medigraphic.com
SPANISH

Revista Colombiana de Bioética

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2024, Number 2

<< Back Next >>

Revista Colombiana de Bioética 2024; 19 (2)

Maternal morbidity and inequity in times of COVID-19: Bioethical perspectives

García UJC, López MJ, Betancur PJC, Figueroa LJ
Full text How to cite this article

Language: Spanish
References: 60
Page: 1-20
PDF size: 220.21 Kb.


Key words:

Maternal health, Bioethics, Maternal health services, Maternal mortality, Social justice.

ABSTRACT

/Context. Maternal morbidity was one of the underlying crises prior to the advent of the COVID-19 pandemic, and existing inequities in low- and middle- income countries exacerbated this and other crises. This review article aims to provide a bioethical analysis of maternal morbidity in times of the COVID-19 pandemic, especially those situations caused or exacerbated by the pandemic.
Methodology/Approach. This is a scoping review conducted during the years 2020 to 2024, which included articles related to the care of pregnant women during the COVID-19 pandemic, published between 2019 and 2024, in academic databases.
Results/Findings. In particular, the most vulnerable pregnant population had to face harsher social problems, which resulted in less favorable maternal health outcomes, with large differences between low- and middle-income countries, compared to high-income countries. In this problematic, an intervention bioethics, in the proposal of Volnei Garrafa (2015), becomes, more than necessary, urgent.
Discussion/Conclusions/Contributions. The inequities exacerbated by the pandemic in maternal health cannot be normalized; on the contrary, they must be made visible and confronted from a bioethical approach within the framework of social justice.


REFERENCES

  1. Acelas-Granados, David F., Andrea Orostegui y Miguel Ángel Alarcón-Nivia. 2016.“Factores de riesgo para morbilidad materna extrema en gestantes sin demoraen la atención médica según la estrategia camino para la supervivencia.” RevistaChilena de Obstetricia y Ginecología 81 (3): 181-188. https://doi.org/10.4067/S0717-75262016000300003

  2. Ameyaw, Edward Kwabena, Roberta Mensima Amoah, Carolyne Njue, NguyenToan Tran, Angela Dawson. 2021. “Women’s experiences and satisfaction withmaternal referral service in Northern Ghana: A qualitative inquiry.” Midwifery101: 103065. https://doi.org/10.1016/j.midw.2021.103065

  3. Barandica Perilla, Margarita. 2020. “Migrantes venezolanos en Colombia, entre laxenofobia y aporofobia; una aproximación al reforzamiento mediático del mensajede exclusión.” Latitude 2 (13): 119-128. https://doi.org/10.55946/latitude.v2i13.100

  4. Been, Jasper V., Lizbeth Burgos Ochoa, Loes CM Bertens, Sam Schoenmakers,Eric AP Steegers y Irwin KM Reiss. 2020. “Impact of COVID-19 mitigationmeasures on the incidence of preterm birth: a national quasi-experimentalstudy.” Lancet Public Health 5 (11): e604-e611. https://doi.org/10.1016/s2468-2667(20)30223-1

  5. Berkhout, Esmé, Nick Galasso, Max Lawson, Pablo Rivero Morales, Anjela Taneja yDiego Vázquez Pimentel. 2021. “El virus de la desigualdad: cómo recomponerun mundo devastado por el coronavirus a través de una economía equitativa,justa y sostenible.” Oxfam Internacional. https://lac.oxfam.org/lo-%C3%BAltimo/publicaciones/el-virus-de-la-desigualdad-como-recomponer-un-mundo-devastado-por-el

  6. Bhardwaj, Geeta, Alfisha Siddiqui y Lily Podder. 2022. “Pregnancy, parturition andpandemic: a review.” Journal of Obstetrics, Gynecology and Cancer Research 7 (2):63-68. https://doi.org/10.30699/jogcr.7.2.63

  7. Burroughs, Emily, Ian Hill, Kimá Joy Taylor, et al. 2021. Maternal health inequitiesduring the COVID-19 pandemic: challenges, promising advances, and opportunities topromote equitable care. Urban Institute.

  8. Canales de la Fuente, Raymundo. 2021. “Maternidad y COVID-19.” En COVID-19y bioética, coordinado por Gustavo Ortiz Millán y María de Jesús Medina Arellano.Universidad Nacional Autónoma de México, Instituto de InvestigacionesJurídicas. https://doi.org/10.22201/iij.9786073048880e.2021.c12

  9. Carvalho, Keri, Anna Kheyfets, Blessing Lawrence, et al. 2022. “Examining therole of psychosocial influences on black maternal health during the COVID-19pandemic.” Maternal and Child Health Journal 26 (4): 764-769. https://doi.org/10.1007/s10995-021-03181-9

  10. Connor, Jade, Sarina Madhavan, Mugdha Mokashi, et al. 2020. “Health risks andoutcomes that disproportionately affect women during the Covid-19 pandemic:a review.” Social Science & Medicine 266: 113364. https://doi.org/10.1016/j.socscimed.2020.113364

  11. Coughlin, Steven S., Justin Xavier Moore, Varghese George, Aaron Johnson y JosephHobbs. 2020. “COVID-19 among african americans: from preliminaryepidemiological surveillance data to public health action.” American Journal ofPublic Health 110 (8): 1157-1159. https://doi.org/10.2105/AJPH.2020.305764

  12. Elsaddig, Maab y Asma Khalil. 2021. “Effects of the COVID pandemic on pregnancyoutcomes.” Best Practice & Research Clinical Obstetrics & Gynaecology 73:125-136. https://doi.org/10.1016/j.bpobgyn.2021.03.004

  13. Fernando, Jude L. 2020. “The Virocene epoch: the vulnerability nexus of viruses,capitalism and racism.” Journal of Political Ecology 27 (1): 635-684. https://doi.org/10.2458/v27i1.23748

  14. García Uribe, Jhon Camilo y Luisa Fernanda Rico Areiza. 2022. “La automatizaciónlaboral_ una perspectiva fenomenológica e histórica.” Jangwa Pana 21 (3):182-191. https://doi.org/10.21676/16574923.4730

  15. García Uribe, John Camilo. 2021. “Propiedad intelectual, patentes y salud: una miradadesde la Bioética.” Revista Latinoamericana de Bioética 21 (2): 25-40. https://doi.org/10.18359/rlbi.5076

  16. García Uribe, John Camilo, Magda Lucia Hidalgo, Vanessa Catherine Chavarría,Andrea Petro Barrientos y Lilian Carolina Cifuentes. 2022. “‘AIEPI Comunitario’una estrategia imprescindible en tiempos de sindemia.” CES Enfermería 3(2): 72-84. https://doi.org/10.21615/cesenferm.7146

  17. García Uribe, John Camilo y Fernando Antonio Zapata Muriel. 2022. “Covid-19,cuidar entre mascarillas, pantallas y un espacio-tiempo peligrosamente contagioso:una lectura fenomenológica.” Cultura de los Cuidados 26 (64): 19-31.https://doi.org/10.14198/cuid.2022.64.03García-Uribe, John Camilo, Aníbal Vicente Arteaga-Noriega y Oscar Augusto Bedoya-

  18. Carvajal. 2024. “La técnica y el cuidado de enfermería: entre deshumanizacióny tecnificación.” Trilogía Ciencia Tecnología Sociedad 16 (32): e2996.https://doi.org/10.22430/21457778.2996

  19. Garrafa, Volnei. 2015. “Bioethics of intervention, inter-culturality and non-coloniality.”Saúde e Sociedade 24 (supl. 1): 137-147. https://doi.org/10.13140/RG.2.1.3007.3446

  20. Garrafa, Volnei, Gabriel Oselka y Debora Diniz. 2009. “Saude Pública, Bioética eEqüidade.” Bioética 5 (1).

  21. Gulersen, Moti, Erez Lenchner, Amos Grunebaum, Frank A. Chervenak EranBornstein. 2022. “Impact of COVID-19 pandemic on maternal and neonatalmorbidities in the United States.” American Journal of Obstetrics & Gynecology 4(5): 100667. https://doi.org/10.1016/j.ajogmf.2022.100667

  22. Hung, Peiyin, Jihong Liu, Chelsea Norregaard, et al. 2022. “Analysis of residentialsegregation and racial and ethnic disparities in severe maternal morbidity before and during the COVID-19 pandemic.” JAMA Network Open 5 (10):e2237711. https://doi.org/10.1001/jamanetworkopen.2022.37711

  23. Instituto Nacional de Salud. (2022a). Boletín Epidemiológico Semanal: Comportamientode la vigilancia en salud pública de la morbilidad materna extrema, semanas epidemiológicas01-52, Colombia 2016 - 2021. INS. https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2022_Boletin_epidemiologico_semana_8.pdf

  24. Instituto Nacional de Salud. (2022b). COVID-19 en gestantes y neonatos en Colombia(boletín 30). INS. https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2022_Bolet%C3%ADn_epidemiologico_semana_30.pdf

  25. Jurado Ocampo, Nathalie. 2014. “Factores de riesgo para Morbilidad Materna Extremaen Gestantes.” Trabajo de grado de Especialización en Ginecología, Universidaddel Rosario. https://repository.urosario.edu.co/items/2a27036a-665f-4faa-852a-cdb4a41caaab

  26. Khalil, A., A. Samara, T. Chowdhury y P. O’Brien. 2022. “Does COVID ‐19 causepre‐eclampsia?” Ultrasound in Obstetrics & Gynecology 59 (2): 146-152. https://doi.org/10.1002/uog.24809

  27. Khan, Durray Shahwar A., Areeba N. Pirzada, Anna Ali, Rehana A. Salam, Jai K.Das y Zohra S. Lassi. 2021. “The differences in clinical presentation, management,and prognosis of laboratory-confirmed COVID-19 between pregnantand non-pregnant women: a systematic review and meta-analysis.” InternationalJournal of Environmental Research and Public Health 18 (11): 5613. https://doi.org/10.3390/ijerph18115613

  28. Kotlar, Bethany, Emily Michelle Gerson, Sophia Petrillo, Ana Langer y HenningTiemeier. 2021. “The impact of the COVID-19 pandemic on maternal andperinatal health: A scoping review.” Reproductive Health 18 (1): 10. https://doi.org/10.1186/s12978-021-01070-6

  29. Lange, Isabelle L., Atf Gherissi, Doris Chou, Lale Say y Veronique Filippi. 2019.“What maternal morbidities are and what they mean for women: a thematicanalysis of twenty years of qualitative research in low and lower-middle incomecountries.” PLOS ONE 14 (4): e0214199. https://doi.org/10.1371/journal.pone.0214199

  30. Lemke Michael Kenneth y Kyrah K. Brown. 2020. “Syndemic perspectives toguide black maternal health research and prevention during the COVID-19pandemic.” Maternal and Child Health Journal 24 (9): 1093-1098. https://doi.org/10.1007/s10995-020-02983-7

  31. Leung, Char, Li Su y Ana Cristina Simões e Silva. 2022. “Better healthcare can reducethe risk of COVID-19 in-hospital post-partum maternal death: evidencefrom Brazil.” International Journal of Epidemiology 51 (6): 1733-1744. https://doi.org/10.1093/ije/dyac157

  32. Lindberg, Laura D., Alicia VandeVusse, Jennifer Mueller y Marielle Kirstein.2020. Early impacts of the COVID-19 pandemic: findings from the 2020 guttmachersurvey of reproductive health experiences. Guttmacher Institute. https://doi.org/10.1363/2020.31482

  33. Liu, Jihong, Peiyin Hung, Chen Liang, et al. 2022. “Multilevel determinants of racial/ethnic disparities in severe maternal morbidity and mortality in the contextof the COVID-19 pandemic in the USA: protocol for a concurrent triangulation,mixed-methods study.” BMJ Open 12 (6): e062294. https://doi.org/10.1136/bmjopen-2022-062294

  34. Lolas Stepke, Fernando. 2020. “Perspectivas bioéticas en un mundo en sindemia.”Acta Bioethica 26 (1): 7-8. https://doi.org/10.4067/S1726-569X2020000100007

  35. Lucas, D. N. y J. H. Bamber. 2021. “Pandemics and maternal health: the indirecteffects of COVID‐19.” Anaesthesia 76 (S4): 69-75. https://doi.org/10.1111/anae.15408

  36. Maharajan, Meenu, Kamana Sen, Bibechan Thapa, Sushmita Shrestha, AradhanaJayaswal, Alina Poudel, Prasnna Basnet, Sunita Rajya Laxmi Rana, Sneha Chaudhary,Pratistha Shrestha, Kritick Bhandari. 2022. “Irregular Antenatal Care Attendanceamong Pregnant Women during COVID-19 Pandemic in a TertiaryCare Centre: A Descriptive Cross-sectional Study.” JNMA; journal of the NepalMedical Association 60(253): 796-799. https://doi.org/10.31729/jnma.7472

  37. Massó Guijarro, Ester y Rosana Triviño Caballero. 2020. “Parto y aborto en tiemposde coronavirus: El impacto de la pandemia en los derechos sexuales yreproductivos.” Enrahonar 65: 117. https://doi.org/10.5565/rev/enrahonar.1305

  38. Meza-Santibañez, Luis, Rommy H. Novoa, Juan Torres-Osorio, et al. 2021. “Implementaciónde un modelo mixto de atención prenatal, presencial y virtualdurante la pandemia COVID-19, en el Instituto Nacional Materno Perinatalen Lima, Perú.” Revista Peruana de Ginecología y Obstetricia 67 (2). https://doi.org/10.31403/rpgo.v67i2313

  39. Mukhopadhyay, Sambit y Tahir Mahmood. 2022. “Healthcare inequalities in antenatalcare in the European Region: EBCOG Scientific review.” European Journalof Obstetrics & Gynecology and Reproductive Biology 272: 55-57. https://doi.org/10.1016/j.ejogrb.2022.03.010

  40. Muldoon, Katherine A., Kathryn M. Denize, Robert Talarico, et al. 2021. “COVID-19pandemic and violence: Rising risks and decreasing urgent care-seeking forsexual assault and domestic violence survivors.” BMC Medicine 19 (1): 20. https://doi.org/10.1186/s12916-020-01897-z

  41. Ogunkola, Isaac Olushola, Yussuf Adebayo Adebisi, Uchenna Frank Imo, GoodnessOgeyi Odey, Ekpereonne Esu y Don Eliseo Lucero-Prisno. 2021. “Impact ofCOVID-19 pandemic on antenatal healthcare services in Sub-Saharan Africa.”Public Health in Practice 2: 100076. https://doi.org/10.1016/j.puhip.2021.100076

  42. Okeke, Sylvester Reuben, Dina Idriss-Wheeler y Sanni Yaya. 2022. “Adolescentpregnancy in the time of COVID-19: What are the implications for sexual andreproductive health and rights globally?” Reproductive Health 19 (1): 207. https://doi.org/10.1186/s12978-022-01505-8

  43. Pastrán, Alejandro. 2021. “La pandemia dejó 15 hospitales intervenidos en variosdepartamentos del país.” Diario La República. https://www.larepublica.co/economia/la-pandemia-dejo-15-hospitales-intervenidos-en-toda-colombia-en-el-ultimo-ano-3209657

  44. Piketty, Thomas. 2019. Capital e ideología. Planeta.

  45. Porras Gallo, María Isabel. 2021. “Covid-19 y gripe de 1918-1919: Paralelos históricos,preguntas y respuestas.” História, Ciências, Saúde-Manguinhos 28 (3): 879-883. https://doi.org/10.1590/s0104-59702021005000008

  46. Ps, Roopa, Shalija Verma, Lavanya Rai, Pratap Kumar, Murlidar V. Pai y JyothiShetty. 2013. “‘Near Miss’ obstetric events and maternal deaths in a tertiarycare hospital: an audit.” Journal of Pregnancy 2013: 1-5. https://doi.org/10.1155/2013/393758

  47. Quemba-Mesa, Monica Paola. 2021. “Categorías bioéticas en la interpretación deser mujer con morbilidad materna extrema.” Revista Ciencia y Cuidado 18 (2):120-129. https://doi.org/10.22463/17949831.2742

  48. Rodo, Mariana, Lucy Singh, Neal Russell y Neha S. Singh. 2022. “A mixed methodsstudy to assess the impact of COVID-19 on maternal, newborn, childhealth and nutrition in fragile and conflict-affected settings.” Conflict and Health16 (1): 30. https://doi.org/10.1186/s13031-022-00465-x

  49. Sandel, Michael. 2018. Justicia ¿Hacemos lo que debemos? Debolsillo.

  50. Sangsawang, Nucharee y Bussara Sangsawang. 2023. “Postpartum depression, socialsupport and maternal self‐efficacy between adolescent and adult mothersduring the COVID ‐19 pandemic: a comparative cross‐sectional study.” Journalof Advanced Nursing 79 (1): 113-124. https://doi.org/10.1111/jan.15445

  51. Serrano, Berta, Erika Bonacina, Itziar García-Ruiz, et al. 2023. “Confirmation ofpreeclampsia-like syndrome induced by severe COVID-19: an observationalstudy.” American Journal of Obstetrics & Gynecology 5 (1): 100760. https://doi.org/10.1016/j.ajogmf.2022.100760

  52. Shuffrey, Lauren C., Morgan Firestein, Margaret H. Kyle, et al. 2022. “Associationof birth during the COVID-19 pandemic with neurodevelopmental status at 6months in infants with and without in utero exposure to maternal SARS-CoV-2infection.” JAMA Pediatrics 176 (6): e215563. https://doi.org/10.1001/jamapediatrics.2021.5563

  53. Snelgrove, John W., Andrea N. Simpson, Rinku Sutradhar, Karl Everett, Ning Liuy Nancy N. Baxter. 2022. “Preeclampsia and severe maternal morbidity duringthe COVID-19 pandemic: a population-based cohort study in Ontario, Canada.”Journal of Obstetrics and Gynaecology Canada 44 (7): 777-784. https://doi.org/10.1016/j.jogc.2022.03.008

  54. Stirling Cameron, Emma, Howard Ramos, Megan Aston, Marwa Kuri y Lois Jackson.2021. “‘COVID affected us all:’ the birth and postnatal health experiencesof resettled Syrian refugee women during COVID-19 in Canada.” ReproductiveHealth 18 (1): 256. https://doi.org/10.1186/s12978-021-01309-2

  55. Tadesse, Erkihun. 2020. “Antenatal care service utilization of pregnant womenattending antenatal care in public hospitals during the COVID-19 pandemicperiod.” International Journal of Women’s Health 12: 1181-1188. https://doi.org/10.2147/IJWH.S287534

  56. Thakur, Geetika, Aashima Arora, Pooja Sikka y Vanita Jain. 2022. “Impact of covid19 pandemic on severe maternal outcomes -An observational study from areferral institute of India.” Clinical Epidemiology and Global Health 17: 101121.https://doi.org/10.1016/j.cegh.2022.101121

  57. Topcu, Goknur, Charles Savona-Ventura, Diogo Ayres-de-Campos, et al. 2022.“Provision of antenatal care in Europe-A scientific study commissioned by EuropeanBoard and College of Obstetrics and Gynaecology (EBCOG).” EuropeanJournal of Obstetrics & Gynecology and Reproductive Biology 272: 30-36. https://doi.org/10.1016/j.ejogrb.2022.03.009

  58. Tricco, Andrea C., Erin Lillie, Wasifa Zarin, et al. 2018. “PRISMA extension forscoping reviews (PRISMA-ScR): checklist and explanation.” Annals of InternalMedicine 169 (7): 467-473. https://doi.org/10.7326/M18-0850

  59. Wood, Shannon N., Robel Yirgu, Abigiya Wondimagegnehu, et al. 2022. “Impactof the COVID-19 pandemic on intimate partner violence during pregnancy:evidence from a multimethods study of recently pregnant women in Ethiopia.”BMJ Open 12 (4): e055790. https://doi.org/10.1136/bmjopen-2021-055790

  60. Zewdie, Amare, Ayenew Mose, Ali Yimer, Tamirat Melis, Ahmed Nuru Muhamedy Abdurezak Jemal. 2022. “Essential maternal health service disruptions inEthiopia during COVID 19 pandemic: a systematic review.” BMC Women’s Health22 (1): 496 https://doi.org/10.1186/s12905-022-02091-4




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Colombiana de Bioética. 2024;19