Tracking excess of maternal deaths associated with COVID-19 in Brazil: a nationwide analysis - BMC Pregnancy and Childbirth

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Tracking excess of maternal deaths associated with COVID-19 in Brazil: a nationwide analysis - BMC Pregnancy and Childbirth
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A study published in BMCPregnancyChildbirth examines excess maternal deaths in 2020 in Brazil and suggests they were tied to issues related to the COVID-19 pandemic including compromised access to prenatal care, adequate childbirth and postpartum care.

b). Even with this increase, we obtained a statistically significant excess of mortality for the months from April to July and October. The month with the highest excess was July . It reinforces the suggestion that even with an increase in general female mortality due to COVID-19, pregnant and postpartum women were at higher risk of excess of maternal mortality than general female mortality.

Table 1 Maternal and female COVID-19 Mortality Odds Ratio per social determinant proxy, clinical and inpatient care variables. Brazil, 2020Regarding comorbidities recorded in the SIVEP-Influenza, overall occurrence was lower among maternal deaths than among non-maternal female deaths due to COVID-19 . The reason, however, for this difference was due to three co-morbidities: cardiovascular diseases , diabetes mellitus and obesity .

Finally, we could report analysis for the year 2020. There has been a rise in mortality in Brazil since April 2020. Between the beginning of July and the end of August, the daily number of deaths was stabilized at a high level with approximately 1000 deaths daily. Then, there was a gradual drop in deaths until the end of October, when daily deaths reached around 300. After that, there was a new resumption of growth in the curve.

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