0261/2024 - Direitos frágeis e desigualdades aprofundadas: atenção à saúde de mulheres gestantes e puérperas na crise sócio sanitária da Covid-19 Fragile rights and deepened inequalities: health care for pregnant and postpartum women in the Covid-19 socio-health crisis
Os impactos da pandemia de Covid-19 para as mulheres foram intensos. Na saúde sexual e reprodutiva, culminaram no aumento de mortes maternas, sobretudo de negras. Objetivo: analisar acesso e qualidade da atenção a gestantes e puérperas na pandemia e correlações com marcadores sociais de desigualdades. Métodos: inquérito online, com 324 mulheres que pariram na pandemia. Análises bivariadas e multivariada com regressão logística investigaram associação entre fatores sociodemográficos e desfechos à saúde reprodutiva, calculados ORs e IC95%. Resultados: Pré-natal inadequado associou-se a menor escolaridade (3,0; 1,5-5,5) e depressão (2,2; 1,2-4,0); dificuldade de internação para parto a ? 3 filhos (1,6; 1,0-2,8); dificuldade de consulta pós-parto a ser negra (2,9; 1,5-5,6) e parto no SUS (2,8; 1,4-5,7). Falta de orientação profissional sobre Covid-19 associou-se à orientação não heterossexual (2,5; 1,0-5,9) e pré-natal no SUS (1,7; 1,0-2,8); informação inadequada sobre amamentação a ser negra (2,3; 1,3-3,9), ? 3 filhos (1,8; 1,2-2,7) e pré-natal no SUS (3,8; 2,2-6,5). Inquéritos online limitam a participação de pessoas com pouco acesso à internet, no entanto, foi possível identificar como a crise socio sanitária atingiu os direitos reprodutivos de mulheres em situação de vulnerabilidade.
The impacts of the Covid-19 pandemic on women were intense. In sexual and reproductive health, they culminated in an increase in maternal deaths, especially among black women. Objective: to analyze access and quality of care for pregnant and postpartum women during the pandemic and correlations with social markers of inequalities. Methods: online survey, with 324 women who gave birth during the pandemic. Bivariate and multivariate analyzes with logistic regression investigated the association between sociodemographic factors and reproductive health outcomes, calculating ORs and 95%CI. Results: Inadequate prenatal care was associated with lower education (3.0; 1.5-5.5) and depression (2.2; 1.2-4.0); difficulty in hospitalization for the birth with ≥ 3 children (1.6; 1.0-2.8); difficulty in postpartum consultation with being black woman (2.9; 1.5-5.6) and giving birth in the SUS (2.8; 1.4-5.7). Lack of professional guidance on Covid-19 was associated with non-heterosexual orientation (2.5; 1.0-5.9) and prenatal care in the SUS (1.7; 1.0-2.8); inadequate information about breastfeeding with being black (2.3; 1.3-3.9), ≥ 3 children (1.8; 1.2-2.7) and prenatal care in the SUS (3.8; 2. 2-6.5). Online surveys limit the participation of people with little internet access, however, it was possible to identify how the socio-health crisis affected the reproductive rights of women in vulnerable situations.
Keywords:
Reproductive Health; Reproductive Rights; Maternal Health; Social Inequalities; Covid-19; Covid-19
Fragile rights and deepened inequalities: health care for pregnant and postpartum women in the Covid-19 socio-health crisis
Resumo (abstract):
The impacts of the Covid-19 pandemic on women were intense. In sexual and reproductive health, they culminated in an increase in maternal deaths, especially among black women. Objective: to analyze access and quality of care for pregnant and postpartum women during the pandemic and correlations with social markers of inequalities. Methods: online survey, with 324 women who gave birth during the pandemic. Bivariate and multivariate analyzes with logistic regression investigated the association between sociodemographic factors and reproductive health outcomes, calculating ORs and 95%CI. Results: Inadequate prenatal care was associated with lower education (3.0; 1.5-5.5) and depression (2.2; 1.2-4.0); difficulty in hospitalization for the birth with ≥ 3 children (1.6; 1.0-2.8); difficulty in postpartum consultation with being black woman (2.9; 1.5-5.6) and giving birth in the SUS (2.8; 1.4-5.7). Lack of professional guidance on Covid-19 was associated with non-heterosexual orientation (2.5; 1.0-5.9) and prenatal care in the SUS (1.7; 1.0-2.8); inadequate information about breastfeeding with being black (2.3; 1.3-3.9), ≥ 3 children (1.8; 1.2-2.7) and prenatal care in the SUS (3.8; 2. 2-6.5). Online surveys limit the participation of people with little internet access, however, it was possible to identify how the socio-health crisis affected the reproductive rights of women in vulnerable situations.
Palavras-chave (keywords):
Reproductive Health; Reproductive Rights; Maternal Health; Social Inequalities; Covid-19; Covid-19
Bonan, C., Menezes, G., Almeida, MCC, Fonseca, V. M., Rodrigues, A. P., Reis, AP, Mccallum, C., Duarte, N. I. G, Gomes Junior, S.C.S. Direitos frágeis e desigualdades aprofundadas: atenção à saúde de mulheres gestantes e puérperas na crise sócio sanitária da Covid-19. Cien Saude Colet [periódico na internet] (2024/jul). [Citado em 28/11/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/direitos-frageis-e-desigualdades-aprofundadas-atencao-a-saude-de-mulheres-gestantes-e-puerperas-na-crise-socio-sanitaria-da-covid19/19309?id=19309
