Maternal near miss and maternal death in the World Health Organization's 2005 global survey on maternal and perinatal health

dc.creatorSouza, JP
dc.creatorCecatti, JG
dc.creatorFaundes, A
dc.creatorMorais, SS
dc.creatorVillar, J
dc.creatorCarroli, G
dc.creatorGulmezoglu, M
dc.creatorWojdyla, D
dc.creatorZavaleta, N
dc.creatorDonner, A
dc.creatorVelazco, A
dc.creatorBataglia, V
dc.creatorValladares, E
dc.creatorKublickas, M
dc.creatorAcosta, A
dc.date2010
dc.dateFEB
dc.date2014-11-17T15:35:09Z
dc.date2015-11-26T16:44:25Z
dc.date2014-11-17T15:35:09Z
dc.date2015-11-26T16:44:25Z
dc.date.accessioned2018-03-28T23:29:46Z
dc.date.available2018-03-28T23:29:46Z
dc.identifierBulletin Of The World Health Organization. World Health Organization, v. 88, n. 2, n. 113, n. 119, 2010.
dc.identifier0042-9686
dc.identifierWOS:000274966200010
dc.identifier10.2471/BLT.08.057828
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/53309
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/53309
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/53309
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1273918
dc.descriptionObjective To develop an indicator of maternal near miss as a proxy for maternal death and to study its association with maternal factors and perinatal outcomes. Methods In a multicenter cross-sectional study, we collected maternal and perinatal data from the hospital records of a sample of women admitted for delivery over a period of two to three months in 120 hospitals located in eight Latin American countries. We followed a stratified multistage cluster random design. We assessed the intra-hospital occurrence of severe maternal morbidity and the latter's association with maternal characteristics and perinatal outcomes. Findings Of the 97 095 women studied, 2964 (34 per 1000) were at higher risk of dying in association with one or more of the following: being admitted to the intensive care unit (ICU), undergoing a hysterectomy, receiving a blood transfusion, suffering a cardiac or renal complication, or having eclampsia. Being older than 35 years, not having a partner, being a primipara or para > 3, and having had a Caesarean section in the previous pregnancy were factors independently associated with the occurrence of severe maternal morbidity. They were also positively associated with an increased occurrence of low and very low birth weight, stillbirth, early neonatal death, admission to the neonatal ICU, a prolonged maternal postpartum hospital stay and Caesarean section. Conclusion Women who survive the serious conditions described could be pragmatically considered cases of maternal near miss. Interventions to reduce maternal and perinatal mortality should target women in these high-risk categories.
dc.description88
dc.description2
dc.description113
dc.description119
dc.descriptionUSAID
dc.descriptionDepartment of Reproductive Health and Research, World Health Organization
dc.descriptionWorld Health Organization
dc.languageen
dc.publisherWorld Health Organization
dc.publisherGeneva 27
dc.publisherSuíça
dc.relationBulletin Of The World Health Organization
dc.relationBull. World Health Organ.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectCesarean Delivery
dc.titleMaternal near miss and maternal death in the World Health Organization's 2005 global survey on maternal and perinatal health
dc.typeArtículos de revistas


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