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Better healthcare can reduce the risk of COVID-19 in-hospital post-partum maternal death: evidence from Brazil. ...

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  • Additional Information
    • Publication Information:
      Oxford University Press (OUP)
    • Publication Date:
      2022
    • Collection:
      DataCite Metadata Store (German National Library of Science and Technology)
    • Abstract:
      OBJECTIVE: COVID-19 in post-partum women is commonly overlooked. The present study assessed whether puerperium is an independent risk factor of COVID-19 related in-hospital maternal death and whether fatality is preventable in the Brazilian context. METHODS: We retrospectively studied the clinical data of post-partum/pregnant patients hospitalized with COVID-19 gathered from a national database that registered severe acute respiratory syndromes (SIVEP-Gripe) in Brazil. Logistic regressions were used to examine the associations of in-hospital mortality with obstetric status and with the type of public healthcare provider, adjusting for socio-demographic, epidemiologic, clinical and healthcare-related measures. RESULTS: As of 30 November 2021, 1943 (21%) post-partum and 7446 (79%) pregnant patients of age between 15 and 45 years with COVID-19 that had reached the clinical endpoint (death or discharge) were eligible for inclusion. Case-fatality rates for the two groups were 19.8% and 9.2%, respectively. After ...
    • Accession Number:
      10.17863/cam.88369
    • Online Access:
      https://doi.org/10.17863/cam.88369
      https://www.repository.cam.ac.uk/handle/1810/340934
    • Rights:
      open.access ; Creative Commons Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/legalcode ; cc-by-4.0 ; http://purl.org/coar/access_right/c_abf2
    • Accession Number:
      edsbas.CF37122E