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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleDelays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional studypt_BR
dc.contributor.authorPacagnella, RCpt_BR
dc.contributor.authorCecatti, JGpt_BR
dc.contributor.authorParpinelli, MApt_BR
dc.contributor.authorSousa, MHpt_BR
dc.contributor.authorHaddad, SMpt_BR
dc.contributor.authorCosta, MLpt_BR
dc.contributor.authorSouza, JPpt_BR
dc.contributor.authorPattinson, RCpt_BR
unicamp.authorPacagnella, Rodolfo C. Cecatti, Jose G. Parpinelli, Mary A. Haddad, Samira M. Costa, Maria L. Souza, Joao P. Pattinson, Robert C. Univ Estadual Campinas, Sch Med Sci, Dept Obstet & Gynaecol, Campinas, SP, Brazilpt_BR
unicamp.authorCecatti, Jose G. Sousa, Maria H. Ctr Studies Reprod Hlth Campinas Cemicamp, Campinas, SP, Brazilpt_BR
unicamp.authorPattinson, Robert C. Univ Pretoria, MRC Maternal & Infant Hlth Care Strategies Res Un, Gauteng, South Africapt_BR
dc.subjectSevere maternal morbiditypt_BR
dc.subjectMaternal mortalitypt_BR
dc.subjectMaternal near misspt_BR
dc.subjectDelays in obstetric carept_BR
dc.subjectEmergency obstetric carept_BR
dc.subject.wosNear-miss Morbiditypt_BR
dc.description.abstractBackground: The vast majority of maternal deaths in low-and middle-income countries are preventable. Delay in obtaining access to appropriate health care is a fairly common problem which can be improved. The objective of this study was to explore the association between delay in providing obstetric health care and severe maternal morbidity/death. Methods: This was a multicentre cross-sectional study, involving 27 referral obstetric facilities in all Brazilian regions between 2009 and 2010. All women admitted to the hospital with a pregnancy related cause were screened, searching for potentially life-threatening conditions (PLTC), maternal death (MD) and maternal near-miss (MNM) cases, according to the WHO criteria. Data on delays were collected by medical chart review and interview with the medical staff. The prevalence of the three different types of delays was estimated according to the level of care and outcome of the complication. For factors associated with any delay, the PR and 95%CI controlled for cluster design were estimated. Results: A total of 82,144 live births were screened, with 9,555 PLTC, MNM or MD cases prospectively identified. Overall, any type of delay was observed in 53.8% of cases; delay related to user factors was observed in 10.2%, 34.6% of delays were related to health service accessibility and 25.7% were related to quality of medical care. The occurrence of any delay was associated with increasing severity of maternal outcome: 52% in PLTC, 68.4% in MNM and 84.1% in MD. Conclusions: Although this was not a population-based study and the results could not be generalized, there was a very clear and significant association between frequency of delay and severity of outcome, suggesting that timely and proper management are related to
dc.relation.ispartofBmc Pregnancy And Childbirthpt_BR
dc.relation.ispartofabbreviationBMC Pregnancy Childbirthpt_BR
dc.publisherBiomed Central Ltdpt_BR 5pt_BR
dc.identifier.citationBmc Pregnancy And Childbirth. Biomed Central Ltd, v. 14, 2014.pt_BR
dc.sourceWeb of Sciencept_BR
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt_BR
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)pt_BR
dc.description.sponsorship1Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt_BR
dc.description.sponsorship1Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)pt_BR
dc.description.sponsordocumentnumberCNPq [402702/2008-5]pt
dc.description.sponsordocumentnumberFAPESP [2014/08454-3]pt
dc.description.provenanceMade available in DSpace on 2014-08-01T18:28:31Z (GMT). No. of bitstreams: 0 Previous issue date: 2014en
dc.description.provenanceMade available in DSpace on 2015-11-26T17:59:43Z (GMT). No. of bitstreams: 0 Previous issue date: 2014en
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