COVID-19 among black and mulatto pregnant women: a population-based cross-sectional study
Keywords:
Complicações infecciosas na gravidez, COVID-19, Gravidez, Racismo, Morte maternaAbstract
Objective: To identify whether the skin color of pregnant women with COVID-19 influences the need for hospitalization in the Intensive Care Unit and evolution to death. Method: This is a cross-sectional, descriptive, population-based study, conducted through the database of the Influenza Epidemiological Surveillance Information System, data collection was divided into two different moments, August 2020 and February 2021, in order to compare the evolution of the pandemic from its initial phase until the beginning of the year 2021. Results: In the initial period, there was no association between death and skin color, however, independently, presenting oxygen saturation <95% quadrupled the risk of death, while in the final period, pregnant women with black skin color had approximately five times higher risk of evolving to death when compared to white pregnant women. Conclusion: The increased risk of death among black pregnant women in the second period of the study may indicate the difficulty of access to qualified clinical management, thus requiring the inclusion of race/ethnicity/skin color in the notifications of suspected and confirmed cases for COVID-19 as well as further studies.
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