Concepts, prevalence and characteristics of severe maternal morbidity and near miss in Brazil: a systematic review

Silva, Josy Maria de Pinho da; Fonseca, Sandra Costa; Dias, Marcos Augusto Bastos; Izzo, Aline Silva; Teixeira, Gabrielle Pires; Belfort, Pamela Pinto

doi:10.1590/1806-93042018000100002

Cited by 21 publications

(32 citation statements)

References 56 publications

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“…In our study the prevalence of MNM according to the WHO criteria in Brazil was 8.36/1000, which is consistent with the systematic review of da Silva et al in Brazil (the MNMR varied from 4.4/1000 LB). 60 The reason for the little statistical difference is the difference in the years of the study as well as various definitions in identifying the cases of maternal death. In the present study the MNM prevalence in middle and low income countries of Asia and Africa to compare to high-income countries, are higher; which is in line with the study of Tunçalp et al 7 Of course, in these continents, countries such as Iran have a MNM prevalence (1/1000 LB) similar to that of European countries.…”

Section: Discussionmentioning

confidence: 99%

The global prevalence of maternal near miss: a systematic review and meta-analysis

Abdollahpour

Miri

Khadivzadeh

2019

Health Promot Perspect

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Background: Improving the maternal health is one of the world’s most challenging problems. Despite significant movements over the past decades, maternal health has been still considered as a central goal for sustainable development. Maternal near miss (MNM) cases experience long-term physical and psychological effects. To present a clear portrait of the current situation, we performed a systematic review and meta-analysis with the purpose to assess the worldwide prevalence of MNM. Methods: We conducted a systematic review on PubMed, Scopus and Web of Science electronic databases to find published papers in English, before March 2019 and regardless of the type of study. We, then, assessed the prevalence of MNM according to the World Health Organization(WHO) criteria. Finally, 49 papers were included in the study. Random effects meta-analysis was used to pool the available prevalence. The quality of studies was also evaluated. Results: The weighted pooled worldwide prevalence of MNM, was 18.67/1000 (95% CI: 16.28-21.06). Heterogeneity was explored using subgroup analyses based on the continent and the country. We used meta-regression of MNM on MD which resulted in adjusted R-squared as78.88%. Conclusion: The prevalence of MNM was considerable. Low- and middle-income countries should develop systematic approaches to improve quality of care in the facilities and to reducethe risk of MNM events, with the hope to women’s health.

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Section: Discussionmentioning

confidence: 99%

The global prevalence of maternal near miss: a systematic review and meta-analysis

Abdollahpour

Miri

Khadivzadeh

2019

Health Promot Perspect

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“…No caso do aumento da pressão arterial, mais especificamente pré-eclâmpsia, esta constitui a principal causa de mortalidade materna no Brasil (19) . Mulheres com qualquer manifestação de síndrome hipertensiva durante o pré-natal deixam de ser candidata ao parto domiciliar planejado, saindo da condição de risco habitual (4) , justificando a transferência hospitalar evidenciada nessa pesquisa.…”

Section: Discussionunclassified

Experience of women in the transfer from planned home birth to hospital

Pereira¹,

Rodrigues²,

Rodrigues³

et al. 2020

Rev Rene

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Objective: to describe the experiences of women in the transfer from planned home birth to the hospital. Methods: qualitative research, subsidized by Thematic Oral History, in which six women participated, attended by the home birth team and transferred to a maternity ward, during the parturition process. The semi-structured interview script with oral history generated five categories. Results: five thematic categories emerged: Motivating factors for choosing planned home birth; Positive experiences on intrapartum care in the home environment; Indications of hospital transfer; Feelings experienced during and after hospital transfer; Obstetric violence during hospitalization. Conclusion: the motivations for choosing planned home birth favored the positive experience of the parturition process, while hospitalization reflected obstetric violence.

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“…Brasil vivencia uma epidemia de intervenções desnecessárias na assistência obstétrica, que culminam em maiores taxas de cirurgias cesáreas sem indicação, infecção puerperal e mortalidade materna 1 . Sobre este aspecto, é importante destacar que a morte materna por causas evitáveis está intrinsicamente relacionada aos atrasos obstétricos, dentre os quais o terceiro tipo de atraso configura-se na demora da identificação dos sinais e sintomas de gravidade nas gestantes, parturientes e puérperas por parte dos profissionais de saúde 2,3 .…”

Section: Introdução Ounclassified

Perfil sociodemográfico e qualificação dos enfermeiros que atuam na assistência ao parto de risco habitual

Dantas¹,

Silva²,

Silva³

et al. 2021

SaudColetiv (Barueri)

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Objetivo: descrever o perfil sociodemográfico e formativo dos enfermeiros que atuam na assistência ao parto de risco habitual. Método: Estudo quantitativo, descritivo e exploratório. Foram aplicados questionários com enfermeiros que atuam na assistência ao parto de risco habitual. Os dados foram submetidos à análise estatística descritiva e apresentados através de frequência relativa, absoluta e média. Resultados: Os colaboradores são do sexo feminino, idade média de 39,6 anos, nortistas, em união estável, com um dependente financeiro. Média de 8,6 anos de estudo e 4,3 anos de trabalho na assistência. Graduados em instituições particulares, não possuem especialização na área de enfermagem obstétrica ou saúde da mulher, não realizaram atualização na área. A aprendizagem sobre a temática ocorreu durante a graduação e prática profissional. A rotatividade das escalas e a afinidade foram fatores relacionados ao trabalho de assistência ao parto. Conclusão: Aconselha-se atualização, capacitação e educação permanente.

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Concepts, prevalence and characteristics of severe maternal morbidity and near miss in Brazil: a systematic review

Cited by 21 publications

References 56 publications

The global prevalence of maternal near miss: a systematic review and meta-analysis

The global prevalence of maternal near miss: a systematic review and meta-analysis

Experience of women in the transfer from planned home birth to hospital

Perfil sociodemográfico e qualificação dos enfermeiros que atuam na assistência ao parto de risco habitual

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