Year: 2021
Type: article
Study design: Study Protocol
Abstract: INTRODUCTION: The aim of this study was to evaluate the clinical, epidemiological and laboratory aspects of SARS-CoV-2 infection during pregnancy and postpartum in 16 maternity hospitals. METHODS AND ANALYSIS: A prospective multicentre study, with five axes. First, the prevalence of SARS-CoV-2 infection among women admitted for childbirth will be described in a cross-sectional study. Second, maternal and perinatal outcomes will be assessed in a prospective cohort study including pregnant or postpartum women with suspected COVID-19. Third, a cohort of positive COVID-19 cases with sampling of a variety of biological material. Histopathological and viral analysis of biological maternal and neonatal samples will be performed, and the assessment of nutritional variables to evaluate the association between vitamin D and severity of infection. Fourth, a monitoring and evaluation committee to collect relevant healthcare information and plan actions in centres facing the pandemic. Furthermore, qualitative studies will be performed to study pregnant women, their families and health professionals. Fifth, an ecological study will monitor the number of live births, stillbirths and other outcomes to explore any trend among the periods before, during and after the pandemic. Data will systematically be collected in an electronic platform following standardised operational procedures. For quantitative study components, an appropriate statistical approach will be used for each analysis. For qualitative data, in-depth interviews recorded in audio will be transcribed, checking the text obtained with the recording. Subsequently, thematic analysis with the aid of the NVivo programme will be performed. ETHICS AND DISSEMINATION: Ethical approval was obtained (letters of approval numbers 4.047.168, 4.179.679 and 4.083.988). All women will be fully informed to sign the consent form before enrolment in the study. Findings will be disseminated through peer-reviewed journals and scientific conferences.
Source: BMJ Open
Authors: Maria Laura Costa, Renato T Souza, Rodolfo C Pacagnella, Silvana F Bento, Carolina C Ribeiro-do-Valle, Adriana G Luz, Giuliane J Lajos, Silvia B Mazon, Luis Bahamondes, Fernanda G Surita, Guilherme M Nobrega, Thayna B Griggio, Charles M'poca Charles, Maria J Miele, Ricardo P Tedesco, Karayna G Fernandes, Sergio Martins-Costa, Frederico JA Peret, Francisco E Feitosa, Rosiane Mattar, Evelyn Traina, Edson V Cunha Filho, Janete Vettorazzi, Samira M Haddad, Carla B Andreucci, José Paulo Guida, Mario D Correa Junior, Marcos Augusto Bastos Dias, Leandro G Oliveira, Elias F Melo Junior, Carlos AS Menezes, Marília GQ Luz, Jose Guilherme Cecatti
Institutions: Universidade Estadual de Campinas (UNICAMP), Faculdade de Medicina de Jundiaí, Universidade Federal do Rio Grande do Sul, Unimed Belo Horizonte, Universidade Federal de São Paulo, Hospital Moinhos de Vento, Universidade Federal de São Carlos, Universidade Federal de Minas Gerais, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Universidade Estadual Paulista (Unesp), Universidade de Pernambuco
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,839
Award: G9000153568
OpenAlex ID: W4200569819