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Type: Artigo de periódico
Title: The Impact Of Cardiac Diseases During Pregnancy On Severe Maternal Morbidity And Mortality In Brazil
Author: Campanharo
Felipe F.; Cecatti
Jose G.; Haddad
Samira M.; Parpinelli
Mary A.; Born
Daniel; Costa
Maria L.; Mattar
Abstract: Background To evaluate maternal heart disease as a cause or complicating factor for severe morbidity in the setting of the Brazilian Network for Surveillance of Severe Maternal Morbidity. Methods and Findings Secondary data analysis of this multicenter cross-sectional study was implemented in 27 referral obstetric units in Brazil. From July 2009 to June 2010, a prospective surveillance was conducted among all delivery hospitalizations to identify cases of severe maternal morbidity (SMM), including Potentially Life-Threatening Conditions (PLTC) and Maternal Near Miss (MNM), using the new criteria established by the WHO. The variables studied included: sociodemographic characteristics, clinical and obstetric history of the women; perinatal outcome and the occurrence of maternal outcomes (PLTC, MNM, MD) between groups of cardiac and non-cardiac patients. Only heart conditions with hemodynamic impact characterizing severity of maternal morbidity were considered. 9555 women were included in the Network with severe pregnancy-related complications: 770 maternal near miss cases and 140 maternal death cases. A total of 293 (3.6%) cases were related to heart disease and the condition was known before pregnancy in 82.6% of cases. Maternal near miss occurred in 15% of cardiac disease patients (most due to clinical-surgical causes, p<0.001) and 7.7% of non-cardiac patients (hemorrhagic and hypertensive causes, p<0.001). Maternal death occurred in 4.8% of cardiac patients and in 1.2% of non-cardiac patients, respectively. Conclusions In this study, heart disease was significantly associated with a higher occurrence of severe maternal outcomes, including maternal death and maternal near miss, among women presenting with any severe maternal morbidity.
Subject: Congenital Heart-disease
Citation: The Impact Of Cardiac Diseases During Pregnancy On Severe Maternal Morbidity And Mortality In Brazil. Public Library Science, v. 10, p. DEC-2015.
Rights: aberto
Identifier DOI: 10.1371/journal.pone.0144385
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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