Article ; Online: Maternal mortality during the COVID-19 pandemic in Mexico: a preliminary analysis during the first year.
BMC public health
2021 Volume 21, Issue 1, Page(s) 1297
Abstract: ... in 1 year during the pandemic; COVID-19 was linked to 25.4% of maternal deaths in the studied period ... Background: In Mexico, the COVID-19 pandemic led to preventative measures such as confinement and ... surveillance study of the national maternal mortality was performed from February 2020-February 2021 in Mexico ...
| Abstract | Background: In Mexico, the COVID-19 pandemic led to preventative measures such as confinement and social interaction limitations that paradoxically may have aggravated healthcare access disparities for pregnant women and accentuated health system weaknesses addressing high-risk patients' pregnancies. Our objective is to estimate the maternal mortality ratio in 1 year and analyze the clinical course of pregnant women hospitalized due to acute respiratory distress syndrome and COVID-19. Methods: A retrospective surveillance study of the national maternal mortality was performed from February 2020-February 2021 in Mexico related to COVID-19 cases in pregnant women, including their outcomes. Comparisons were made between patients who died and those who survived to identify prognostic factors and underlying health conditions distribution. Results: Maternal Mortality Ratio increased by 56.8% in the studied period, confirmed COVID-19 was the cause of 22.93% of cases. Additionally, unconfirmed cases represented 4.5% of all maternal deaths. Among hospitalized pregnant women with Acute Respiratory Distress Syndrome consistent with COVID-19, smoking and cardiovascular diseases were more common among patients who faced a fatal outcome. They were also more common in the age group of < 19 or > 38. In addition, pneumonia was associated with asthma and immune impairment, while diabetes and increased BMI increased the odds for death (Odds Ratio 2.30 and 1.70, respectively). Conclusions: Maternal Mortality Ratio in Mexico increased over 60% in 1 year during the pandemic; COVID-19 was linked to 25.4% of maternal deaths in the studied period. Lethality among pregnant women with a diagnosis of COVID-19 was 2.8%, and while asthma and immune impairment increased propensity for developing pneumonia, obesity and diabetes increased the odds for in-hospital death. Measures are needed to improve access to coordinated well-organized healthcare to reduce maternal deaths related to COVID-19 and pandemic collateral effects. |
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| MeSH term(s) | COVID-19 ; Female ; Hospital Mortality ; Humans ; Maternal Mortality ; Mexico/epidemiology ; Pandemics ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Retrospective Studies ; SARS-CoV-2 |
| Language | English |
| Publishing date | 2021-07-02 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 1471-2458 |
| ISSN (online) | 1471-2458 |
| DOI | 10.1186/s12889-021-11325-3 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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