COVID-19 and Pregnancy/ COVID-19 e Gravidez

Amorim, Melania Maria Ramos; Souza, Alex Sandro Rolland; Melo, Adriana Suely de Oliveira; Delgado, Alexandre Magno; Florêncio, Anna Catharina Magliano Carneiro da Cunha; Oliveira, Thaise Villarim de; Lira, Lara Caline Santos; Sales, Lucas Martins dos Santos; Souza, Gabriela Albuquerque; Melo, Brena Carvalho Pinto de; Morais, Ítalo; Katz, Leila

Abstract Objectives: reviewing the available literature on COVID-19 infection and the maternal and perinatal outcomes. Methods: this is a narrative review of the literature carried out from March to September 2020, usingthe MESH: coronavirus, Covid 19, SARS-CoV-2, pregnancy, gravidity, pregnancy complications and pregnancy complications infectius. All study designs, reviews, recommendations and technical notes were included, without distinction of language and that would bring the approach of the new coronavirus in the gestational and perinatal scenario. Results: the COVID-19 pandemic has had devastating effects, affecting millions of people and claiming almost a million lives worldwide. Initially, pregnant women were not seen as a risk group for the disease, however as the proportion of women affected during the pregnancy-puerperal cycle increased, several studies were published showing an increased risk of complications. Brazilian studies have also warned of a high number of maternal deaths, associated with the presence of comorbidities but, above all, with the social determinants of the disease and serious failures in care. Conclusion: the need for new studies with an adequate research design was observed, as many studies are only letters or small series of cases, in addition expert recommendations, without the necessary scientific rigor.