Applying the new concept of maternal near-miss in an intensive care unit

dc.creatorLotufo, FA
dc.creatorParpinelli, MA
dc.creatorHaddad, SM
dc.creatorSurita, FG
dc.creatorCecatti, JG
dc.date2012
dc.date2014-07-30T13:49:24Z
dc.date2015-11-26T16:43:30Z
dc.date2014-07-30T13:49:24Z
dc.date2015-11-26T16:43:30Z
dc.date.accessioned2018-03-28T23:28:31Z
dc.date.available2018-03-28T23:28:31Z
dc.identifierClinics. Hospital Clinicas, Univ Sao Paulo, v. 67, n. 3, n. 225, n. 230, 2012.
dc.identifier1807-5932
dc.identifierWOS:000302362900004
dc.identifier10.6061/clinics/2012(03)04
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/54814
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/54814
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1273605
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionOBJECTIVES: The World Health Organization has recommended investigating near-misses as a benchmark practice for monitoring maternal healthcare and has standardized the criteria for diagnosis. We aimed to study maternal morbidity and mortality among women admitted to a general intensive care unit during pregnancy or in the postpartum period, using the new World Health Organization criteria. METHODS: In a cross-sectional study, 158 cases of severe maternal morbidity were classified according to their outcomes: death, maternal near-miss, and potentially life-threatening conditions. The health indicators for obstetrical care were calculated. A bivariate analysis was performed using the Chi-square test with Yate's correction or Fisher's exact test. A multiple regression analysis was used to calculate the crude and adjusted odds ratios, together with their respective 95% confidence intervals. RESULTS: Among the 158 admissions, 5 deaths, 43 cases of maternal near-miss, and 110 cases of potentially life-threatening conditions occurred. The near-miss rate was 4.4 cases per 1,000 live births. The near-miss/death ratio was 8.6 near-misses for each maternal death, and the overall mortality index was 10.4%. Hypertensive syndromes were the main cause of admission (67.7% of the cases, 107/158); however, hemorrhage, mainly due to uterine atony and ectopic pregnancy complications, was the main cause of maternal near-misses and deaths (17/43 cases of near-miss and 2/5 deaths). CONCLUSIONS: Hypertension was the main cause of admission and of potentially life-threatening conditions; however, hemorrhage was the main cause of maternal near-misses and deaths at this institution, suggesting that delays may occur in implementing appropriate obstetrical care.
dc.description67
dc.description3
dc.description225
dc.description230
dc.descriptionDepartment of Obstetrics and Gynecology of the School of Medical Sciences, University of Campinas, Brazil
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionFAPESP [2011/20661-6]
dc.languageen
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.publisherSao Paulo
dc.publisherBrasil
dc.relationClinics
dc.relationClinics
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectMaternal mortality
dc.subjectMaternal near-miss
dc.subjectOrgan dysfunction or failure
dc.subjectObstetrical hemorrhage
dc.subjectSevere pre-eclampsia/eclampsia
dc.subjectPostpartum Hemorrhage
dc.subjectMorbidity
dc.subjectBrazil
dc.titleApplying the new concept of maternal near-miss in an intensive care unit
dc.typeArtículos de revistas


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