Evolution and outcomes of COVID-19 in the pregnancy puerperal cycle: integrative literature review

Authors

DOI:

https://doi.org/10.17267/2317-3378rec.2024.e5560

Keywords:

COVID-19, Pregnancy Complications, Pregnancy, Postpartum, Maternal Death

Abstract

OBJECTIVE: To describe through national and international scientific literature the evolution and outcomes of COVID-19 in pregnant and puerperal women. METHOD: This is an Integrative Literature Review carried out with studies in electronic media; in august 2022 with data extracted from Latin American and Caribbean Literature in Health Sciences, on the Medical Literature Analysis and Retrieval System Online portal via the National Library of Medicine, in English or Portuguese and published as of december 2019. The studies were screened using the Rayyan web application, and the methodological assessment of the studies was carried out according to their level of evidence and quality assessed using tools developed by the Joanna Briggs Institute. RESULTS: The review included twenty-two articles from observational studies, presented in a table, from which the following categories emerged: “Risk factors, vulnerability and characteristics of COVID-19 in pregnant and puerperal women” and “Serious outcomes of COVID-19 in pregnant and puerperal women”. The infection caused by SARS-CoV-2 has caused numerous public health problems worldwide, with serious repercussions in the health field, in which pregnant and puerperal women had a higher risk of needing intensive care, intubation, higher frequency of admission to the Intensive Care Unit and mortality. CONCLUSION: Pregnancy and the postpartum period can be an important risk factor associated with COVID-19, and pregnant and postpartum women had a higher risk of death and unfavorable obstetric outcomes. There was a higher risk of death among pregnant and postpartum women, especially black women compared to white and brown women.

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References

(1) Ministério da Saúde (Brasil). Resposta nacional e internacional de enfrentamento ao novo coronavírus [Internet]. 2020. Available from: https://www.paho.org/pt/news/30-1-2020-who-declares-public-health-emergency-novel-coronavrus

(2) WHO. Coronavirus disease 2019 (COVID-19) Situation Report – 90 [Internet]. 2019. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200419-sitrep-90-covid-19.pdf?sfvrsn=551d47fd_2

(3) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim Epidemiológico - Centro de Operações de Emergências em Saúde Pública | COE-nCoV. Doença pelo Novo Coronavírus 2019 - COVID-19 [Internet]. Brasília: Ministério da Saúde; 2020. Disponível em: https://www.gov.br/saude/pt-br/assuntos/covid-19/boletins-epidemiologicos-1/jan/boletim-epidemiologico-svs-04fev20.pdf

(4) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 48 (22/11 a 28/11/2020) nº39 [Internet]. Brasília: Ministério da Saúde; 2020. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2020/boletim_epidemiologico_covid_39.pdf/view

(5) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 51 (13 a 19/12/2020) nº42 [Internet]. Brasília: Ministério da Saúde; 2020. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2020/boletim_covid_42_24dez20.pdf/view

(6) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 21 (23/5 a 29/5/2021) nº65 [Internet]. Brasília: Ministério da Saúde; 2021. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/boletim_epidemiologico_covid_65_final4junho.pdf/view

(7) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 25 14 a 26/6/2021 nº 69 [Internet]. Brasília: Ministério da Saúde; 2021. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/69_boletim_epidemiologico_covid_2junho.pdf/view

(8) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 25 14 a 26/6/2021 nº 73 [Internet]. Brasília: Ministério da Saúde; 2021. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/boletim_epidemiologico_covid_73-4-final3ago.pdf/view

(9) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 47 21/11 a 27/11/2021 nº 91 [Internet]. Brasília: Ministério da Saúde; 2021. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/boletim_epidemiologico_covid_91_6dez21_final6dez.pdf/view

(10) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo coronavírus COVID-19. Semana Epidemiológica 48 28/11 a 4/12/2021 nº 92 [Internet]. Brasília: Ministério da Saúde; 2021. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/boletim_epidemiologico_covid_92_10dez21.pdf/view

(11) Liu W, Wang Q, Zhang Q, Chen L, Chen J, Zhang B, et al. Coronavirus disease 2019 (COVID-19) during pregnancy: a case series. Preprints 2020:2020020373. Available from: https://www.preprints.org/manuscript/202002.0373/v1

(12) Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809-15. https://doi.org/10.1016/S0140-6736(20)30360-3

(13) Zanette E, Parpinelli MA, Surita FG, Costa ML, Haddad SM, Sousa MH, et al; Brazilian Network for Surveillance of Severe Maternal Morbidity Group. Maternal near miss and death among women with severe hypertensive disorders: a Brazilian multicenter surveillance study. Reprod Health. 2014;11(01):4. https://doi.org/10.1186/1742-4755-11-4

(14) Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? Acta Obstet Gynecol Scand. 2020;99(4):439-442. https://doi.org/10.1111/aogs.13836

(15) Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. Am J Obstet Gynecol. 2020;222(5):415-426. https://doi.org/10.1016/j.ajog.2020.02.017

(16) Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, Choolani M, Mattar C, Su LL. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-531. https://doi.org/10.1016/j.ajog.2020.03.021

(17) Leal MC, Gama SGN, Pereira APE, Pacheco VE, Carmo CN, Santos RV. A cor da dor: iniquidades raciais na atenção pré-natal e ao parto no Brasil. Cad Saude Publica. 2017;33(Suppl):e00078816. https://doi.org/10.1590/0102-311X00078816

(18) Santos GG, Andrade LH, Magaton APFS, Parada CMGL. Efeitos da COVID-19 entre gestantes pretas e pardas: Revisão integrativa da literatura. RSD. 2021. https://doi.org/10.33448/rsd-v10i6.15531

(19) Santos GG, Santos CMP, Sousa MG, Parada CMGL. Impacto da Covid-19 entre gestantes pretas e pardas: revisão integrativa da literatura. Brazilian Journal of Development [Internet]. 2021;7(6):54076-5409. Disponível em: https://web.archive.org/web/20211203094718/https://www.brazilianjournals.com/index.php/BRJD/article/download/30620/pdf

(20) Organização das Nações Unidas das Mulheres do Brasil. Mulheres Negras agem para enfrentar o racismo na pandemia Covid-19 e garantir direitos da população negra no “novo normal” [Internet]. 2020. Available from: http://www.onumulheres.org.br/noticias/mulheres-negras-agem-para-enfrentar-o-racismo-na-pandemia-covid-19-e-garantir-direitos-da-populacao-negra-no-novo-normal/

(21) Organização das Nações Unidas. Racismo aumenta exposição de pessoas negras à COVID-19 e limita atendimento, afirmam pesquisadoras [Internet]. 2020. Available from: https://nacoesunidas.org/racismo-aumenta-exposicao-de-pessoas-negras-a-covid-19-e-limita-atendimento-afirmam-pesquisadoras/

(22) Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein (São Paulo). 2010;8(1):102-106. http://dx.doi.org/10.1590/s1679-45082010rw1134

(23) Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005. p.3-24.

(24) Ministério da Saúde (Brasil), Conselho Nacional de Saúde. Resolução nº 510, de 7 de abril de 2016. Diário Oficial da União [Internet]. 24 Maio 2016;Seç 1(98):44. Available from: https://pesquisa.in.gov.br/imprensa/jsp/visualiza/index.jsp?jornal=1&data=24/05/2016&pagina=44

(25) Scheler CA, Discacciati MG, Vale DB, Lajos GJ, Surita FG, Teixeira JC. Maternal Deaths from COVID-19 in Brazil: Increase during the Second Wave of the Pandemic. Rev Bras Ginecol Obstet. 2022;44(6):567-572. http://dx.doi.org/10.1055/s-0042-1748975

(26) Siqueira TS, Souza EKG, Martins-Filho PR, Silva JRS, Gurgel RQ, Cuevas LE, Santos VS. Clinical characteristics and risk factors for maternal deaths due to COVID-19 in Brazil: a nationwide population-based cohort study. J Travel Med. 2022;29(3):taab199. http://dx.doi.org/10.1093/jtm/taab199

(27) Santos GG, Andrade LH, Sordi MAP, Nunes HRC, Parada CMGL. Progression of COVID-19 Among Black Pregnant Women: Population-Based Study. Clin Nurs Res. 2022;31(4):733-746. https://doi.org/10.1177/10547738221078899

(28) Gonçalves BMM, Franco RPV, Rodrigues AS. Maternal mortality associated with COVID-19 in Brazil in 2020 and 2021: Comparison with non-pregnant women and men. PLoS One. 2021;16(12):e0261492. https://doi.org/10.1371/journal.pone.0261492

(29) Epelboin S, Labrosse J, De Mouzon J, Fauque P, Gervoise-Boyer MJ, Levy R, et al. Obstetrical outcomes and maternal morbidities associated with COVID-19 in pregnant women in France: A national retrospective cohort study. PLoS Med. 2021;18(11):e1003857. https://doi.org/10.1371/journal.pmed.1003857

(30) Serra FE, Francisco RPV, Rossi P, Brizot ML, Rodrigues AS. COVID-19 outcomes in hospitalized puerperal, pregnant, and neither pregnant nor puerperal women. PLoS One. 2021;16(11):e0259911. https://doi.org/10.1371/journal.pone.0259911

(31) Budhram S, Vannevel V, Botha T, Chauke L, Bhoora S, Balie GM et al. Maternal characteristics and pregnancy outcomes of hospitalized pregnant women with SARS-CoV-2 infection in South Africa: An International Network of Obstetric Survey Systems-based cohort study. Int J Gynaecol Obstet. 2021;155(3):455-465. https://doi.org/10.1002/ijgo.13917

(32) Bonatti AT, Miller N, Carvalhaes MABL, Jensen R, Parada CMGL. Fatores associados ao óbito entre puérperas com COVID-19: estudo brasileiro de base populacional*. Rev. Latino-Am. Enfermagem. 2021;29:e3507. http://dx.doi.org/10.1590/1518-8345.5446.3507

(33) Ames JL, Ferrara A, Avalos LA, Badon SE, Greenberg MB, Hedderson MM, et al. COVID-19 prevalence, symptoms, and sociodemographic disparities in infection among insured pregnant women in Northern California. PLoS One. 2021;16(9):e0256891. https://doi.org/10.1371/journal.pone.0256891

(34) Takemoto MLS, Menezes MO, Andreucci CB, Nakamura-Pereira M, Amorim MMR, Katz L, et al. The tragedy of COVID-19 in Brazil: 124 maternal deaths and counting. Int J Gynaecol Obstet. 2020;151(1):154-156. https://doi.org/10.1002/ijgo.13300

(35) Scheler CA, Discacciati MG, Vale DB, Lajos GJ, Surita F, Teixeira JC. Mortality in pregnancy and the postpartum period in women with severe acute respiratory distress syndrome related to COVID-19 in Brazil, 2020. Int J Gynaecol Obstet. 2021;155(3):475-482. https://doi.org/10.1002/ijgo.13804

(36) Ghelichkhani S, Jenabi E, Jalili E, Alishirzad A, Shahbazi F. Pregnancy outcomes among SARS-CoV-2-infected pregnant women with and without underlying diseases: a case-control study. J Med Life. 2021;14(4):518-522. https://doi.org/10.25122/jml-2021-0157

(37) Knobel R, Takemoto MLS, Nakamura-Pereira M, Menezes MO, Borges VK, Katz L, Amorim MMR, Andreucci CB. COVID-19-related deaths among women of reproductive age in Brazil: The burden of postpartum. Int J Gynaecol Obstet. 2021;155(1):101-109. https://doi.org/10.1002/ijgo.13811

(38) Vouga M, Favre G, Martinez-Perez O, Pomar L, Acebal LF, Abascal-Saiz A et al. Maternal outcomes and risk factors for COVID-19 severity among pregnant women. Sci Rep. 2021;11(1):13898. https://doi.org/10.1038/s41598-021-92357-y

(39) Santos DS, Menezes MO, Andreucci CB, Nakamura-Pereira M, Knobel R, Katz L, et al. Disproportionate Impact of Coronavirus Disease 2019 (COVID-19) Among Pregnant and Postpartum Black Women in Brazil Through Structural Racism Lens. Clin Infect Dis. 2021;72(11):2068-2069. https://doi.org/10.1093/cid/ciaa1066

(40) Teixeira MLB, Ferreira Júnior ODC, João E, Fuller T, Esteves JS, Mendes-Silva W, et al. Maternal and Neonatal Outcomes of SARS-CoV-2 Infection in a Cohort of Pregnant Women with Comorbid Disorders. Viruses. 2021;13(7):1277. https://doi.org/10.3390/v13071277

(41) Qeadan F, Mensah NA, Tingey B, Stanford JB. The risk of clinical complications and death among pregnant women with COVID-19 in the Cerner COVID-19 cohort: a retrospective analysis. BMC Pregnancy Childbirth. 2021;21(1):305. https://doi.org/10.1186/s12884-021-03772-y

(42) Nakamura-Pereira M, Knobel R, Menezes MO, Andreucci CB, Takemoto MLS. The impact of the COVID-19 pandemic on maternal mortality in Brazil: 523 maternal deaths by acute respiratory distress syndrome potentially associated with SARS-CoV-2. Int J Gynaecol Obstet. 2021;153(2):360-362. https://doi.org/10.1002/ijgo.13643

(43) Souza ASR, Amorim MMR. Mortalidade materna pela COVID-19 no Brasil. Revista Brasileira de Saúde Materno Infantil. 2021;21(1). https://doi.org/10.1590/1806-9304202100S100014

(44) Takemoto M, Menezes MO, Andreucci CB, Knobel R, Sousa L, Katz L, et al. Clinical characteristics and risk factors for mortality in obstetric patients with severe COVID-19 in Brazil: a surveillance database analysis. BJOG. 2020;127(13):1618-1626. https://doi.org/10.1111/1471-0528.16470

(45) Pirjani R, Hosseini R, Soori T, Rabiei M, Hosseini L, Abiri A, et al. Maternal and neonatal outcomes in COVID-19 infected pregnancies: a prospective cohort study. J Travel Med. 2020;27(7):taaa158. https://doi.org/10.1093/jtm/taaa158

(46) Menezes MO, Takemoto MLS, Nakamura-Pereira M, Katz L, Amorim MMR, Salgado HO, et al. Risk factors for adverse outcomes among pregnant and postpartum women with acute respiratory distress syndrome due to COVID-19 in Brazil. Int J Gynaecol Obstet. 2020;151(3):415-423. https://doi.org/10.1002/ijgo.13407

(47) Leveau CM. Distribuição espaço-temporal de mortes por COVID-19 na Argentina. Rev Panam Salud Publica. 2021;45:e3. https://doi.org/10.26633/RPSP.2021.3

(48) Barbosa TP, Costa FBP, Ramos ACV, Berra TZ, Arroyo LH, Alves YM, et al. Morbimortalidade por COVID-19 associada a condições crônicas, serviços de saúde e iniquidades: evidências de sindemia. Rev Panam Salud Publica. 2022;46:e6. https://doi.org/10.26633/RPSP.2022.6

(49) Hernández EJM, Olite JLM, Llerena EB. Análisis multidimensional de la evolución de la pandemia de la COVID-19 en países de las Américas. Rev Panam Salud Publica. 2022;46:e49. https://doi.org/10.26633/RPSP.2022.49

(50) Onwuzurike C, Diouf L, Meadows AR, Nour MM. Racial and ethnic disparities in severity of COVID-19 disease in pregnancy in the United States. Int J Gynaecol Obstet. 2020;151(2):293-295. https://dx.doi.org/10.1186/s12884-022-05338-y

Published

06/20/2024

Issue

Section

Literature Reviews: Systematic or Integrative (only)

How to Cite

1.
dos Santos GG, da Silva ALC, do Nascimento ES, de Andrade LH, Ferro T de A, Cardoso AMR. Evolution and outcomes of COVID-19 in the pregnancy puerperal cycle: integrative literature review. Rev Enf Contemp [Internet]. 2024 Jun. 20 [cited 2024 Jul. 3];13:e5560. Available from: https://journals.bahiana.edu.br/index.php/enfermagem/article/view/5560

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