Subsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy

dc.creatorCamargo, RS
dc.creatorPacagnella, RC
dc.creatorCecatti, JG
dc.creatorParpinelli, MA
dc.creatorSouza, JP
dc.creatorSousa, MH
dc.date2011
dc.date2014-07-30T20:06:48Z
dc.date2015-11-26T17:52:58Z
dc.date2014-07-30T20:06:48Z
dc.date2015-11-26T17:52:58Z
dc.date.accessioned2018-03-29T00:36:31Z
dc.date.available2018-03-29T00:36:31Z
dc.identifierClinics. Hospital Clinicas, Univ Sao Paulo, v. 66, n. 8, n. 1367, n. 1372, 2011.
dc.identifier1807-5932
dc.identifierWOS:000294822800010
dc.identifier10.1590/S1807-59322011000800010
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/74668
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/74668
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1290398
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionOBJECTIVE: To evaluate the long-term reproductive consequences that affect women who have experienced potentially life-threatening or life-threatening (near-miss) maternal complications. INTRODUCTION: Although advances have been made in reducing maternal death, few studies have investigated the long-term repercussions of significant events such as severe maternal morbidity and maternal near-misses. These repercussions may be long-lasting and negatively affect quality of life. METHODS: A total of 382 women who had experienced a potentially life-threatening pregnancy-related condition within the last five years were analyzed in this retrospective cohort study. A control group of 188 women who gave birth without complications was also included. Trained interviewers contacted the subjects by telephone and completed a pre-coded, structured questionnaire on reproductive health. Data were analyzed using odds ratios adjusted for age. The main outcome measures were occurrence and outcome of subsequent pregnancies. RESULTS: The estimated risk of becoming infertile as a result of tubal ligation or hysterectomy was 3.5 times higher in women who experienced a maternal near-miss or severe maternal morbidity during the index pregnancy as compared to controls. Likewise, the risk of complications in subsequent pregnancies was five times greater in women who had experienced severe maternal morbidity. However, no differences were found in the occurrence or number of subsequent pregnancies or perinatal outcome. CONCLUSION: The occurrence of a life-threatening or potentially life-threatening maternal condition reduces future reproductive potential and increases the risk of complications in subsequent pregnancies.
dc.description66
dc.description8
dc.description1367
dc.description1372
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 [2007/00290-8]
dc.descriptionFAPESP [2011/09701-6]
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 near-miss
dc.subjectMaternal morbidity
dc.subjectReproductive Outcome
dc.subjectMaternal death
dc.subjectSubsequent pregnancy
dc.subjectSevere Obstetric Complications
dc.subjectMorbidity
dc.subjectMortality
dc.subjectHealth
dc.subjectChildbirth
dc.subjectPuerperium
dc.titleSubsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy
dc.typeArtículos de revistas


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