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Type: Artigo de periódico
Title: Contribution Of Antepartum And Intrapartum Hemorrhage To The Burden Of Maternal Near Miss And Death In A National Surveillance Study.
Author: Rocha Filho, Edilberto A
Costa, Maria L
Cecatti, Jose G
Parpinelli, Mary A
Haddad, Samira M
Sousa, Maria H
Melo, Elias F
Surita, Fernanda G
Souza, Joao P
Abstract: To 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.
Subject: Adolescent
Cause Of Death
Confidence Intervals
Cost Of Illness
Cross-sectional Studies
Delivery, Obstetric
Hospitals, Maternity
Logistic Models
Maternal Mortality
Middle Aged
Multivariate Analysis
Obstetric Labor Complications
Pregnancy Complications
Prenatal Care
Risk Assessment
Severity Of Illness Index
Socioeconomic Factors
Uterine Hemorrhage
Young Adult
Maternal Near Miss
Antepartum Hemorrhage
Intrapartum Hemorrhage
Maternal Death
Maternal Morbidity
Obstetric Complication
Obstetric Hemorrhage
Citation: Acta Obstetricia Et Gynecologica Scandinavica. v. 94, n. 1, p. 50-8, 2015-Jan.
Rights: fechado
Identifier DOI: 10.1111/aogs.12529
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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