0309/2022 - Racismo antinegro e morte materna por COVID-19: o que vimos na Pandemia? Racismo antinegro e morte materna por COVID-19: o que vimos na Pandemia?
O racismo antinegro atravessa a vida das mulheres pretas e pardas comprometendo a saúde sexual e reprodutiva. O racismo obstétrico que ocorre durante a gravidez, pré-natal, parto, aborto e puerpério atinge estas mulheres expondo-as à desfechos maternos negativos e muitas vezes letais. Este estudo objetiva apresentar o racismo e suas manifestações na morte materna por COVID-19. Estudo transversal, com dados das notificações de COVID-19 entre gestantes e puérperas registradas na base de dados da Síndrome Respiratória Aguda Grave (2021 e 2022). Foram coletadas informações sobre raça/cor, idade, região, sinais e sintomas clínicos, UTI e óbitos. Os resultados apontam como o racismo afeta as gestantes e puérperas pretas e pardas, que apresentam maior letalidade por COVID-19 comparada às brancas (diferença que alcança os 14,02%), em particular no puerpério. Gestantes pretas e pardas são as que menos acessaram UTI. Após ajustes, a chance de óbito materno no puerpério para as mulheres pretas foi 62% maior em comparação as brancas (RC=1,62; 95%IC:1,01-2,63). O racismo e suas manifestações (des)organizam as trajetórias reprodutivas das mulheres pretas e pardas que na sua interação com o sexismo contribuem para desfechos maternos negativos e letais por COVID-19.
Palavras-chave:
Racismo; Racismo Obstétrico; Saúde Sexual e Reprodutiva; Morte Materna; COVID-19
Abstract:
Anti-Black Racism runs through the lives of black and brown/mixed (pardas) women, compromising sexual and reproductive health. Obstetric racism during pregnancy, prenatal care, childbirth, abortion, and puerperium affects these women by exposing them to harmful and often lethal maternal outcomes. This study aims to present racism and its manifestations in maternal death by COVID-19. This study included dataCOVID-19 notifications among pregnant and postpartum women recorded in the severe acute respiratory syndrome database (2021 and 2022). Information on race/color, age, region, clinical signs and symptoms, ICU, and deaths were collected. The results indicate how racism affects black and brown pregnant women and puerperal, who have higher lethality due to COVID-19 than white women (a difference that reaches 14.02%), particularly in the puerperium. Black and brown/mixed pregnant women are the ones who least accessed ICU. After adjustments, the chance of maternal death in the puerperium for black women was 62% higher compared to white women (OR=1.62; 95%CI:1.01-2.63). Racism and its manifestations (dis)organize the reproductive trajectories of black and brown/mixed women, and their interaction with sexism, contribute to harmful and lethal maternal outcomes by COVID-19.
Keywords:
Racism; Obstetric Racism; Sexual and Reproductive Health; Maternal mortality; COVID-19
Racismo antinegro e morte materna por COVID-19: o que vimos na Pandemia?
Resumo (abstract):
Anti-Black Racism runs through the lives of black and brown/mixed (pardas) women, compromising sexual and reproductive health. Obstetric racism during pregnancy, prenatal care, childbirth, abortion, and puerperium affects these women by exposing them to harmful and often lethal maternal outcomes. This study aims to present racism and its manifestations in maternal death by COVID-19. This study included dataCOVID-19 notifications among pregnant and postpartum women recorded in the severe acute respiratory syndrome database (2021 and 2022). Information on race/color, age, region, clinical signs and symptoms, ICU, and deaths were collected. The results indicate how racism affects black and brown pregnant women and puerperal, who have higher lethality due to COVID-19 than white women (a difference that reaches 14.02%), particularly in the puerperium. Black and brown/mixed pregnant women are the ones who least accessed ICU. After adjustments, the chance of maternal death in the puerperium for black women was 62% higher compared to white women (OR=1.62; 95%CI:1.01-2.63). Racism and its manifestations (dis)organize the reproductive trajectories of black and brown/mixed women, and their interaction with sexism, contribute to harmful and lethal maternal outcomes by COVID-19.
Palavras-chave (keywords):
Racism; Obstetric Racism; Sexual and Reproductive Health; Maternal mortality; COVID-19
Góes, E.F., Ferreira, A.J.F., Ramos, D.. Racismo antinegro e morte materna por COVID-19: o que vimos na Pandemia?. Cien Saude Colet [periódico na internet] (2022/Out). [Citado em 18/05/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/racismo-antinegro-e-morte-materna-por-covid19-o-que-vimos-na-pandemia/18565?id=18565&id=18565
