ArticleLancet regional health. Americas2022
Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 58 citations in OpenAlex.
- Factors Associated with Maternal Mortality from COVID-19 in Pernambuco, Brazil (2020-2021): A Case-Control Study.Diseases (Basel, Switzerland) · 2026Article
- Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region.BMC pregnancy and childbirth · 2026Article
- Did COVID-19 impact perinatal outcomes differently in public and private maternity hospitals in Brazil?Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025Article
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- Lessons from public health policies contributing to Brazil's lowest maternal mortality ratio in 2022: a short communication.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Clinical characteristic and outcomes of pregnant women with COVID-19: The PROUDEST prospective cohort study.PloS one · 2025Article
- Analysis of the influence of the COVID-19 pandemic on maternal mortality trends, 2011-2021.Revista latino-americana de enfermagem · 2025Article
- Hospital padrino: a collaborative strategy model to tackle maternal mortality: a mixed methods study in a middle-income region.Lancet regional health. Americas · 2024Article
- Article
- Nationwide study of in-hospital maternal mortality in Ecuador, 2015-2022.Revista panamericana de salud publica = Pan American journal of public health · 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
- Impact of the COVID-19 pandemic on excess maternal deaths in Brazil: A two-year assessment.PloS one · 2024Article
- [We must not remain blind to equity: lessons to be learned from the COVID-19 pandemic in the AmericasDeixar de ignorar a equidade: lições a aprender com a pandemia de COVID-19 nas Américas].Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- Neonatal outcomes according to different degrees of maternal morbidity: cross-sectional evidence from the Perinatal Information System (SIP) of the CLAP network.Global health action · 2023Article
- Factors associated with COVID-19 vaccination among pregnant women in Rio De Janeiro City, Brazil.Scientific reports · 2023Article
- Scenarios of maternal mortality reduction by 2030 in the Americas: insights from its tempo.International journal for equity in health · 2023Article
- Coronavirus Disease-2019 in Pregnancy.Clinics in chest medicine · 2023Review
- Severe maternal morbidity and mortality during the COVID-19 pandemic: a cohort study in Rio de Janeiro.IJID regions · 2023Article
- Mechanical ventilation and death in pregnant patients admitted for COVID-19: a prognostic analysis from the Brazilian COVID-19 registry score.BMC pregnancy and childbirth · 2023Article
- Article
Corrections and comments
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Authors and funding
34 authors at 14 institutions in 10 countries.
Funding
Abstract
Background: This study aimed to describe the clinical characteristics of maternal deaths associated with COVID-19 registered in a collaborative Latin-American multi-country database. Methods: This was an observational study implemented from March 1st 2020 to November 29th 2021 in eight Latin American countries. Information was based on the Perinatal Information System from the Latin American Center for Perinatology, Women and Reproductive Health. We summarized categorical variables as frequencies and percentages and continuous variables into median with interquartile ranges. Findings: We identified a total of 447 deaths. The median maternal age was 31 years. 86·4% of women were infected antepartum, with most of the cases (60·3%) detected in the third trimester of pregnancy. The most frequent symptoms at first consultation and admission were dyspnea (73·0%), fever (69·0%), and cough (59·0%). Organ dysfunction was reported in 90·4% of women during admission. A total of 64·8% women were admitted to critical care for a median length of eight days. In most cases, the death occurred during the puerperium, with a median of seven days between delivery and death. Preterm delivery was the most common perinatal complication (76·9%) and 59·9% were low birth weight. Interpretation: This study describes the characteristics of maternal deaths in a comprehensive multi-country database in Latin America during the COVID-19 pandemic. Barriers faced by Latin American pregnant women to access intensive care services when required were also revealed. Decision-makers should strengthen severity awareness, and referral strategies to avoid potential delays. Funding: Latin American Center for Perinatology, Women and Reproductive Health.
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