{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T06:49:42Z","timestamp":1770446982313,"version":"3.49.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to compare the characteristics of pregnancies that resulted in fetal death before and during the COVID-19 pandemic in a private maternity hospital in Rio de Janeiro, Brazil.  METHODS: This retrospective cohort study considered all pregnancies that ended in fetal death in a private maternity hospital in Rio de Janeiro, Brazil, from January 2018 to December 2021. Maternal and fetal characteristics were compared between the periods before the pandemic and during the pandemic. Data were extracted from electronic medical records, and statistical analyses included Student's t-test, chi-square test, and Fisher's exact test where applicable.  RESULTS: Among 41,162 deliveries at Casa de Sa\u00fade Perinatal, 88 (0.21%) resulted in fetal death, with 38 (43.2%) occurring pre-pandemic (2018\u2013March 2020) and 50 (56.8%) during the pandemic (March 2020\u20132021). Maternal demographics, comorbidities, and prepartum complications showed no statistically significant differences between groups. COVID-19 infection was identified in 12% of the pandemic-group pregnancies, but no significant disparities in fetal death causes or abnormalities were found.  CONCLUSIONS: No significant differences were observed in maternal or fetal characteristics, prepartum complications, or fetal mortality rates between the pre-pandemic and pandemic periods in this private hospital setting. However, this does not reflect the broader Brazilian healthcare reality, where disparities in access and resources may have influenced outcomes differently.<\/jats:p>","DOI":"10.1590\/1806-9282.20250382","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T14:00:26Z","timestamp":1751983226000},"source":"Crossref","is-referenced-by-count":0,"title":["Fetal mortality before and during the COVID-19 pandemic: a single-center cohort study in Rio de Janeiro, Brazil"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6694-6569","authenticated-orcid":false,"given":"Gustavo Yano","family":"Callado","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6145-2532","authenticated-orcid":false,"given":"Edward","family":"Araujo J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil; Universidade Municipal de S\u00e3o Caetano do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4652-9562","authenticated-orcid":false,"given":"Carolina Aquino Guedes","family":"Ramos","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade da Mulher, da Crian\u00e7a e do Adolescente Fernandes Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2356-4656","authenticated-orcid":false,"given":"Jos\u00e9 Maria Andrade","family":"Lopes","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade da Mulher, da Crian\u00e7a e do Adolescente Fernandes Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8670-4619","authenticated-orcid":false,"given":"Danielle","family":"Negri","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade da Mulher, da Crian\u00e7a e do Adolescente Fernandes Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2034-0294","authenticated-orcid":false,"given":"Maria Elizabeth Lopes","family":"Moreira","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade da Mulher, da Crian\u00e7a e do Adolescente Fernandes Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6357-7702","authenticated-orcid":false,"given":"Renato Augusto Moreira de","family":"S\u00e1","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade da Mulher, da Crian\u00e7a e do Adolescente Fernandes Figueira,  Brazil; Maternidade Perinatal Rede D\u2019Or,  Brazil; Universidade Federal Fluminense,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"488.e1","DOI":"10.1016\/j.ajog.2022.04.019","article-title":"Effects of prenatal exposure to maternal COVID-19 and perinatal care on neonatal outcome: results from the INTERCOVID multinational cohort study","volume":"227","author":"Giuliani F","year":"2022","journal-title":"Am J Obstet Gynecol"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003857","article-title":"Obstetrical outcomes and maternal morbidities associated with COVID-19 in pregnant women in France: a national retrospective cohort study","volume":"18","author":"Epelboin S","year":"2021","journal-title":"PLoS Med"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-059701","article-title":"Effect of restrictions imposed due to COVID-19 pandemic on the 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MFC","year":"2022","journal-title":"Microbes Infect"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302025000600619&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T14:00:29Z","timestamp":1751983229000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302025000600619&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0104-42302025000600619"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20250382","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20250382"}}