{"id":19230,"date":"2020-05-28T17:18:18","date_gmt":"2020-05-28T20:18:18","guid":{"rendered":"http:\/\/www.institutosantosdumont.org.br\/?p=19230"},"modified":"2020-09-29T16:07:13","modified_gmt":"2020-09-29T19:07:13","slug":"brasil-tem-mais-mortes-maternas-associadas-a-covid-19-do-que-8-paises-juntos","status":"publish","type":"post","link":"https:\/\/institutosantosdumont.org.br\/en\/brasil-tem-mais-mortes-maternas-associadas-a-covid-19-do-que-8-paises-juntos\/","title":{"rendered":"Brazil has more maternal deaths associated with Covid-19 than 8 countries combined"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"19230\" class=\"elementor elementor-19230\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4375b39 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4375b39\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9c2ffe9\" data-id=\"9c2ffe9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4073f3f elementor-widget elementor-widget-image\" data-id=\"4073f3f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"467\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/A-morte-de-Asheelley-ap\u00f3s-perder-o-beb\u00ea-foi-noticiada-pela-TV-Record.png\" class=\"attachment-large size-large wp-image-19246\" alt=\"\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/A-morte-de-Asheelley-ap\u00f3s-perder-o-beb\u00ea-foi-noticiada-pela-TV-Record.png 852w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/A-morte-de-Asheelley-ap\u00f3s-perder-o-beb\u00ea-foi-noticiada-pela-TV-Record-300x175.png 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/A-morte-de-Asheelley-ap\u00f3s-perder-o-beb\u00ea-foi-noticiada-pela-TV-Record-768x448.png 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Image from a TV Record report on Asheelley&#039;s death, aged 17. Accusation of negligence came from the family. The S\u00e3o Paulo State Health Department denied, however, that there had been failures in assistance<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10573f9 elementor-widget elementor-widget-text-editor\" data-id=\"10573f9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Renata Moura<\/strong><\/p><p><span style=\"font-weight: 400;\">Journalist<\/span><\/p><p><span style=\"font-weight: 400;\">Asheelley Vieira Santos was 17 years old when she saw her story turn into a nightmare, in S\u00e3o Paulo.<\/span><\/p><p><span style=\"font-weight: 400;\">She was in her sixth month of pregnancy when she felt pain, lost the baby and, after being hospitalized to remove it, ended up dying in the hospital with supposed symptoms of <a href=\"https:\/\/www.paho.org\/bra\/index.php?option=com_content&amp;view=article&amp;id=6101:covid19&amp;Itemid=875\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Covid-19<\/a>.<\/span><\/p><p><span style=\"font-weight: 400;\">Cleide, Selidalva, Priscila, Mar\u00edlia, Aline, Viviane, Rafaela, Regivane, Saionara, Daiane, Joyce, Glaucia, Eliane and six other unidentified Brazilian women \u2013 including one in Rio Grande do Norte \u2013 would also have died while pregnant or days after childbirth in cases reported as suspected or confirmed of the disease in the media, in official sources or in hospital records.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">The tragic end of the women would have occurred between March and May of this year and was identified in a global survey that the Santos Dumont Institute (ISD) carried out for a month and released this Thursday (28), <\/span><span style=\"font-weight: 400;\">National Day to Reduce Maternal Mortality. ISD is a Social Organization of the federal government linked to the Ministry of Education and a reference in teaching, research, extension and assistance to the population \u2013 via the Unified Health System (SUS) \u2013 in the areas of maternal and child health, people with disabilities, in neurosciences and neuroengineering. <\/span><\/p><p><span style=\"font-weight: 400;\">The survey on maternal mortality associated with Covid-19, the disease caused by the new coronavirus, is part of a <a href=\"https:\/\/bit.ly\/3fzJbry\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">series of publications by the Institute focused on the health of pregnant or postpartum women during the pandemic<\/a>. <\/span><\/p><p><span style=\"font-weight: 400;\">Click <a href=\"https:\/\/institutosantosdumont.org.br\/en\/ilustracoes-covid-19\/\">here<\/a> to access illustrations and <a href=\"https:\/\/institutosantosdumont.org.br\/en\/informativos-isd-covid-19\/\">here<\/a> to see information about it. Already in<\/span><em>following graphic see data on mortality:<\/em><\/p><div class=\"infogram-embed\" data-id=\"ee52b268-fdde-4d52-9e08-02be20dc9272\" data-type=\"interactive\" data-title=\"GRAVIDEZ X COVID-19: MORTES NO BRASIL E NO MUNDO\">\u00a0<\/div><p><script>!function(e,i,n,s){var t=\"InfogramEmbeds\",d=e.getElementsByTagName(\"script\")[0];if(window[t]&&window[t].initialized)window[t].process&&window[t].process();else if(!e.getElementById(n)){var o=e.createElement(\"script\");o.async=1,o.id=n,o.src=\"https:\/\/e.infogram.com\/js\/dist\/embed-loader-min.js\",d.parentNode.insertBefore(o,d)}}(document,0,\"infogram-async\");<\/script><\/p><div style=\"padding: 8px 0; font-family: Arial!important; font-size: 13px!important; line-height: 15px!important; text-align: center; border-top: 1px solid #dadada; margin: 0 30px;\"><a style=\"color: #989898!important; text-decoration: none!important;\" href=\"https:\/\/infogram.com\/ee52b268-fdde-4d52-9e08-02be20dc9272\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">PREGNANCY X COVID-19: DEATHS IN BRAZIL AND THE WORLD<\/a><br \/><a style=\"color: #989898!important; text-decoration: none!important;\" href=\"https:\/\/infogram.com\" target=\"_blank\" rel=\"nofollow noopener\">infogram<\/a><\/div><p><strong>Mapped deaths<\/strong><\/p><p><span style=\"font-weight: 400;\">Due to the lack of official statistics during the survey period, maternal mortality stories were mapped by the Santos Dumont Institute mainly\u00a0<\/span><span style=\"font-weight: 400;\">based on reports published on news portals and TVs in Brazil and abroad. In three cases, information released by official sources or hospitals was used that mentioned victims supposedly of Covid-19. <a href=\"https:\/\/docs.google.com\/document\/d\/1KWnPYsng9vKHp6gXTjNOd7M2Ny_LYkV1FxyWql_5vtg\/edit?usp=sharing\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">The research covered texts and videos published in Portuguese, English and Spanish (click here to see the data)<\/a>.<\/span><\/p><p><span style=\"font-weight: 400;\">Of the 39 cases found, 20 are in Brazil. The number exceeds that of 8 countries combined, including the United States and the United Kingdom, which until the publication of this report were leading in overall deaths caused by the disease, according to the World Health Organization.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cWe currently have unprecedented visibility for the issue of maternal mortality in the country \u2013 a challenge that is still far from being overcome and which demands urgent strategies to guarantee safe motherhood\u201d, analyzes Reginaldo Freitas J\u00fanior, general director of ISD, doctor in science doctors from USP, professor in the Department of Tocogynecology at UFRN and National Instructor of the Zero Maternal Death from Postpartum Hemorrhage Strategy of the Pan American Health Organization\/World Health Organization (PAHO\/WHO).<\/span><\/p><p>He claims that the Ministry of Health&#039;s initial understanding that pregnant women were not among the population groups most vulnerable to the effects of the virus underestimated long-standing deficiencies in structure and care, which already left women at risk. Only in the week of April 13 were pregnant and postpartum women included by the government in the so-called \u201crisk group\u201d \u2013 requiring enhanced care.<\/p><p><em>See below the interview shown on 29\/05, on InterTV, Globo affiliate, about the ISD survey regarding maternal mortality:<\/em><\/p><p><iframe src=\"https:\/\/www.youtube.com\/embed\/rj7IXiSfGdI\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p><p><b>&#039;Old weaknesses show their worst face in the pandemic&#039;<\/b><\/p><p><span style=\"font-weight: 400;\">\u201cWhat it seems\u201d, according to Freitas J\u00fanior, \u201cis that Covid-19 is bringing to light important weaknesses in the maternal health care network, which pre-existed, many of them chronically, but which in a situation like this pandemic show the your worst face.\u201d<\/span><\/p><p><span style=\"font-weight: 400;\">One example he cites is related to the lack of prenatal care at the end of pregnancy. \u201cIt\u2019s a problem that we\u2019ve been trying to combat for years, but it\u2019s still real in many cities. The end of pregnancy is a period much more prone to complications, it is where there are many more risks to maternal health, but these pregnant women are no longer guaranteed weekly evaluation returns until the time of delivery\u201d, he says.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cIt&#039;s as if prenatal care has ended and now all you have to do is go to the maternity ward if you feel pain or have signs of labor, when your water breaks, or if you experience bleeding, but it shouldn&#039;t work like that. The end of pregnancy is a period of great vulnerability and the pregnant woman needs to be guaranteed at least one weekly appointment until the baby is born, but this did not happen before and now due to the pandemic, even more so. This guarantee is not being fulfilled and many pregnant women are without this care, without this support, without the necessary surveillance at a time of greater risk.\u201d\u00a0<\/span><\/p><figure id=\"attachment_19260\" aria-describedby=\"caption-attachment-19260\" style=\"width: 799px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-silhueta-de-mulhe-gr\u00e1vida.jpg\"><img decoding=\"async\" class=\"wp-image-19260 size-full\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-silhueta-de-mulhe-gr\u00e1vida.jpg\" alt=\"\" width=\"799\" height=\"533\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-silhueta-de-mulhe-gr\u00e1vida.jpg 799w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-silhueta-de-mulhe-gr\u00e1vida-300x200.jpg 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-silhueta-de-mulhe-gr\u00e1vida-768x512.jpg 768w\" sizes=\"(max-width: 799px) 100vw, 799px\" \/><\/a><figcaption id=\"caption-attachment-19260\" class=\"wp-caption-text\">General Director of ISD points out risks that lack of prenatal care can bring during pregnancy, especially in the final months | Photo: Rodrigo Nunes \u2013 ASCOM\/MS<\/figcaption><\/figure><p><b>&#039;Pilgrimage to give birth&#039;<\/b><\/p><p><span style=\"font-weight: 400;\">Another point of weakness that he points out is the lack of linkage of many pregnant women to a maternity hospital or reference service for childbirth. In other words, many women have no guarantee of where they will give birth. \u201cThey receive prenatal care at SUS and this does not guarantee them the place, the maternity ward that will receive them at the time of birth. The pilgrimage to give birth is still a Brazilian reality, and it is still a northeastern reality. These women often travel great distances, and even more than one municipality, in search of a maternity ward, a hospital that guarantees assistance during childbirth.\u201d\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">The expert analyzes the situation as \u201ca flagrant violation of rights that compromises the safety of pregnant women, puts the outcome of the pregnancy at risk and is undoubtedly a factor that increases the occurrence of maternal mortality\u201d. The women cited in this report were at different stages of pregnancy or postpartum when they died. The news that focuses on their deaths does not detail whether problems like those mentioned by the expert were recorded. Family members of Asheelley and Glaucia, however, said in an interview with TVRecord and G1 that they did not receive the necessary medical assistance in the last days of their lives. <\/span><\/p><p><span style=\"font-weight: 400;\">Asheelley&#039;s mother and the family of another woman, Priscila, also claim that they contracted Covid-19 in the hospital. The health departments of S\u00e3o Paulo and Rio de Janeiro denied errors in the cases.<\/span><\/p><figure id=\"attachment_19265\" aria-describedby=\"caption-attachment-19265\" style=\"width: 966px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-mulher-gr\u00e1vida-que-morreu-durante-a-pandemia-no-Rio-de-Janeiro.png\"><img decoding=\"async\" class=\"wp-image-19265 size-full\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-mulher-gr\u00e1vida-que-morreu-durante-a-pandemia-no-Rio-de-Janeiro.png\" alt=\"\" width=\"966\" height=\"702\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-mulher-gr\u00e1vida-que-morreu-durante-a-pandemia-no-Rio-de-Janeiro.png 966w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-mulher-gr\u00e1vida-que-morreu-durante-a-pandemia-no-Rio-de-Janeiro-300x218.png 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Imagem-mostra-mulher-gr\u00e1vida-que-morreu-durante-a-pandemia-no-Rio-de-Janeiro-768x558.png 768w\" sizes=\"(max-width: 966px) 100vw, 966px\" \/><\/a><figcaption id=\"caption-attachment-19265\" class=\"wp-caption-text\">Glaucia, who died on March 24, was isolated with suspected coronavirus, but the test result was negative | Image: G1 Reproduction<\/figcaption><\/figure><p><strong>Prenatal care: Women are deprived of services and more vulnerable<\/strong><\/p><p><span style=\"font-weight: 400;\">In the reorganization of health services due to the pandemic, many Brazilian cities understood that prenatal care and family planning services were not essential and could be suspended \u2013 and this brought \u201cgreat losses and risks to women\u201d, according to the director of ISD. They ended up, he says, deprived of support and more vulnerable at this time.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cIn addition to harming women\u2019s safety, it also risks, in addition to complications inherent to Covid-19, an increase in obstetric risk due to other complications, such as hypertension during pregnancy, lack of control of gestational diabetes, risk of premature birth and inadequate (and not timely) treatment of infections\u201d, observes Freitas J\u00fanior. \u201cPrenatal care is essential and cannot stop, in the SUS and in the private network, even prenatal care for low-risk pregnancies. It has to be guaranteed to Brazilian pregnant women.\u201d\u00a0<\/span><\/p><p><b>Deaths in the states<\/b><\/p><p><span style=\"font-weight: 400;\">The cases of maternal mortality associated with Covid-19 mapped by the Santos Dumont Institute are distributed among 11 states, with the majority in Rio de Janeiro (20%) and S\u00e3o Paulo (20%). It is in the North and Northeast, however \u2013 regions that already had the highest overall maternal mortality rates in Brazil, according to the most recent official data \u2013 that are the worst-case scenarios in a comparison of mortality rates per 100,000 inhabitants.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Amap\u00e1, Para\u00edba, Amazonas and Rio Grande do Norte record, respectively, the worst rates considering this parameter, according to the survey. Next are Esp\u00edrito Santo, Par\u00e1, Rio de Janeiro, Maranh\u00e3o, Pernambuco, S\u00e3o Paulo and Bahia.<\/span><\/p><figure id=\"attachment_19291\" aria-describedby=\"caption-attachment-19291\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-19291 size-large\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses-1024x737.png\" alt=\"\" width=\"1024\" height=\"737\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses-1024x737.png 1024w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses-300x216.png 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses-768x553.png 768w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Eliane-Ramos-Rodrigues-morreu-com-o-novo-coronav\u00edrus-em-Manaus.-Ela-estava-gr\u00e1vida-de-oito-meses.png 1135w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"caption-attachment-19291\" class=\"wp-caption-text\">Eliane Ramos Rodrigues died from the new coronavirus, in Manaus. She was eight months pregnant | Image: Reproduction Isto \u00c9<\/figcaption><\/figure><p><span style=\"font-weight: 400;\">Globally, the analysis shows that Brazil accounts for 51,28% of deaths of pregnant women or women who have recently given birth in the world, associated with suspected or confirmed Covid-19.\u00a0<\/span><\/p><p>The data suggests that the country not only has more victims than others combined, but also the highest rate of maternal deaths supposedly due to Covid-19, per 100,000 inhabitants. The number is 21.20% higher than that of the United Kingdom, for example, the second country in terms of deaths on this list, but, according to Freitas J\u00fanior, recognized as a model in terms of a maternal care network and guarantees of women&#039;s rights. The distance between the two countries in this field can also be measured by <a href=\"https:\/\/www.who.int\/reproductivehealth\/publications\/maternal-mortality-2000-2017\/en\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">latest Maternal Mortality Ratio (MMR) data released by the World Health Organization (WHO)<\/a>, a snapshot of maternal deaths per 100,000 live births. The British number is almost nine times lower than the Brazilian one.<\/p><ul><li><em>The subject was the subject of the report \u201cMaternal mortality rate due to coronavirus is higher in Brazil than in 8 countries in the world combined\u201d, published in the newspaper O Povo, from Cear\u00e1. <a href=\"https:\/\/www.opovo.com.br\/coronavirus\/2020\/05\/27\/taxa-de-mortalidade-materna-por-coronavirus-e-maior-no-brasil-do-que-em-8-paises-do-mundo-juntos.html\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Click here to read<\/a>.<\/em><\/li><\/ul><p><strong>Direct and indirect factors cause almost 40 thousand victims\u00a0<\/strong><\/p><p><span style=\"font-weight: 400;\">Until the conclusion of the ISD survey, there are no official statistics on the causes of direct or indirect maternal deaths, such as Covid-19, this year in Brazil. <a href=\"https:\/\/www.saude.gov.br\/images\/pdf\/2020\/May\/20\/Boletim-epidemiologico-SVS-20-aa.pdf\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">A bulletin published this week by the Ministry of Health<\/a> shows, however, that, \u201cfrom 1996 to 2018, 38,919 maternal deaths were recorded in the country, of which approximately 671 TP3T were due to direct obstetric causes, that is, due to obstetric complications during pregnancy, childbirth or the puerperium due to interventions, omissions, incorrect treatment or to a chain of events resulting from any of these causes.\u201d The main reasons identified are hypertension, hemorrhage, puerperal infection and abortion.<\/span><\/p><p><span style=\"font-weight: 400;\">Indirect obstetric causes, according to the Ministry of Health, result from diseases pre-existing during pregnancy or that developed during this period, not caused by direct obstetric causes, but aggravated by the physiological effects of pregnancy.\u00a0<\/span><span style=\"font-weight: 400;\">Examples of these causes include diseases of the circulatory system, respiratory diseases, AIDS and maternal infectious and parasitic diseases. According to the bulletin, between 1996 and 2018, indirect causes were responsible for 29% of maternal deaths. The others were classified as non-specific obstetric causes.<\/span><\/p><p><span style=\"font-weight: 400;\">The document draws attention to the fact that, in 2009, the outbreak of influenza A (H1N1) contributed to the increase in deaths from indirect obstetric causes, but does not analyze the trend with Covid-19.<\/span><\/p><p><span style=\"font-weight: 400;\">Asheelley<\/span>, mentioned at the beginning of this report, was the youngest among the victims of the disease identified by ISD. The death certificate indicated coronavirus infection. But the family \u2013 on the TV channel where the death was reported \u2013 accused the hospital of negligence, alleging delays in care and that she was exposed to the dangers of Covid-19 in the hospital. The S\u00e3o Paulo State Health Department denied this, in the same report, and said that she received the necessary assistance.<\/p><p><em>*Text updated after publication to add information.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-70df49ce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"70df49ce\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7fc995e7\" data-id=\"7fc995e7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21d67795 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"21d67795\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2847957 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"2847957\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Brasil-tem-mais-mortes-maternas-associadas-\u00e0-Covid19-do-que-8-pa\u00edses-juntos.-Imagem-mostra-parte-das-v\u00edtimas-capa.jpg\" class=\"attachment-full size-full wp-image-19239\" alt=\"\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Brasil-tem-mais-mortes-maternas-associadas-\u00e0-Covid19-do-que-8-pa\u00edses-juntos.-Imagem-mostra-parte-das-v\u00edtimas-capa.jpg 1200w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Brasil-tem-mais-mortes-maternas-associadas-\u00e0-Covid19-do-que-8-pa\u00edses-juntos.-Imagem-mostra-parte-das-v\u00edtimas-capa-300x169.jpg 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Brasil-tem-mais-mortes-maternas-associadas-\u00e0-Covid19-do-que-8-pa\u00edses-juntos.-Imagem-mostra-parte-das-v\u00edtimas-capa-768x432.jpg 768w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/Brasil-tem-mais-mortes-maternas-associadas-\u00e0-Covid19-do-que-8-pa\u00edses-juntos.-Imagem-mostra-parte-das-v\u00edtimas-capa-1024x576.jpg 1024w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">FIND OUT MORE ABOUT ISD WITHDRAWAL<\/h3><p class=\"elementor-image-box-description\">The survey on maternal deaths associated with Covid-19 was carried out by ISD between 04\/24\/2020 and 05\/26\/2020. The research was carried out using keywords related to pregnancy, childbirth and Covid-19, in news published in Portuguese, English and Spanish. Cases found in sources other than reports were confirmed with official sources after reports received by the ISD about deaths in the respective states. The mapping led to cases that would have occurred between March 13 (in Poland) and May 24, 2020 (in India). In Brazil, the deaths would have occurred between March 21 (in S\u00e3o Paulo) and May 23 (Para\u00edba and Rio de Janeiro). Asheelley&#039;s, mentioned at the beginning of the report, was on the 16th of this month. She would have been the youngest of the victims. In Brazil, reports that report ages mention women aged 17 to 43*. Those that appear with names are Cleide, Selidalva, Priscila, Mar\u00edlia, Aline, Viviane, Rafaela, Regivane, Saionara, Daiane, Joyce, Asheelley, Glaucia and Eliane. Abroad, the women identified were between 20 and 43 years old. Those who made the news and had their names published are Eli, Mary Agyeiwaa, Wafa, Fozia, Andrea, Shakeela, Estefan\u00eda, Salina, Wegene and Gabriela. Overall, women were at different stages of pregnancy: from \u201cbeginning\u201d (10 weeks) to 9 months. The majority of births were cesarean sections. The cases have gained unprecedented repercussion in the media and on other communication platforms, such as social networks. It was on Facebook, for example, that a Brazilian doctoral student in medicine began sharing links to reports with stories of deaths of pregnant and postpartum women allegedly due to Covid-19. Among the deaths cited in this &quot;map of reports&quot; are that of Wegene Debele, a 43-year-old Ethiopian immigrant who died in Washington state after giving birth, Mary, Salina and Fozia, in England, Estefan\u00eda, in Spain, and from Gabriela, Mexico. But it was in Brazil that most of the victims were identified at the time: Rafaela, Viviane, Priscila and two other women whose identities were not revealed. Deaths from Covid-19 or not are subject to confirmation by official investigation by the technical teams of Epidemiological Surveillance - MS\/SVS\/CGIAE. Information from the Ministry of Health, released after the ISD survey, gives clues to the official scenario. The data shows that at least 484 pregnant women were infected by the new coronavirus in Brazil and that 36 died as a result of the disease caused by it, Covid-19. The bulletin does not make it clear whether postpartum women - those who recently had a baby - are included in this count. If they are, Rafaela, from Bahia, Saionara, from Amap\u00e1, and a mother who the Maranh\u00e3o government describes as &quot;a woman who died, 31 years old, postpartum after fetal death&quot; may have been left off the list. *The mix of photos used in the report shows, from left to right: (1st row) Priscila, Mar\u00edlia, Selidalva and Cleide. (2nd row) Aline, Viviane, Regivane and Saionara. (3rd row) Daiane, Joyce, Rafaela and Asheelley. Glaucia and Eliane also appear in photos in the report. Images of the other women were not found until the publication of this text, or were impossible to identify through records of their deaths.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92d85de elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"92d85de\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/www.saude.gov.br\/images\/pdf\/2020\/May\/29\/2020-05-25---BEE17---Boletim-do-COE.pdf\" target=\"_blank\" tabindex=\"-1\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"515\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/ISD_informativo-Covid-19-e-Gravidez.jpg\" class=\"attachment-full size-full wp-image-18684\" alt=\"\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/ISD_informativo-Covid-19-e-Gravidez.jpg 576w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2020\/05\/ISD_informativo-Covid-19-e-Gravidez-300x268.jpg 300w\" sizes=\"(max-width: 576px) 100vw, 576px\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\"><a href=\"https:\/\/www.saude.gov.br\/images\/pdf\/2020\/May\/29\/2020-05-25---BEE17---Boletim-do-COE.pdf\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Note from the Institute: &quot;The tip of the iceberg&quot;<\/a><\/h3><p class=\"elementor-image-box-description\">The survey by the Santos Dumont Institute uses a source of information used and validated by researchers around the world - and shows only the tip of the iceberg of this chronic problem and a challenge widely recognized by the community of health professionals in Brazil. This is not a scientific study. It is a warning. What the Institute is doing is giving visibility to maternal death and drawing attention to the fact that in the last two months the media has broadcast much more news related to this problem than it did in the last decade. This is what we are drawing attention to. It is the importance of the entire Brazilian society understanding maternal mortality as a chronic problem that needs to be addressed by everyone. The Institute&#039;s analysis mapped 20 deaths in Brazil at a time when there were no official statistics and, after it was completed, a survey by the Ministry of Health itself indicated 484 pregnant women infected by the new coronavirus in the country and 36 deaths due to the disease it causes, Covid-19. Some states in which the ISD confirmed deaths in official government bulletins do not appear in this count. Not all cases presented by the Ministry also make the news. The ISD analysis is a portrait of reality that is not definitive, but leads to conclusions similar to those of the government itself. Maternal mortality needs visibility and a solution. The numbers are alarming and should be made public. The Institute did not publish the data as a scientific publication, but rather from the perspective of the social responsibility that it has demonstrated with this cause in various projects and actions throughout its history. This is a topic that the Institute has been working on and drawing attention to for many years. This is not new. \n\n<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18ab1d1a elementor-widget elementor-widget-spacer\" data-id=\"18ab1d1a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-64f0ab2e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"64f0ab2e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-282fc8f5\" data-id=\"282fc8f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f595e7d elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"3f595e7d\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t<i class=\"fa fa-pencil-square-o\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a2abde4 elementor-widget elementor-widget-text-editor\" data-id=\"6a2abde4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div data-id=\"rjpprlj\" data-element_type=\"text-editor.default\"><p><strong>Text:\u00a0<\/strong>\u00a0Renata Moura \/ Journalist \/ Ascom \u2013 ISD<\/p><p><strong>Infographic:<\/strong>\u00a0Renata Moura<\/p><p><strong>Photo 1:<\/strong> Montage with photos published in several reports about maternal deaths associated with Covid-19 in Brazil. Image shows part of the victims.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26c12357 elementor-widget elementor-widget-text-editor\" data-id=\"26c12357\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Communication Office<\/strong><br \/> comunicacao@isd.org.br<br \/> (84) 99416-1880<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-576b3f35\" data-id=\"576b3f35\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6aa87eec elementor-widget elementor-widget-text-editor\" data-id=\"6aa87eec\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong><span style=\"color: #ffffff;\">Santos Dumont Institute (ISD)<\/span><\/strong><\/h3><p><span style=\"color: #ffffff;\">It is a Social Organization linked to the Ministry of Education (MEC) and includes the Edmond and Lily Safra International Institute of Neurosciences and the Anita Garibaldi Health Education and Research Center, both in Maca\u00edba. ISD&#039;s mission is to promote education for life, forming citizens through integrated teaching, research and extension actions, in addition to contributing to a fairer and more humane transformation of Brazilian social reality.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>The conclusion is from a survey by the ISD based on information from the media or official sources. Women appear as suspected or confirmed cases of the disease.<\/p>","protected":false},"author":10,"featured_media":19239,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411,414,1,259],"tags":[420,409,416,418,401,352,116],"class_list":["post-19230","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coronavirus","category-covid-19","category-destaque_noticia","category-educacao-saude","tag-brasil","tag-coronavirus","tag-covid-19","tag-gravidez","tag-mortalidade-materna","tag-mulher","tag-saude"],"acf":[],"_links":{"self":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts\/19230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/comments?post=19230"}],"version-history":[{"count":0,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts\/19230\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/media\/19239"}],"wp:attachment":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/media?parent=19230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/categories?post=19230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/tags?post=19230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}