Contribution Of Antepartum And Intrapartum Hemorrhage To The Burden Of Maternal Near Miss And Death In A National Surveillance Study.

dc.creatorRocha Filho, Edilberto A
dc.creatorCosta, Maria L
dc.creatorCecatti, Jose G
dc.creatorParpinelli, Mary A
dc.creatorHaddad, Samira M
dc.creatorSousa, Maria H
dc.creatorMelo, Elias F
dc.creatorSurita, Fernanda G
dc.creatorSouza, Joao P
dc.creator,
dc.date2015-Jan
dc.date2015-11-27T13:46:37Z
dc.date2015-11-27T13:46:37Z
dc.date.accessioned2018-03-29T01:24:05Z
dc.date.available2018-03-29T01:24:05Z
dc.identifierActa Obstetricia Et Gynecologica Scandinavica. v. 94, n. 1, p. 50-8, 2015-Jan.
dc.identifier1600-0412
dc.identifier10.1111/aogs.12529
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/25327163
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/202272
dc.identifier25327163
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1302505
dc.descriptionTo evaluate the occurrence of severe obstetric complications associated with antepartum and intrapartum hemorrhage among women from the Brazilian Network for Surveillance of Severe Maternal Morbidity. Multicenter cross-sectional study. Twenty-seven obstetric referral units in Brazil between July 2009 and June 2010. A total of 9555 women categorized as having obstetric complications. The occurrence of potentially life-threatening conditions, maternal near miss and maternal deaths associated with antepartum and intrapartum hemorrhage was evaluated. Sociodemographic and obstetric characteristics and the use of criteria for management of severe bleeding were also assessed in these women. The prevalence ratios with their respective 95% confidence intervals adjusted for the cluster effect of the design, and multiple logistic regression analysis were performed to identify factors independently associated with the occurrence of severe maternal outcome. Antepartum and intrapartum hemorrhage occurred in only 8% (767) of women experiencing any type of obstetric complication. However, it was responsible for 18.2% (140) of maternal near miss and 10% (14) of maternal death cases. On multivariate analysis, maternal age and previous cesarean section were shown to be independently associated with an increased risk of severe maternal outcome (near miss or death). Severe maternal outcome due to antepartum and intrapartum hemorrhage was highly prevalent among Brazilian women. Certain risk factors, maternal age and previous cesarean delivery in particular, were associated with the occurrence of bleeding.
dc.description94
dc.description50-8
dc.languageeng
dc.relationActa Obstetricia Et Gynecologica Scandinavica
dc.relationActa Obstet Gynecol Scand
dc.rightsfechado
dc.rights© 2014 Nordic Federation of Societies of Obstetrics and Gynecology.
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBrazil
dc.subjectCause Of Death
dc.subjectConfidence Intervals
dc.subjectCost Of Illness
dc.subjectCross-sectional Studies
dc.subjectDelivery, Obstetric
dc.subjectFemale
dc.subjectHospitals, Maternity
dc.subjectHumans
dc.subjectLogistic Models
dc.subjectMaternal Mortality
dc.subjectMiddle Aged
dc.subjectMultivariate Analysis
dc.subjectObstetric Labor Complications
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectPrenatal Care
dc.subjectRisk Assessment
dc.subjectSeverity Of Illness Index
dc.subjectSocioeconomic Factors
dc.subjectUterine Hemorrhage
dc.subjectYoung Adult
dc.subjectMaternal Near Miss
dc.subjectAntepartum Hemorrhage
dc.subjectIntrapartum Hemorrhage
dc.subjectMaternal Death
dc.subjectMaternal Morbidity
dc.subjectObstetric Complication
dc.subjectObstetric Hemorrhage
dc.titleContribution Of Antepartum And Intrapartum Hemorrhage To The Burden Of Maternal Near Miss And Death In A National Surveillance Study.
dc.typeArtículos de revistas


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