://doi.org/10.1111/1471-0528.16470

Takemoto, M. L. S., Menezes, M. O., Andreucci, C. B., Pereira, M. N., Amori, M. M. R., Katz, Leila., & Knobel, R. (2020b). The tragedy of COVID‐19 in Brazil: 124 maternal deaths and counting. International Journal Of Gynecology & Obstetrics, 151(1), 154- 156. https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13300. DOI: https://doi.org/10.1002/ijgo.13300

Published

15/08/2021

How to Cite

SILVA, I. de L. da .; BARRETO, R. A. R. .; SOARES, B. K. P. .; MATIAS, A. D.; SOUZA, F. M. de L. C. Predictors of maternal mortality by COVID-19: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 10, p. e435101018888, 2021. DOI: 10.33448/rsd-v10i10.18888. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18888. Acesso em: 18 oct. 2021.

Issue

Section

Review Article