A Population-based Surveillance Study On Severe Acute Maternal Morbidity (near-miss) And Adverse Perinatal Outcomes In Campinas, Brazil: The Vigimoma Project.

dc.creatorAmaral, Eliana
dc.creatorSouza, João Paulo
dc.creatorSurita, Fernanda
dc.creatorLuz, Adriana G
dc.creatorSousa, Maria Helena
dc.creatorCecatti, José Guilherme
dc.creatorCampbell, Oona
dc.date2011
dc.date2015-11-27T13:21:00Z
dc.date2015-11-27T13:21:00Z
dc.date.accessioned2018-03-29T01:12:29Z
dc.date.available2018-03-29T01:12:29Z
dc.identifierBmc Pregnancy And Childbirth. v. 11, p. 9, 2011.
dc.identifier1471-2393
dc.identifier10.1186/1471-2393-11-9
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/21255453
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/199263
dc.identifier21255453
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1299496
dc.descriptionAuditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system. From October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees. A total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal death/near miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage. Auditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health providers training, and organization of care.
dc.description11
dc.description9
dc.languageeng
dc.relationBmc Pregnancy And Childbirth
dc.relationBMC Pregnancy Childbirth
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBrazil
dc.subjectFemale
dc.subjectFetal Death
dc.subjectHumans
dc.subjectInfant Mortality
dc.subjectInfant, Newborn
dc.subjectMaternal Mortality
dc.subjectMedical Audit
dc.subjectMorbidity
dc.subjectPopulation Surveillance
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectPregnancy Outcome
dc.subjectYoung Adult
dc.titleA Population-based Surveillance Study On Severe Acute Maternal Morbidity (near-miss) And Adverse Perinatal Outcomes In Campinas, Brazil: The Vigimoma Project.
dc.typeArtículos de revistas


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