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- Title
Análisis de la Mortalidad Materna Asociada a COVID-19 en Gestantes: Impacto Demográfico y Clínico en el Departamento de Córdoba, Colombia.
- Authors
Vidal Avilez, Julia Susana; Benítez Cheij, Lucelly de las Mercedes; Mendoza Villera, Luisa Fernanda; Ayazo Torres, Yubis Yadith; Ortiz Girón, José María; Martínez Lara, Sarly Milena; Cárdenas Vásquez, Diana Carolina; Benítez Barrantes, Gabriela Cristel; López Areiza, Tatiana Andrea
- Abstract
Objective: To analyze Maternal Mortality Associated with COVID-19 in Pregnant Women and to establish the Demographic and Clinical Impacts in the Department of Córdoba, Colombia 2021. Method: A descriptive, correlational-analytical study with a quantitative, cross-sectional, and retrospective approach focused on maternal mortality due to COVID-19 in Córdoba, Colombia, in 2021. It utilizes data from the Epidemiological Surveillance System, selecting pregnant women diagnosed with COVID-19 and excluding those with other pathologies. It analyzes sociodemographic and clinical variables using secondary sources for data analysis through frequency tables, Chi-Square tests, Cramer's V, Pearson correlation, and multiple linear regression to estimate weeks of prenatal care entry. Results: The highest percentage of deaths (57.1 %) occurred in pregnant women over 30 years old. The same percentage were under the subsidized regime; of these, 35.7 % resided in category one municipalities, and 57.1 % were under the subsidized regime; 28.5 % of these pregnant women had no comorbidities; 66.6 % were in their second trimester of pregnancy. Furthermore, 21.4 % of pregnant women attended between 4 and 5 prenatal visits. The Chi-Square value was <0.05. The Cramer's V coefficient was 0.372. Regarding the correlation between weeks of entry and the number of controls, it was -0.80. Correlating the weeks of entry and age gave a value of -0.73, and controls vs. age was 0.69. Nevertheless, the multiple linear regression model explains 70.37 % of the variability in weeks of entry, highlighting an inverse relationship between the number of controls and weeks of entry and a lesser influence of age. Regarding AVISA, the 14 deceased pregnant women had an average of 51 years of life lost. Conclusions: This study emphasizes the importance of sociodemographic and clinical factors in maternal mortality associated with COVID-19 in Córdoba, Colombia. It reveals a statistically significant relationship between early access to prenatal care and the reduction of risks in pregnant women, emphasizing the need to strengthen prenatal care and public health systems to protect pregnant women in vulnerable contexts.
- Subjects
COLOMBIA; SECOND trimester of pregnancy; PREGNANT women; PEARSON correlation (Statistics); PRENATAL care; SECONDARY analysis
- Publication
Gaceta Médica de Caracas, 2024, Vol 132, Issue 2, p453
- ISSN
0367-4762
- Publication type
Article
- DOI
10.47307/GMC.2024.132.2.16