Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths
Background: This study aimed to describe the clinical characteristics of maternal deaths associated with COVID-19 registered in a collaborative Latin-American multi-country database. Methods: This was an observational study implemented from March 1st 2020 to November 29th 2021 in eight Latin America...
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| author | Fabian Maza-Arnedo Ángel Paternina‐Caicedo Claudio Sosa Bremen De Mucio José Rojas‐Suarez Lale Say Jenny A. Cresswell Luis Andrés de Francisco Suzanne Jacob Serruya Diana Carolina Franco Pulido Lic Luis Fabian Yáñez Urbina Erika Saint Hilaire César V. Munayco Fabiola Gil Erick Rousselin Leonardo Contreras Allan Stefan Alvinzy Velásquez Becerra Evelyn Degraff Franco Espada Víctor Conde Gustavo Mery Víctor Hugo Álvarez Castaño Aura Liliana Torres Umbarila Ivy Lorena Talavera Romero Yeimy Catherine Rodríguez Alfonso Raquel Lovato Silva Jakeline Calle Cynthia Marlene Díaz -Viscensini Vicente Nicolas Bataglia Frutos Elodia Vysokolán Laguardia Haydeé Padilla Alvaro Ciganda Mercedes Colomar |
| author_browse | Allan Stefan Alvaro Ciganda Alvinzy Velásquez Becerra Aura Liliana Torres Umbarila Bremen De Mucio Claudio Sosa Cynthia Marlene Díaz -Viscensini César V. Munayco Diana Carolina Franco Pulido Lic Elodia Vysokolán Laguardia Erick Rousselin Erika Saint Hilaire Evelyn Degraff Fabian Maza-Arnedo Fabiola Gil Franco Espada Gustavo Mery Haydeé Padilla Ivy Lorena Talavera Romero Jakeline Calle Jenny A. Cresswell José Rojas‐Suarez Lale Say Leonardo Contreras Luis Andrés de Francisco Luis Fabian Yáñez Urbina Mercedes Colomar Raquel Lovato Silva Suzanne Jacob Serruya Vicente Nicolas Bataglia Frutos Víctor Conde Víctor Hugo Álvarez Castaño Yeimy Catherine Rodríguez Alfonso Ángel Paternina‐Caicedo |
| author_facet | Fabian Maza-Arnedo Ángel Paternina‐Caicedo Claudio Sosa Bremen De Mucio José Rojas‐Suarez Lale Say Jenny A. Cresswell Luis Andrés de Francisco Suzanne Jacob Serruya Diana Carolina Franco Pulido Lic Luis Fabian Yáñez Urbina Erika Saint Hilaire César V. Munayco Fabiola Gil Erick Rousselin Leonardo Contreras Allan Stefan Alvinzy Velásquez Becerra Evelyn Degraff Franco Espada Víctor Conde Gustavo Mery Víctor Hugo Álvarez Castaño Aura Liliana Torres Umbarila Ivy Lorena Talavera Romero Yeimy Catherine Rodríguez Alfonso Raquel Lovato Silva Jakeline Calle Cynthia Marlene Díaz -Viscensini Vicente Nicolas Bataglia Frutos Elodia Vysokolán Laguardia Haydeé Padilla Alvaro Ciganda Mercedes Colomar |
| author_sort | Fabian Maza-Arnedo |
| collection | Producción científica |
| description | Background: This study aimed to describe the clinical characteristics of maternal deaths associated with COVID-19 registered in a collaborative Latin-American multi-country database. Methods: This was an observational study implemented from March 1st 2020 to November 29th 2021 in eight Latin American countries. Information was based on the Perinatal Information System from the Latin American Center for Perinatology, Women and Reproductive Health. We summarized categorical variables as frequencies and percentages and continuous variables into median with interquartile ranges. Findings: We identified a total of 447 deaths. The median maternal age was 31 years. 86·4% of women were infected antepartum, with most of the cases (60·3%) detected in the third trimester of pregnancy. The most frequent symptoms at first consultation and admission were dyspnea (73·0%), fever (69·0%), and cough (59·0%). Organ dysfunction was reported in 90·4% of women during admission. A total of 64·8% women were admitted to critical care for a median length of eight days. In most cases, the death occurred during the puerperium, with a median of seven days between delivery and death. Preterm delivery was the most common perinatal complication (76·9%) and 59·9% were low birth weight. Interpretation: This study describes the characteristics of maternal deaths in a comprehensive multi-country database in Latin America during the COVID-19 pandemic. Barriers faced by Latin American pregnant women to access intensive care services when required were also revealed. Decision-makers should strengthen severity awareness, and referral strategies to avoid potential delays. Funding: Latin American Center for Perinatology, Women and Reproductive Health. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1406 |
| institution | UPeU |
| language | English |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/14062026-10-30T16:15:46ZMaternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deathsFabian Maza-ArnedoÁngel Paternina‐CaicedoClaudio SosaBremen De MucioJosé Rojas‐SuarezLale SayJenny A. CresswellLuis Andrés de FranciscoSuzanne Jacob SerruyaDiana Carolina Franco Pulido LicLuis Fabian Yáñez UrbinaErika Saint HilaireCésar V. MunaycoFabiola GilErick RousselinLeonardo ContrerasAllan StefanAlvinzy Velásquez BecerraEvelyn DegraffFranco EspadaVíctor CondeGustavo MeryVíctor Hugo Álvarez CastañoAura Liliana Torres UmbarilaIvy Lorena Talavera RomeroYeimy Catherine Rodríguez AlfonsoRaquel Lovato SilvaJakeline CalleCynthia Marlene Díaz -ViscensiniVicente Nicolas Bataglia FrutosElodia Vysokolán LaguardiaHaydeé PadillaAlvaro CigandaMercedes ColomarMedicineLatin AmericansPregnancyObservational studyReferralPediatricsMaternal deathObstetricsDemographyFamily medicineEnvironmental healthPopulationInternal medicineGeneticsBiologySociologyPhilosophyLinguisticsMedicineLatin AmericansPregnancyObservational studyReferralPediatricsMaternal deathObstetricsDemographyFamily medicineEnvironmental healthPopulationInternal medicineHealth Sciences Medicine Obstetrics and Gynecology COVID-19 Impact on ReproductionHealth Sciences Medicine Oncology COVID-19 and healthcare impactsHealth Sciences Medicine Obstetrics and Gynecology Gestational Diabetes Research and ManagementBackground: This study aimed to describe the clinical characteristics of maternal deaths associated with COVID-19 registered in a collaborative Latin-American multi-country database. Methods: This was an observational study implemented from March 1st 2020 to November 29th 2021 in eight Latin American countries. Information was based on the Perinatal Information System from the Latin American Center for Perinatology, Women and Reproductive Health. We summarized categorical variables as frequencies and percentages and continuous variables into median with interquartile ranges. Findings: We identified a total of 447 deaths. The median maternal age was 31 years. 86·4% of women were infected antepartum, with most of the cases (60·3%) detected in the third trimester of pregnancy. The most frequent symptoms at first consultation and admission were dyspnea (73·0%), fever (69·0%), and cough (59·0%). Organ dysfunction was reported in 90·4% of women during admission. A total of 64·8% women were admitted to critical care for a median length of eight days. In most cases, the death occurred during the puerperium, with a median of seven days between delivery and death. Preterm delivery was the most common perinatal complication (76·9%) and 59·9% were low birth weight. Interpretation: This study describes the characteristics of maternal deaths in a comprehensive multi-country database in Latin America during the COVID-19 pandemic. Barriers faced by Latin American pregnant women to access intensive care services when required were also revealed. Decision-makers should strengthen severity awareness, and referral strategies to avoid potential delays. Funding: Latin American Center for Perinatology, Women and Reproductive Health.Articlehttps://pubmed.ncbi.nlm.nih.gov/35539820https://doi.org/10.1016/j.lana.2022.10026910.1016/j.lana.2022.100269https://hdl.handle.net/20.500.15037/1406W4229022209enThe Lancet Regional Health - Americas2667-193X2022-05-062026-06-13T09:57:34Z2026-06-13T09:57:34Z |
| spellingShingle | Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Genetics Biology Sociology Philosophy Linguistics Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Health Sciences Medicine Obstetrics and Gynecology COVID-19 Impact on Reproduction Health Sciences Medicine Oncology COVID-19 and healthcare impacts Health Sciences Medicine Obstetrics and Gynecology Gestational Diabetes Research and Management Fabian Maza-Arnedo Ángel Paternina‐Caicedo Claudio Sosa Bremen De Mucio José Rojas‐Suarez Lale Say Jenny A. Cresswell Luis Andrés de Francisco Suzanne Jacob Serruya Diana Carolina Franco Pulido Lic Luis Fabian Yáñez Urbina Erika Saint Hilaire César V. Munayco Fabiola Gil Erick Rousselin Leonardo Contreras Allan Stefan Alvinzy Velásquez Becerra Evelyn Degraff Franco Espada Víctor Conde Gustavo Mery Víctor Hugo Álvarez Castaño Aura Liliana Torres Umbarila Ivy Lorena Talavera Romero Yeimy Catherine Rodríguez Alfonso Raquel Lovato Silva Jakeline Calle Cynthia Marlene Díaz -Viscensini Vicente Nicolas Bataglia Frutos Elodia Vysokolán Laguardia Haydeé Padilla Alvaro Ciganda Mercedes Colomar Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title | Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title_full | Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title_fullStr | Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title_full_unstemmed | Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title_short | Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths |
| title_sort | maternal mortality linked to covid 19 in latin america results from a multi country collaborative database of 447 deaths |
| topic | Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Genetics Biology Sociology Philosophy Linguistics Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Health Sciences Medicine Obstetrics and Gynecology COVID-19 Impact on Reproduction Health Sciences Medicine Oncology COVID-19 and healthcare impacts Health Sciences Medicine Obstetrics and Gynecology Gestational Diabetes Research and Management |
| topic_facet | Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Genetics Biology Sociology Philosophy Linguistics Medicine Latin Americans Pregnancy Observational study Referral Pediatrics Maternal death Obstetrics Demography Family medicine Environmental health Population Internal medicine Health Sciences Medicine Obstetrics and Gynecology COVID-19 Impact on Reproduction Health Sciences Medicine Oncology COVID-19 and healthcare impacts Health Sciences Medicine Obstetrics and Gynecology Gestational Diabetes Research and Management |
| url | https://pubmed.ncbi.nlm.nih.gov/35539820 https://doi.org/10.1016/j.lana.2022.100269 https://hdl.handle.net/20.500.15037/1406 |
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