Repercussions of SARS-CoV-2 infection and the pandemic on birth routes: a cross-sectional study
Isabela Carolina de Paula Oliveira1, Letícia Marcella Cordeiro Soares Geraldo1, Ana Paula Vieira Faria2
1Universidade Federal de Minas Gerais (UFMG), Escola de Enfermagem. Belo Horizonte, Minas Gerais, Brasil.
Objective:
To assess the repercussions of SARS-CoV-2 infection (suspected or confirmed) and the context of the pandemic on the birth route and humanized assistance during childbirth.
Method:
Cross-sectional epidemiological study, nested within a cohort and comparative with the research "Birth in Belo Horizonte: Survey on Childbirth and Delivery".The medical records of three reference maternity hospitals in Belo Horizonte were assessed, with a final sample of 1,682 pregnant women, in the months of May, June and July 2020. A descriptive analysis was carried out, with absolute and relative frequency, and a comparative one, with a Pearson's chi-square test.
Results:
It was observed that 2.02% of pregnant women were infected with SARS-CoV-2.Before the pandemic, out of a total of 390 pregnant women, 74.10% gave birth vaginally.During a pandemic, among infected women, 51.61% gave birth via cesarean section and 48,39% via vaginal delivery;among uninfected, 26.99% cesarean sections and 73.01% vaginaldeliveries.
Conclusion:
There was an increase in the percentage of cesarean sections and a possible influence of the pandemic on the rates of indication of cesarean sections at the time of admission to the maternity ward.
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