Fetal death as an outcome of acute respiratory distress in pregnancy, during the COVID-19 pandemic: a population-based cohort study in Bahia, Brazil - BMC Pregnancy and Childbirth

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Fetal death as an outcome of acute respiratory distress in pregnancy, during the COVID-19 pandemic: a population-based cohort study in Bahia, Brazil - BMC Pregnancy and Childbirth
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A study in BMCPregnancyChildbirth finds that in the first two years of the COVID-19 pandemic, SARS-CoV-2 virus was the main cause of acute respiratory distress and fetal deaths in pregnant women from Brazil. Such patients must be monitored carefully.

Table 2 Acute Respiratory Distress in pregnant women according to gestational characteristics. Bahia, Brazil, Jan 2019 – Jun 2021All 765 pregnant women who had ARD were hospitalized, 286 were admitted to the ICU and 127 received invasive ventilation. SARS-CoV-2 was identified as the etiologic agent of ARD in 432 cases , while 10 cases were due to other respiratory viruses. Also, 323 cases of ARD during pregnancy had no etiologic diagnosis .

Table 3 Crude and adjusted odds ratio obtained through logistic regression analysis for the association between Acute Respiratory Distress during pregnancy and fetal deaths. Bahia, Brazil, Jan 2019—Jun 2021The sensitivity analysis, restricted to COVID-19 laboratory-confirmed cases, showed that the risk of fetal death was 345% higher when compared to the unexposed group and controlled for maternal age group, maternal education, type of pregnancy, sex of the fetus and type of delivery .

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