COVID-19: Uncertainties from Conception to Birth

Carvalho, Bruno Ramalho de; Adami, K; Gonçalves‐Ferri, Walusa Assad; Samama, Marise; Ferriani, Rui Alberto; Marcolin, Alessandra Cristina

doi:10.1055/s-0040-1721856

Cited by 11 publications

(6 citation statements)

References 73 publications

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“…This age group deserves attention as there is a rising number of infected pregnant women and the factors related to fetal or postnatal transmission are still not well understood. 24 , 25 In addition, this age group has also a higher risk of severity in other respiratory diseases, such as bronchiolitis by respiratory syncytial virus. 26 …”

Section: Discussionmentioning

confidence: 99%

Risk factors for severe COVID-19 infection in Brazilian children

Hendler

Lago

Müller

et al. 2021

The Brazilian Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Risk factors for severe COVID-19 infection in Brazilian children

Hendler

Lago

Müller

et al. 2021

The Brazilian Journal of Infectious Diseases

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“…We found that a higher proportion of women across all income and religious groups support the right to abortion in the case of maternal Zika infection compared to the case of maternal COVID-19 infection. This is likely because at the time of data collection, there was an established link between fetal anomalies and maternal Zika infection but not for maternal COVID-19 infection, despite the uncertainty and negative consequences of COVID-19 during pregnancy such as increased maternal mortality in Brazil during this time (Carvalho et al, 2021 ; Mehan et al, 2020 ; Schmid et al, 2020 ; Souza & Amorim, 2021 ; Yang et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…In the case of Zika, fetal anomalies coupled with the economic toll of caretaking for a child with microcephaly may have shifted Brazilians views on abortion. In the case of COVID-19, although there are no documented fetal anomalies resulting from infection during pregnancy, there has been a lot of uncertainty and stress around adverse pregnancy outcomes, such as documented increases in maternal mortality, preterm birth, and stillbirth (Carvalho et al, 2021 ; Souza & Amorim, 2021 ). The COVID-19 pandemic has also resulted in a great deal of financial uncertainty.…”

Section: Introductionmentioning

confidence: 99%

Women’s Attitudes Towards Abortion in Response to the Zika and COVID-19 Outbreaks in Brazil

Whitfield

Marteleto

2023

Sex Res Soc Policy

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Introduction Abortion attitudes are influenced by people’s socioeconomic and demographic circumstances and can be volatile during times of crisis. Brazil is an interesting case for examining abortion attitudes because of its strict abortion policies, changing religious landscape, high income inequality, and extreme uncertainty generated by the back-to-back Zika and COVID-19 crises. This study seeks to assess Brazilian women’s attitudes toward abortion and whether religion and income explain these attitudes in the context of novel infectious disease epidemics. Methods We used data from a population-based sample of 3996 women ages 18–34 in Pernambuco, Brazil, collected during the onset of the COVID-19 pandemic (May–September 2020). We conducted paired t -tests and multivariate-adjusted logistic regression models with adjusted Odds Ratios (aORs) and 95% CIs to assess differences in support for abortion in the case of fetal congenital Zika syndrome (CZS), maternal Zika infection during pregnancy, and maternal COVID-19 infection during pregnancy. Results Significantly more women support the right to abortion in the case of fetal CZS (50%) than in the case of maternal Zika infection (40%) and maternal COVID-19 infection (31%). Support for abortion varies by income and religion. Controlling for other demographic characteristics, high-income women have higher odds of supporting abortion in the case of fetal CZS (aOR = 1.92; 95% CI: 1.25–2.94) and maternal Zika infection (aOR = 2.07; 95% CI: 1.33–3.21) than low-income women. Evangelical women have lower odds of supporting abortion in the case of maternal Zika infection (aOR = 0.65; 95% CI: 0.45–0.93) and marginally lower odds of supporting the right to abortion in the case of maternal COVID-19 infection (aOR = 0.69; 95% CI: 0.47–1.00) than women of other religious affiliations. Conclusions and Policy Implications With increasingly conservative religious groups gaining size in Brazil, we expect to see increasing abortion restrictions. However, this research finds that a sizable portion of women across all incomes and religious affiliations support abortion, particularly in the case of fetal anomalies associated with Zika.

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“…It is known that the cesarean section, by submitting the woman to surgery, can entail risks, demand greater attention in the recovery and, in cases of Covid-19, be another risk factor that can negatively influence the maternal clinical condition. Positive testing for Covid-19, by itself, is not indicative of a cesarean section (ALLOTEY et al, 2020;CARVALHO et al, 2021;KHALIL et al, 2020;METZ et al, 2022). However, the clinical worsening of the pregnant woman may be a factor that increases the indication of cesarean sections among those infected with SARS-CoV-2.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Newborn Born to Mothers Infected and Not Infected by Sars-Cov-2 During the Pregnancy Period

Santos¹,

Silva²,

Viera³

2022

JHS

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Justification and Purpose: To characterize the mothers affected by SARS-CoV-2 during the gestational period, as well as to present and compare the birth variables of Newborns (NB) of mothers who were infected by SARS-CoV-2 during the gestational period in relation to babies whose mothers were not infected by the virus during the gestational period. Method: Quantitative, retrospective research, carried out in the databases of health information systems: SIVEP -Influenza (Information System for Epidemiological Surveillance of Influenza), Notifies Covid-19 and Information System for Live Births (SINASC). The sample consisted of all live births and their mothers in the municipality of Cascavel/PR, from July 2020 to December 2021, compared to those newborns of mothers who were infected with SARS-CoV-2 during pregnancy in that period. Descriptive analysis of data using mean, standard deviation and proportion. Results: The study population consisted of 1578 women, 271 (17%) cases of Covid-19 Positive during pregnancy (GCP) and 1307 (83%) cases of Covid-19 Negative (GCN). From this population, the sample was constituted with 1302 live births of these women, in the city of Cascavel/PR, considering nine twins. The GCP was composed of 214 (16%) live births and the GCN with 1088 (84%). The mean gestational age at birth in the GCP was 37 (±3) weeks, in the GCN it was 38 (±2) weeks. Regarding premature births, these occurred in 46 (21.5%) of the deliveries in the PCG, and in 134 (12.3%) of the deliveries in the CGN. Birth via cesarean section occurred in 136 (63%) of the deliveries in the PCG and in 499 (46%) of the deliveries in the CGN. Mean birth weight was 3042 grams (±662 grams) in the GCP and 3163 grams (±589 grams) in the GCN.Conclusion: Observing the data presented, a higher proportion of births via cesarean section, a greater tendency for premature births in the PCG, can be observed. The follow-up of pregnant women with adequate prenatal care related to exposure to the virus, as well as the monitoring of babies born under this condition, must be a guideline to be followed by primary care health services, in order to ensure adequate conditions of care. development for these children, given the repercussions related to prematurity and lack of knowledge about possible changes resulting from SARS-CoV-2 contamination during the gestational period.

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COVID-19: Uncertainties from Conception to Birth

Cited by 11 publications

References 73 publications

Risk factors for severe COVID-19 infection in Brazilian children

Risk factors for severe COVID-19 infection in Brazilian children

Women’s Attitudes Towards Abortion in Response to the Zika and COVID-19 Outbreaks in Brazil

Characterization of Newborn Born to Mothers Infected and Not Infected by Sars-Cov-2 During the Pregnancy Period

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