Prevalence of Maternal Morbidity and Its Association with Socioeconomic Factors: A Population-based Survey of a City in Northeastern Brazil

Rosendo, Tatyana Souza; Roncalli, Ângelo Giuseppe; Azevedo, George Dantas de

doi:10.1055/s-0037-1606246

Cited by 3 publications

(10 citation statements)

References 28 publications

(49 reference statements)

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“…A caracterização geral dos estudos empíricos está descrita no Quadro 1, com um total de 30 artigos sobre complicações clínicas na gravidez como desfecho 1,4,7, , e no Quadro 2, com um total de oito artigos sobre complicações clínicas na gravidez como exposição de desfechos materno-infantis 1,27,37-42 , ressaltando-se que dois artigos apresentaram os dois perfis 1,30 . Houve grande diversidade na faixa etária das gestantes pesquisadas, sendo que todos os estudos contemplaram mulheres adolescentes e adultas, excetuando-se um que considerou apenas adolescentes 17 .…”

Section: Resultsunclassified

“…Em um artigo a informação sobre a idade não foi referida 40 (dados não apresentados em quadro). Dos 36 artigos empíricos sistematizados, apenas um é do tipo caso-controle 28 , sete são de coorte 1,10,12,22,31,38,40 e os outros transversais 4,7,11,[13][14][15][16][17][18][19][20][21][23][24][25][26][27]29,30,[32][33][34][35][36][37]39,41 . Em relação ao local de realização dos estudos, destaca-se que 11 deles são de âmbito nacional 19,[21][22][23][24]30,32,34,37 ou regional 29,41 .…”

Section: Resultsunclassified

“…Em relação ao local de realização dos estudos, destaca-se que 11 deles são de âmbito nacional 19,[21][22][23][24]30,32,34,37 ou regional 29,41 . Os outros foram realizados em localidades das regiões Sudeste 1,10,12,15,17,28,33,38,40 , Sul 13,14,16,18,27,35,36,42 , Nordeste 4,7,15,20,25,31,39 , Centro-Oeste 11 e Norte 26 , ressaltando-se que um estudo compreendeu cidades do Sudeste e Nordeste 15 . O tamanho da amostra variou de 272 10 a 345.935 40 , excluindo-se um estudo que foi desenvolvido apenas com adolescentes, do qual participaram 120 indivíduos 17 (Quadros 1 e 2).…”

Section: Resultsunclassified

“…Nessa conjuntura, a assistência pré-natal destaca-se por permitir a identificação e o manejo de condições clínicas e comportamentais de risco nas gestações 6 . Assim, cuidados pré-natais de qualidade desempenham um papel importante na proteção e na redução de eventos adversos à saúde no período gestacional 7 .…”

Section: Introductionunclassified

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Complicações clínicas na gravidez: uma revisão sistemática de estudos com gestantes brasileiras

Pedraza

Lins

2021

Ciênc. saúde coletiva

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Resumo Objetivou-se descrever as principais complicações clínicas em gestantes brasileiras relatadas na literatura, identificando os fatores de exposição mais relevantes e seus desfechos na saúde materno-infantil. Foi realizada uma revisão sistemática de artigos publicados entre 2010 e 2018. Foram incluídos três revisões e 36 artigos empíricos; transtornos mentais (n=9), doenças infecciosas (n=9) e morbidade materna grave (n=8) foram as principais complicações clínicas na gravidez. Ainda, quatro artigos enfocaram a determinação das principais afecções ou causas de internação, citando-se com maiores frequências a Infecção do Trato Urinário, a anemia e as doenças hipertensivas. Idade materna nos extremos reprodutivos, menor escolaridade, vulnerabilidade socioeconômica, características raciais e uso de serviços públicos de saúde foram os fatores de exposição mais relevantes. Resultados de saúde desfavoráveis associados a complicações clínicas na gravidez foram verificados nos oito artigos com esse perfil. A frequência de gestantes com complicações clínicas potenciais de ameaça à vida é elevada no país, evidenciando a importância da cobertura da atenção básica e a implantação de intervenções para sua redução e prevenção de desfechos maternos e infantis adversos.

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Section: Resultsunclassified

Section: Introductionunclassified

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Complicações clínicas na gravidez: uma revisão sistemática de estudos com gestantes brasileiras

Pedraza

Lins

2021

Ciênc. saúde coletiva

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“…We estimated a minimum sample size of 123 pregnant women was required to detect a Spearman's correlation of 0.3, assuming a design effect of 1.5 for a normally distributed outcome (power 80%, α = 0.05) [15]; assuming a 10% of non-response rate, we aimed to recruit 135 women. From July to August 2019, we enrolled 202 pregnant women.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

et al. 2020

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Background The prevalence of gestational hypertension and diabetes in pregnancy is increasing worldwide. Diet is a modifiable factor that may influence these conditions, but few studies have examined the association between diet quality and blood pressure and glucose profiles among pregnant women. Data are especially scarce for women in low- and middle-income countries (LMICs), where 90% of global pregnancies occur, and in urban settings. We, therefore, assessed these associations among 174 pregnant women in the Asian megacity of Jakarta in a cross-sectional study of the Brain Probiotic and LC-PUFA Intervention for Optimum Early Life (BRAVE) project. Methods Trained field-enumerators collected socio-demographic characteristics, measured Mid-Upper Arm Circumference (MUAC), and assessed diet by two 24-hour recalls, which were used to calculate the Alternate Healthy Eating Index for Pregnancy (AHEI-P). Blood pressure was measured by automated sphygmomanometer, and fasting blood glucose by capillary glucometer. General linear models were used to identify associations. Results The median AHEI-P score was 47.4 (IQR 19.1–76.6). The middle tertile of the AHEI-P score (39.59–56.58) was associated with a 0.4 SD (standardized effect size, 95% CI -0.7 to -0.06; p = 0.02) lower diastolic blood pressure compared with the lowest tertile (<39.59), after adjustment for level of education, smoking status, MUAC, gestational age, history of hypertension, and family history of hypertension. However, no associations were found between the AHEI-P score and systolic blood pressure and blood glucose. Conclusion Higher diet quality was associated with lower diastolic blood pressure among pregnant women in an urban LMIC community, but not with systolic blood pressure and blood glucose. A behavioral change intervention trial would be warranted to confirm the influence of diet quality on blood pressure and glucose levels and among pregnant women, and even before pregnancy.

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The Prevalence and Risk Factors for Severe Maternal Morbidities: A Systematic Review and Meta-Analysis

et al. 2022

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IntroductionMaternal mortality and severe maternal morbidity remain major public health problems globally. Understanding their risk factors may result in better treatment solutions and preventive measures for maternal health. This review aims to identify the prevalence and risk factors of severe maternal morbidity (SMM) and maternal near miss (MNM).MethodsA systematic review and meta-analysis was conducted to assess the prevalence and risk factors of SMM and MNM. The study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A systematic search was performed in the MEDLINE (PubMed), CINAHL (EBSCOhost), and Science Direct databases for articles published between 2011 and 2020.ResultsTwenty-four of the 44 studies included were assessed as being of good quality and having a low risk of bias. The prevalence of SMM and MNM was 2.45% (95% CI: 2.03, 2.88) and 1.68% (95% CI: 1.42, 1.95), respectively. The risk factors for SMM included history of cesarean section (OR [95% CI]: 1.63 [1.43, 1.87]), young maternal age (OR [95% CI]: 0.71 [0.60, 0.83]), singleton pregnancy (OR [95% CI]: 0.42 [0.32, 0.55]), vaginal delivery (OR [95% CI]: 0.11 [0.02, 0.47]), coexisting medical conditions (OR [95% CI]: 1.51 [1.28, 1.78]), and preterm gestation (OR [95% CI]: 0.14 [0.08, 0.23]). The sole risk factor for MNM was a history of cesarean section (OR [95% CI]: 2.68 [1.41, 5.10]).ConclusionsMaternal age, coexisting medical conditions, history of abortion and cesarean delivery, gestational age, parity, and mode of delivery are associated with SMM and MNM. This helps us better understand the risk factors and their strength of association with SMM and MNM. Thus, initiatives such as educational programs, campaigns, and early detection of risk factors are recommended. Proper follow-up is important to monitor the progression of maternal health during the antenatal and postnatal periods.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021226137, identifier: CRD42021226137.

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Prevalence of Maternal Morbidity and Its Association with Socioeconomic Factors: A Population-based Survey of a City in Northeastern Brazil

Cited by 3 publications

References 28 publications

Complicações clínicas na gravidez: uma revisão sistemática de estudos com gestantes brasileiras

Complicações clínicas na gravidez: uma revisão sistemática de estudos com gestantes brasileiras

Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

The Prevalence and Risk Factors for Severe Maternal Morbidities: A Systematic Review and Meta-Analysis

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