Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative
| Autor(a) principal: | |
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| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/49121 |
Resumo: | FAEPEX-Unicamp (Fundo de Apoio ao Ensino, à Pesquisa e à Extensão) under grant number 2300/20. |
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Costa, Maria LauraSouza, Renato T.Pacagnella, Rodolfo C.Bento, Silvana F.Ribeiro-do-Valle, Carolina C.Luz, Adriana G.Lajos, Giuliane J.Nobrega, Guilherme M.Griggio, Thayna B.Charles, Charles M.Tedesco, Ricardo P.Fernandes, Karayna G.Martins-Costa, Sérgio H. A.Peret, Frederico J. A.Feitosa, Francisco E.Mattar, RosianeCunha Filho, Edson V.Vetorazzi, JaneteHaddad, Samira M.Andreucci, Carla B.Guida, José P.Correa Junior, Mário D.Dias, Marcos Augusto BastosOliveira, Leandro G.Melo Junior, Elias F.Menezes, Carlos A. S.Luz, Marília G. Q.Cecatti, Jose G.2021-09-21T11:30:48Z2021-09-21T11:30:48Z2021COSTA, Maria Laura et al. Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative. PLoS ONE, p. 1-19, 23 July 2021.1932-6203https://www.arca.fiocruz.br/handle/icict/4912110.1371/journal.pone.02549771932-6203FAEPEX-Unicamp (Fundo de Apoio ao Ensino, à Pesquisa e à Extensão) under grant number 2300/20.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade de Campinas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Faculdade de Medicina de Jundiaí. Jundiaí, SP, Brasil.Faculdade de Medicina de Jundiaí. Jundiaí, SP, Brasil.Hospital das Clínicas de Porto Alegre. Porto Alegre, RS, Brasil.Maternidade UNIMED. Belo Horizonte, MG, Brasil.Universidade Federal do Ceará. Fortaleza, CE, Brasil.Universidade Federal de São Paulo. São Paulo, SP, Brasil.Hospital Moinhos de Vento. Porto Alegre, RS, Brasil.Hospital das Clínicas de Porto Alegre. Porto Alegre, RS, Brasil / Hospital Moinhos de Vento. Porto Alegre, RS, Brasil.Instituto Sócrates Guanaes. Hospital Regional Jorge Rossmann. Itanhaém, SP, Brasil.Universidade Federal de São Carlos. São Carlos, SP, Brasil.Hospital Estadual Sumaré. Sumaré, SP, Brasil.Universidade Federal de Minas Gerais. Hospital das Clínicas. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade Estadual de São Paulo. Faculdade de Medicina. Botucatu, SP, BrasilUniversidade Federal de Pernambuco. Hospital das Clínicas. Recife, PE, Brasil.Universidade Federal da Bahia. Maternidade Climério de Oliveira. Salvador, BA, Brasil.Santa Casa de Misericórdia do Pará. Belém, PA, Brasil.Introduction: COVID-19 pandemic posed major challenges in obstetric health care services. Preparedness, development, and implementation of new protocols were part of the needed response. This study aims to describe the strategies implemented and the perspectives of health managers on the challenges to face the pandemic in 16 different maternity hospitals that comprise a multicenter study in Brazil, called REBRACO (Brazilian network of COVID-19 during pregnancy). Methods: Mixed-method study, with quantitative and qualitative approaches. Quantitative data on the infrastructure of the units, maternal and perinatal health indicators, modifications on staff and human resources, from January to July/2020. Also, information on total number of cases, and availability for COVID-19 testing. A qualitative study by purposeful and saturation sampling was undertaken with healthcare managers, to understand perspectives on local challenges in facing the pandemic. Results: Most maternities early implemented their contingency plan. REBRACO centers reported 338 confirmed COVID-19 cases among pregnant and post-partum women up to July 2020. There were 29 maternal deaths and 15 (51.8%) attributed to COVID-19. All maternities performed relocation of beds designated to labor ward, most (75%) acquired mechanical ventilators, only the minority (25%) installed new negative air pressure rooms. Considering human resources, around 40% hired extra health professionals and increased weekly workload and the majority (68.7%) also suspended annual leaves. Only one center implemented universal screening for childbirth and 6 (37.5%) implemented COVID-19 testing for all suspected cases, while around 60% of the centers only tested moderate/severe cases with hospital admission. Qualitative results showed that main challenges experienced were related to the fear of the virus, concerns about reliability of evidence and lack of resources, with a clear need for mental health support among health professionals. Conclusion: Study findings suggest that maternities of the REBRACO initiative underwent major changes in facing the pandemic, with limitations on testing, difficulties in infrastructure and human resources. Leadership, continuous training, implementation of evidence-based protocols and collaborative initiatives are key to transpose the fear of the virus and ascertain adequate healthcare inside maternities, especially in low and middle-income settings. Policy makers need to address the specificities in considering reproductive health and childbirth during the COVID-19 pandemic and prioritize research and timely testing availability.engPublic Library of ScienceAdultCOVID-19FemaleHealth PersonnelHumansPandemicsParturitionPregnancyPregnancy Complications, Infectious / diagnosisPregnancy Complications, Infectious / epidemiologySARS-CoV-2COVID-19PandemicsVirus testingBrazilCritical care and emergency medicineSafety equipmentMedical risk factorsObstetrics and gynecologyFacing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiativeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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| dc.title.en.fl_str_mv |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| title |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| spellingShingle |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative Costa, Maria Laura Adult COVID-19 Female Health Personnel Humans Pandemics Parturition Pregnancy Pregnancy Complications, Infectious / diagnosis Pregnancy Complications, Infectious / epidemiology SARS-CoV-2 COVID-19 Pandemics Virus testing Brazil Critical care and emergency medicine Safety equipment Medical risk factors Obstetrics and gynecology |
| title_short |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| title_full |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| title_fullStr |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| title_full_unstemmed |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| title_sort |
Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative |
| author |
Costa, Maria Laura |
| author_facet |
Costa, Maria Laura Souza, Renato T. Pacagnella, Rodolfo C. Bento, Silvana F. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Peret, Frederico J. A. Feitosa, Francisco E. Mattar, Rosiane Cunha Filho, Edson V. Vetorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Guida, José P. Correa Junior, Mário D. Dias, Marcos Augusto Bastos Oliveira, Leandro G. Melo Junior, Elias F. Menezes, Carlos A. S. Luz, Marília G. Q. Cecatti, Jose G. |
| author_role |
author |
| author2 |
Souza, Renato T. Pacagnella, Rodolfo C. Bento, Silvana F. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Peret, Frederico J. A. Feitosa, Francisco E. Mattar, Rosiane Cunha Filho, Edson V. Vetorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Guida, José P. Correa Junior, Mário D. Dias, Marcos Augusto Bastos Oliveira, Leandro G. Melo Junior, Elias F. Menezes, Carlos A. S. Luz, Marília G. Q. Cecatti, Jose G. |
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author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Costa, Maria Laura Souza, Renato T. Pacagnella, Rodolfo C. Bento, Silvana F. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Peret, Frederico J. A. Feitosa, Francisco E. Mattar, Rosiane Cunha Filho, Edson V. Vetorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Guida, José P. Correa Junior, Mário D. Dias, Marcos Augusto Bastos Oliveira, Leandro G. Melo Junior, Elias F. Menezes, Carlos A. S. Luz, Marília G. Q. Cecatti, Jose G. |
| dc.subject.mesh.pt_BR.fl_str_mv |
Adult COVID-19 Female Health Personnel Humans Pandemics Parturition Pregnancy Pregnancy Complications, Infectious / diagnosis Pregnancy Complications, Infectious / epidemiology SARS-CoV-2 |
| topic |
Adult COVID-19 Female Health Personnel Humans Pandemics Parturition Pregnancy Pregnancy Complications, Infectious / diagnosis Pregnancy Complications, Infectious / epidemiology SARS-CoV-2 COVID-19 Pandemics Virus testing Brazil Critical care and emergency medicine Safety equipment Medical risk factors Obstetrics and gynecology |
| dc.subject.en.en.fl_str_mv |
COVID-19 Pandemics Virus testing Brazil Critical care and emergency medicine Safety equipment Medical risk factors Obstetrics and gynecology |
| description |
FAEPEX-Unicamp (Fundo de Apoio ao Ensino, à Pesquisa e à Extensão) under grant number 2300/20. |
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2021 |
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2021-09-21T11:30:48Z |
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2021-09-21T11:30:48Z |
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2021 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.citation.fl_str_mv |
COSTA, Maria Laura et al. Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative. PLoS ONE, p. 1-19, 23 July 2021. |
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https://www.arca.fiocruz.br/handle/icict/49121 |
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1932-6203 |
| dc.identifier.doi.pt_BR.fl_str_mv |
10.1371/journal.pone.0254977 |
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1932-6203 |
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COSTA, Maria Laura et al. Facing the COVID-19 pandemic inside maternities in Brazil: a mixed-method study within the REBRACO initiative. PLoS ONE, p. 1-19, 23 July 2021. 1932-6203 10.1371/journal.pone.0254977 |
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https://www.arca.fiocruz.br/handle/icict/49121 |
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Public Library of Science |
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Public Library of Science |
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| bitstream.checksum.fl_str_mv |
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MD5 MD5 MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ) |
| repository.mail.fl_str_mv |
repositorio.arca@fiocruz.br |
| _version_ |
1813009150009933824 |