Callado Gustavo Yano, Araujo Júnior Edward, Ramos Carolina Aquino Guedes, Lopes José Maria Andrade, Negri Danielle, Moreira Maria Elizabeth Lopes, Sá Renato Augusto Moreira de
Hospital Israelita Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein, - São Paulo (SP), Brazil.
Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Obstetrics - São Paulo (SP), Brazil.
Rev Assoc Med Bras (1992). 2025 Jul 7;71(6):e20250382. doi: 10.1590/1806-9282.20250382. eCollection 2025.
The aim of this study was to compare the characteristics of pregnancies that resulted in fetal death before and during the COVID-19 pandemic in a private maternity hospital in Rio de Janeiro, Brazil.
This retrospective cohort study considered all pregnancies that ended in fetal death in a private maternity hospital in Rio de Janeiro, Brazil, from January 2018 to December 2021. Maternal and fetal characteristics were compared between the periods before the pandemic and during the pandemic. Data were extracted from electronic medical records, and statistical analyses included Student's t-test, chi-square test, and Fisher's exact test where applicable.
Among 41,162 deliveries at Casa de Saúde Perinatal, 88 (0.21%) resulted in fetal death, with 38 (43.2%) occurring pre-pandemic (2018-March 2020) and 50 (56.8%) during the pandemic (March 2020-2021). Maternal demographics, comorbidities, and prepartum complications showed no statistically significant differences between groups. COVID-19 infection was identified in 12% of the pandemic-group pregnancies, but no significant disparities in fetal death causes or abnormalities were found.
No significant differences were observed in maternal or fetal characteristics, prepartum complications, or fetal mortality rates between the pre-pandemic and pandemic periods in this private hospital setting. However, this does not reflect the broader Brazilian healthcare reality, where disparities in access and resources may have influenced outcomes differently.
本研究旨在比较巴西里约热内卢一家私立妇产医院在新冠疫情之前及疫情期间导致胎儿死亡的妊娠特征。
这项回顾性队列研究纳入了2018年1月至2021年12月在巴西里约热内卢一家私立妇产医院所有以胎儿死亡告终的妊娠。比较了疫情前和疫情期间的母婴特征。数据从电子病历中提取，统计分析包括适用时的学生t检验、卡方检验和费舍尔精确检验。
在佩里纳塔尔健康之家的41162例分娩中，88例（0.21%）导致胎儿死亡，其中38例（43.2%）发生在疫情前（2018年 - 2020年3月），50例（56.8%）发生在疫情期间（2020年3月 - 2021年）。两组之间的产妇人口统计学、合并症和产前并发症在统计学上无显著差异。在疫情组的妊娠中，12%被确诊感染新冠病毒，但在胎儿死亡原因或异常方面未发现显著差异。
在这家私立医院环境中，疫情前和疫情期间的母婴特征、产前并发症或胎儿死亡率均未观察到显著差异。然而，这并不能反映巴西更广泛的医疗现实，在那里，医疗服务可及性和资源的差异可能对结果产生不同的影响。
