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Type: Artigo de periódico
Title: A Population-based Surveillance Study On Severe Acute Maternal Morbidity (near-miss) And Adverse Perinatal Outcomes In Campinas, Brazil: The Vigimoma Project.
Author: Amaral, Eliana
Souza, João Paulo
Surita, Fernanda
Luz, Adriana G
Sousa, Maria Helena
Cecatti, José Guilherme
Campbell, Oona
Abstract: Auditing 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.
Subject: Adolescent
Fetal Death
Infant Mortality
Infant, Newborn
Maternal Mortality
Medical Audit
Population Surveillance
Pregnancy Complications
Pregnancy Outcome
Young Adult
Citation: Bmc Pregnancy And Childbirth. v. 11, p. 9, 2011.
Rights: fechado
Identifier DOI: 10.1186/1471-2393-11-9
Date Issue: 2011
Appears in Collections:Unicamp - Artigos e Outros Documentos

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