Desfechos maternos e neonatais em gestantes com SRAG por COVID-19 no Estado do Rio de Janeiro: Uma avaliação do tipo de parto
DOI:
https://doi.org/10.71209/repis.2023.1.e0113Palavras-chave:
Gestantes, COVID-19, CesáreaResumo
A literatura relata que gestantes com diagnóstico de COVID-19 são menos propensas a ter um parto vaginal, e que aproximadamente dois terços do parto em mulheres com COVID-19 são cesarianas. Objetiva-se comparar o tipo de parto nos desfechos perinatais de gestantes que tiveram diagnóstico de SRAG por COVID-19 durante a gestação no Estado do Rio de Janeiro. Trata-se de um estudo transversal de base secundária, com linkage não-probabilístico dos bancos SIVEP-Gripe e SINASC de todos os casos notificados no Estado do Rio de Janeiro até janeiro de 2023. Foram analisados 239 partos vaginais e 728 cesarianas. A cesariana estava relacionada a piores desfechos em todas as variáveis estudadas, como maior necessidade de UTI e mortalidade materna, prematuridade, menor Apgar no 1º e 5º minuto e menor peso do recém-nascido quando comparados com o parto vaginal. A infecção pela COVID-19, por si só, não deve ser uma indicação para a cesariana, pois além de não haver evidências de que melhore as condições de nascimento, ela está associada a piores desfechos perinatais. Embora uma cesariana possa ser uma cirurgia que salva-vidas, ela pode colocar mulheres e bebês em risco desnecessário de problemas de saúde quando realizada sem necessidade clínica.
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Copyright (c) 2023 Luciane Velasque, Alana Stéphanie Esteves Villar da Motta, Leila Adesse, Maíra Mendonça da Rocha, Eduardo Mesquita Peixoto, Paula Rita Dias de Brito de Carvalho, Silvia Cristina de Carvalho
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