2026-10-272026-10-272025AGUIAR, Ana Karolina Oliveira dos Santos. Fatores associados à covid-19 em gestantes e puérperas confirmadas por RT-PCR no Estado do Pará, 2020-2023. Orientador: Rubenilson Caldas Valois. 2025. 67 f.: il. Dissertação (Mestrado em Enfermagem) – Centro de CIêncas Biológicas. Universidade do Estado do Pará / Universidade Federal do Amazonas. Belém/PA. 2025.https://portaldaposgraduacao.uepa.br/handle/riuepa/391AbertoEnfermagem em saúde públicaCovid-19GrávidaMortalidadePublic health nursingCovid-19MortalityDissertaçãoCiências da SaúdeIntroduction: The covid-19 pandemic highlighted the vulnerability of pregnant and postpartum women and negatively affected maternal mortality reduction. The lack of specific data on factors associated with covid-19 in this group in Pará, Brazil, motivated this study. Objective: To analyze factors associated with covid-19 among pregnant and postpartum women confirmed by RT-PCR in Pará, from 2020 to 2023. Methodology: This is a retrospective, cross-sectional epidemiological study using secondary data from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) and the Live Birth Information System (SINASC) of Pará, from 2020 to 2023. Pregnant and postpartum women residing in Pará, with RT-PCR confirmation and recorded outcomes, were included. Descriptive analysis was performed using absolute and relative frequencies. Associations were assessed using the Chi-square or Fisher’s exact test and Odds Ratios. Binary logistic regression was applied to identify factors associated with death. A significance level of 0.05 was adopted. Results: Women who progressed to maternal death due to SRAG associated with covid-19 were predominantly of mixed race, in the postpartum period or in the third trimester of pregnancy, and had low educational attainment. A high proportion of unvaccinated women was observed. Respiratory symptoms, especially respiratory distress and oxygen saturation below 95%, as well as fever and vomiting, showed significant association with death. The category “other morbidities” also remained significantly associated. Binary logistic regression demonstrated higher risk among postpartum women (OR=3.58) and in the presence of oxygen desaturation (OR=2.48), whereas vaccination (OR=0.246) and nonspecific symptoms (OR=0.207) acted as protective factors in Pará, Brazil. Conclusion: Maternal deaths due to covid-19 in Pará were more prevalent among postpartum women, mixed-race women, those with low educational levels, and unvaccinated individuals. Respiratory distress, oxygen desaturation, and the presence of other morbidities were the main predictors of fatal outcomes. Vaccination demonstrated a significant protective effect. The study highlights the need to strengthen epidemiological surveillance, improve postpartum care, and expand immunization campaigns targeting socially vulnerable populations to reduce maternal mortality associated with covid-19.PPGENF - Enfermagem em saúde pública e epidemiologia de doenças na Amazônia