Vidas maternas perdidas: o perfil da mortalidade materna pela Covid-19 no município do Rio de Janeiro

Abstract

The present study had the general objective of analyzing the profile of maternal deaths due to Covid-19 in the municipality of Rio de Janeiro in the first 16 months of the pandemic. As specific objectives, to categorize the variables of maternal mortality information systems, to describe the sociodemographic, clinical and epidemiological profile of cases of maternal mortality, also discussing the profile of maternal mortality due to Covid-19 based on the ratio of maternal mortality in the city of Rio de Janeiro. Through the evaluation of data collected from SIM, summaries of investigation of maternal death and SISMAT, which were provided by the Municipal Health Department, together with public data available by the Ministry of Health, percentage analyzes were performed using dynamic tables of the Excel program. In the results obtained, it was seen that of the 122 cases examined, 91 met the inclusion criteria, of which 86 were maternal deaths and 05 late maternal deaths.The most affected age group was 30 to 34 years old, more than half of the women (53.3%) were black, and almost half (47.3%) had completed high school. It was identified that 68.1% of the total population lived with spouses and partners, 53.8% had a paid occupation and, due to the incompleteness of the data, it was largely impossible to identify either the family income or whether they lived in poor areas. At least 59.3% lived in the west zone of the city, 35.2% reported 7 or more prenatal consultations, with most of the consultations, both prenatal care and hospital care, being carried out in places public, 55% of women were between 28 and 36 weeks, 81.3% progressed to giving birth, the vast majority being cesarean section.Of the newborns who were born alive, 1/3 survived and were discharged from the hospital. Obesity, diabetes mellitus and arterial hypertension were the main comorbidities found in 1/3 of the studied population, where the majority was admitted to the ICU and received orotracheal intubation. Although most were infected during pregnancy, most of them died in the puerperium. Regarding the MMR, the rates found were higher than those of the Brazilian population, apparently, and higher than those presented in the last two decades in the city. In view of all the above, it is concluded that the pandemic had a greater impact on pregnant and postpartum women than on the general population, further highlighting the inequities faced by this group.