COVID-19 and Pregnancy

Amorim, Melânia Maria Ramos; Souza, Alex Sandro Rolland; Melo, Adriana Suely de Oliveira; Delgado, Alexandre Magno; Florêncio, Anna Catharina Magliano Carneiro da Cunha; Oliveira, Thaise Villarim de; Lira, Lara Caline Santos; Sales, Lucas Martins dos Santos; Souza, Gabriela Albuquerque; Melo, Brena Carvalho Pinto de; Morais, Ítalo; Katz, Leila

doi:10.1590/1806-9304202100s200002

Cited by 7 publications

(2 citation statements)

References 56 publications

(108 reference statements)

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“…Entretanto, o número de cesarianas foi maior no grupo de mulheres infectadas, contrariando dois estudos, um realizado na Índia e outro no Peru, que apresentaram taxa de cesariana abaixo de 50% nas pacientes positivas (Dávila et al;Bachani et al, 2021). Um dado importante que foi evidenciado neste estudo, o aumento de cesariana em pacientes que positivaram para o SRS-CoV-2, pôde estar associado à piora do quadro, uso de oxigenoterapia e maior necessidade de oxigenação, pois muitos estudos trazem que o acometimento do trato respiratório pode não dar conta da demanda de oxigênio no momento do parto, sendo a alteração cardíaca fetal um achado comum nas mulheres infectadas no momento do parto (Dashraath et al, 2020;Amorim et al, 2021). Semelhantemente ao encontrado no Peru com 13 pacientes infectadas pelo SARS-CoV-2, 61,5% tiveram parto cesáreo e 38,5% parto por via vaginal, sem, contudo, haver descrição da indicação da cesárea (Ayed et al, 2020).…”

Section: Discussionunclassified

Perfil epidemiológico e obstétrico das mulheres com suspeita ou infecção pelo SARS-CoV-2 em uma maternidade pública

Costa¹,

Jardim²,

Rondelli³

et al. 2022

RSD

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Objetivo: descrever o perfil epidemiológico e obstétrico de mulheres e recém-nascidos de mães com suspeita ou infecção confirmada para SARS-CoV-2. Método: trata-se de um estudo transversal, descritivo, retrospectivo com dados coletados em prontuários de mulheres atendidas em uma maternidade pública no município de Belo Horizonte no setor de isolamento respiratório entre os meses de março e dezembro de 2020, sendo incluídos os casos suspeitos e confirmados para SARS-CoV-2. Resultado: foram analisados 98 prontuários de pacientes gestantes. Em relação às gestantes, cinco foram gestações de gemelar e uma de trigemelar, totalizando 104 recém-nascidos no estudo. Apenas 12 mulheres (11,7%) tiveram confirmação de infecção pelo SARS-CoV-2, dentre as quais a principal comorbidade associada era diabetes Mellitus Gestacional e a cesariana como via de nascimento. Não houve óbito dentre os recém-nascidos. Dentre os casos suspeitos que testaram negativo, a principal comorbidade associada foi a hipertensão na gravidez, a maioria evoluiu para parto normal e quatro recém-nascidos evoluíram para óbito não relacionado à COVID-19. Ambos os grupos tiveram sintomas leves na admissão, os recém-nascidos receberam Apgar ≥8 no primeiro e quinto minuto. Conclusão: a descrição do perfil epidemiológico e obstétrico apontou associações significativas com comorbidades: diabetes mellitus, hipertensão gestacional, além de aumentar a incidência de cesariana no grupo das pacientes positivas. Os resultados neonatais não apresentaram desfechos negativos. O conhecimento destas características auxilia na construção da assistência a população do estudo e a formulação de ações no serviço de atenção que qualifiquem a assistência e tragam resolutividade a situações clínicas.

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Section: Discussionunclassified

Perfil epidemiológico e obstétrico das mulheres com suspeita ou infecção pelo SARS-CoV-2 em uma maternidade pública

Costa¹,

Jardim²,

Rondelli³

et al. 2022

RSD

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“…In the context of the COVID-19 pandemic, evaluating the practices of delivery and birth care has become a challenge due mostly to insufficient monitoring and evaluation of the practice in maternity hospitals, but also because of the absence of a national information systems to record the actions of obstetric and neonatal care practices [23]. It is also worth noting that it is necessary to maintain continuous monitoring when managing the labor and delivery of COVID-19-positive pregnant women, and SARS-CoV-2 infection should not prevent the performance of recommended care practices [24].…”

Section: Introductionmentioning

confidence: 99%

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Menezes

Silva

Felisbino-Mendes

et al. 2023

BMC Pregnancy Childbirth

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Background It has been hypothesized that the coronavirus disease 2019 (COVID-19) pandemic may have changed the conduct of obstetric practices at the time of labor, delivery, and birth. In Brazil, many practices lacking scientific evidence are implemented in this care, which is charcaterized by excessive use of unnecessary interventions. This scenario may have been worsened by the pandemic. Thus, we analyzed the effects of the pandemic on care during prenatal care and delivery by comparing the results of two surveys (one was administered before the pandemic and the other during the pandemic) in public hospitals in Belo Horizonte - Minas Gerais (MG), Brazil. Methods This cross-sectional and comparative study analyzed preliminary data from the study “Childbirth and breastfeeding in children of mothers infected with SARS-CoV-2”, which was conducted in three referral maternity hospitals in Belo Horizonte - MG during the pandemic in the first half of 2020 in Brazil. The final sample consisted of 1532 eligible women. These results were compared with data from 390 puerperae who gave birth in the three public hospitals in the study “Birth in Belo Horizonte: labor and birth survey”, conducted before the pandemic to investigate the changes in practices of labor and delivery care for the mother and her newborn, with or without COVID-19 infection, before and during the pandemic. In this research, “Birth in Belo Horizonte: labor and birth survey”, data collection was performed between November 2011 and March 2013 by previously trained nurses. Between study comparisons were performed using Pearson’s chi-square test, with a confidence level of 95%, and using Stata statistical program. Results We found a significant increase in practices recommended by the World Health Organization during the pandemic including the following: diet offering (48.90 to 98.65%), non-pharmacological pain relief (43.84 to 67.57%), and breastfeeding in the newborn´s first hour of life (60.31 to 77.98%) (p < 0.001). We found a significant reduction of non-recommended interventions, such as routine use of episiotomy (15.73 to 2.09%), the Kristeller maneuver (16.55 to 0.94%), oxytocin infusion misused (45.55 to 28.07%), amniotomy (30.81 to 15.08%), and lithotomy position during labor (71.23 to 6.54%) (p < 0.001). Conclusion Our study revealed a statistically significant increase in the proportion of use of recommended practices and a reduction in non-recommended practices during labor and delivery. However, despite advances in the establishment of World Health Organization recommended practices in labor, delivery, and birth, the predominance of interventionist and medicalized practices persists, which is worsened by events, such as the pandemic.

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Facilitating and limiting factors for nurses’ role in controlling COVID-19 in childbirth care

Silva,

Progianti,

Prata

et al. 2023

Esc. Anna Nery

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Objective to discuss the facilitating and limiting factors of nurses’ performance in controlling COVID-19 in childbirth care. Methods a descriptive and qualitative study, with 20 nurse-midwives from public services in the state of Rio de Janeiro. Data were collected from May to July 2021, through semi-structured interviews, and submitted to thematic content analysis. Results as facilitating factors there are: physical installations and resources that provide individualized use; protocol implementation; reorganization of collective environment use; and preference for care that does not require instruments or nurses’ continuous presence. As limiting factors, the following stand out: high demand for care; restricted accommodation and inadequate ventilation; lack of resources; resistance to wearing a mask; nurses’ difficulty in maintaining physical distance in care; and increase in interventionist practices among certain professionals. Conclusions and implications for practice services that underwent adaptations in environments, with available resources, co-responsibility regarding sanitary measures and where nurse-midwives modified their care process, presented better conditions to protect health and mitigate COVID-19 transmission, with attention to environment, humanization and women’s rights during childbirth.

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COVID-19 and Pregnancy

Cited by 7 publications

References 56 publications

Perfil epidemiológico e obstétrico das mulheres com suspeita ou infecção pelo SARS-CoV-2 em uma maternidade pública

Perfil epidemiológico e obstétrico das mulheres com suspeita ou infecção pelo SARS-CoV-2 em uma maternidade pública

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Facilitating and limiting factors for nurses’ role in controlling COVID-19 in childbirth care

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