ArticleBMC public health2021
Maternal mortality during the COVID-19 pandemic in Mexico: a preliminary analysis during the first year.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Pooled it
- Spatial autocorrelation and regression approach for delineating maternal mortality and its associated factors in Karnataka, India.BMJ open · 2026Article
- The economic burden of maternal mortality: a scoping review.Health economics review · 2026Review
- Quality of life in the postpartum period of Mexican women living with HIV: The role of clinical and sociodemographic factors.PloS one · 2026Observational
- Maternal mortality in Peru: trends, determinants, inequalities, and the impact of COVID-19.International journal for equity in health · 2025Article
- Health system financing fragmentation and maternal mortality transition in Mexico, 2000-2022.International journal for equity in health · 2025Article
- Risk perception increase due to COVID-19 impacted antenatal care utilization among women in an indigenous community.BMC pregnancy and childbirth · 2024Article
- SARS-CoV-2 infection during pregnancy and the risk of adverse maternal outcomes in the Republic of Georgia: a national birth registry-based cohort study.BMC pregnancy and childbirth · 2024Article
- Effects of emerging SARS-CoV-2 on total and cause-specific maternal mortality: A natural experiment in Chile during the peak of the outbreak, 2020-2021.PLOS global public health · 2024Article
- The COVID-19 pandemic and disruptions to maternal and child health services in public primary care Malaysia: a retrospective time-series analysis.BMJ global health · 2023Article
- Blood Type Associated with the Risk of COVID-19 Infection in Pregnant Women.Diagnostics (Basel, Switzerland) · 2023Article
- The impact of COVID-19 on the number of births in Yucatan, Mexico.American journal of human biology : the official journal of the Human Biology Council · 2023Article
- COVID-19 on Pregnancy Outcomes, Mental Health and Placenta: Focus in Latin America.Advances in experimental medicine and biology · 2023Article
- Article
- Article
- Risk Factors Associated with Severe Disease and Intensive Care Unit Admission of Pregnant Patients with COVID-19 Infection-A Retrospective Study.Journal of clinical medicine · 2022Article
- Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths.Lancet regional health. Americas · 2022Article
- Does the Fetus Limit Antibiotic Treatment in Pregnant Patients with COVID-19?Antibiotics (Basel, Switzerland) · 2022Article
- Impact of emerging virus pandemics on cause-specific maternal mortality time series: a population-based natural experiment using national vital statistics, Argentina 1980-2017.Lancet regional health. Americas · 2022Article
- Profile of coronavirus disease enlightened asthma as a protective factor against death: An epidemiology study from Brazil during the pandemic.Frontiers in medicine · 2022Article
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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.
methodsA 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.
resultsMaternal 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).
conclusionsMaternal 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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