Maternal Risk Factors Associated with Negative COVID-19 Outcomes and Their Relation to Socioeconomic Indicators in Brazil

• Published in: Healthcare (Basel) 2023-07, Vol.11 (14), p.2072
• Main Authors: Ribeiro, Helena Fiats, de Barros Carvalho, Maria Dalva, Pelloso, Fernando Castilho, Santos, Lander Dos, de Andrade Pereira Silva, Marcela, Stevanato, Kely Paviani, Borghesan, Deise Helena Pelloso, Romani, Isaac, Marques, Vlaudimir Dias, de Freitas, Karina Maria Salvatore, Jacinto Alarcão, Ana Carolina, Pujals, Constanza, Bocchi Pedroso, Raíssa, Cardelli, Alexandrina Aparecida Maciel, Pelloso, Sandra Marisa
• Format: Article
• Language: English
• Subjects: Asthma; Blood diseases; Brazil; Cardiovascular disease; COVID-19; Death & dying; Diabetes; Down syndrome; Epidemics; Epidemiology; Health aspects; Hospitalization; Illiteracy; Infections; Kidney diseases; Liver diseases; Logistic regression; Lung diseases; Medical research; Medicine, Experimental; Methods; Mortality; Obesity; Obstetrics; Pandemics; Pregnancy; Pregnant women; Regression analysis; Risk factors; Socioeconomic factors; Surveys; Urbanization; Variables; Ventilators; Womens health
• ISSN: 2227-9032; 2227-9032
• DOI: 10.3390/healthcare11142072

This study aimed to analyze maternal risk factors associated with negative outcomes of COVID-19 and association with socioeconomic indicators in Brazil. A cross-sectional study, with data from the Influenza Epidemiological Surveillance Information System (SIVEP-Flu) of pregnant women with COVID-19 and cases of hospitalization and death. For the analysis of risk factors and outcomes, the multiple logistic regression method was used. Pregnant women who had some risk factor represented 47.04%. The chance of death was 2.48 times greater when there was a risk factor, 1.55 for ICU admission and 1.43 for use of ventilatory support. The percentage of cure was 79.64%, 15.46% without any negative outcome, 4.65% death and 0.26% death from other causes. Pregnant women who did not take the vaccine represented 30.08%, 16.74% took it and 53.18% were not specified. The variables HDI, illiteracy, per capita income and urbanization did not influence the cases of COVID-19. Factors such as age, obesity, asthma and pregnancy were responsible for the increase in hospitalizations, respiratory complications and death. Vaccination reduced the risk of negative outcomes by 50%. There were no correlations between socioeconomic indicators and the negative outcomes of COVID-19 in pregnant women.