Maternal deaths during the Covid-19 pandemic in Acre: a study on State Feminicide
maternal death; pandemic; COVID-19; state femicide;
This study was conducted based on cases of maternal deaths that occurred during the COVID-19 pandemic in Acre. The objective is to demonstrate that the deaths of these women cannot be attributed exclusively to the pandemic, but rather reflect preexisting social conditions, such as socioeconomic inequalities and limited access to health services, combined with the precarious management of the health crisis. Answering the question “What did they do to them?” implies considering that we already had scientific evidence to guide care and that measures were not taken to prevent these deaths. My central thesis is anchored in the analytical category of State femicide of pregnant and postpartum women based on three elements that will demonstrate that they were left unprotected and helpless during the COVID-19 pandemic: 1. The weaknesses of the local maternal death surveillance system; 2. The care itinerary marked by the pilgrimage and difficulties of the outpatient-hospital network in caring for women, revealed from the findings in medical records, surveillance documents, and interviews with family members; 3. Scenario and conduct contrary to the field of health evidence, acquisition of ineffective medication and failures in immunizing these women against Covid-19, which is a proven effective resource for protecting against the virus. I place myself in the position of a sensitive, attentive and accessible researcher, but I did not intend to write biographies of these life stories. I argue that these losses could have been avoided and my role as a researcher was to question the discourses that naturalize these deaths and erase the singularities of these lives by transforming them into numbers. My line of argument is constructed as follows: the objective in the first chapter will be to describe the methodological paths for constructing the work. In the second chapter, I present the theoretical-conceptual aspects involving the theme of maternal death, especially due to the specificity of the languages and nomenclatures found in the field of research. In the third and final chapter, in light of the category of State feminicide, I present the research findings in three sections: the first section will begin with the State and municipal surveillance system of Rio Branco, showing the reality and weaknesses found. The second section is dedicated to presenting who the women are, articulating with the archives that recorded their itineraries and the narratives of the families. Finally, in the third section, I will show the problems in the management, control of Covid-19 and other aspects that hindered and prevented access to the Covid-19 vaccination for pregnant women in Rio Branco, leaving them in a situation of greater risk. I conclude that the research findings indicated a pattern of failures in the State's duties of protection and care, which adopted measures that contradicted the health evidence at the time.