Perfil epidemiológico da mortalidade materna por COVID-19: revisão integrativa

Abstract

This study aimed to summarize the scientific evidence regarding cases of maternal mortality from COVID-19 at a global level. This is an integrative review with a search in the following bases: EMBASE, SCOPUS (Elsevier), PUBMED, Web of Science, CINAHL, from February to March 2022. The articles were analyzed using the Rayyan QCRI software in full and the read data were tested in accordance with the Critical Appraiser of the Evidencer of Hierarchy of Evidence Studies. Fifteen publications were selected, which occurred between the years 2020 and 2022, with the highest proportion in the year 2021. Two articles showed the epidemiological weeks and peaks of maternal death between epidemiological weeks 17 and 30 in the year 2020. The studies showed an increase in the Maternal Mortality Ratio between 2020 and 2021. Risk and case fatality rate were identified with an increase, the clinical profile of maternal deaths was related to the age group above 35 years and pre-existing comorbidities. Only one study linked iron deficiency with clinical worsening. It is suggested that pregnant women with COVID-19 tend to have unfavorable outcomes.