Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorCecatti, Jose G.
dc.creatorSouza, João P.
dc.creatorParpinelli, Mary A.
dc.creatorHaddad, Samira M.
dc.creatorCamargo, Rodrigo S.
dc.creatorPacagnella, Rodolfo C.
dc.creatorSilveira, Carla
dc.creatorZanardi, Dulce T.
dc.creatorCosta, Maria L.
dc.creatorPinto E Silva, João L.
dc.creatorPassini Jr., Renato
dc.creatorSurita, Fernanda G.
dc.creatorSousa, Maria H.
dc.creatorCalderon, Iracema de Mattos Paranhos
dc.creatorSay, Lale
dc.creatorPattinson, Robert C.
dc.date2014-05-27T11:24:00Z
dc.date2016-10-25T18:27:30Z
dc.date2014-05-27T11:24:00Z
dc.date2016-10-25T18:27:30Z
dc.date2009-10-21
dc.date.accessioned2017-04-06T01:37:28Z
dc.date.available2017-04-06T01:37:28Z
dc.identifierReproductive Health, v. 6, n. 1, 2009.
dc.identifier1742-4755
dc.identifierhttp://hdl.handle.net/11449/71200
dc.identifierhttp://acervodigital.unesp.br/handle/11449/71200
dc.identifier10.1186/1742-4755-6-15
dc.identifier2-s2.0-70350015004.pdf
dc.identifier2-s2.0-70350015004
dc.identifierhttp://dx.doi.org/10.1186/1742-4755-6-15
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/892208
dc.descriptionBackground. It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective. The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design. This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. © 2009 Cecatti et al.
dc.languageeng
dc.relationReproductive Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectadult
dc.subjectBrazil
dc.subjectdata analysis
dc.subjectdisease association
dc.subjectfemale
dc.subjectfunctional status
dc.subjectgroups by age
dc.subjecthealth care quality
dc.subjecthealth survey
dc.subjecthuman
dc.subjectinfant
dc.subjectmajor clinical study
dc.subjectmaternal morbidity
dc.subjectmultiple organ failure
dc.subjectposttraumatic stress disorder
dc.subjectpregnancy complication
dc.subjectprevalence
dc.subjectpuerperal depression
dc.subjectquality of life
dc.subjectrisk factor
dc.subjectsexual dysfunction
dc.titleBrazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences
dc.typeOtro


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