Severe maternal morbidity and near miss due to postpartum hemorrhage in a national multicenter surveillance study

Filho, Edilberto A. Rocha; Costa, Maria Laura; Cecatti, José Guilherme; Parpinelli, Mary Ângela; Haddad, Samira M.; Pacagnella, Rodolfo C.; Sousa, Maria Helena de; Melo, Elias F.; Surita, Fernanda Garanhani; Souza, João Paulo

doi:10.1016/j.ijgo.2014.08.023

Cited by 33 publications

(33 citation statements)

References 24 publications

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“…They were organized in two research groups. The first refers to two articles from the "Nascer no Brasil" ("Born in Brazil") study, 5,34 the second reports 13 articles from the Multicenter Study of the "Rede Nacional de Vigilância de Morbidade Materna Grave" [35][36][37][38][39][40][41][42][43][44][45][46][47] ('National Surveillance Network on Severe Maternal Morbidity"). All articles of national scope used the WHO criteria for near miss.…”

Section: National Hospital Based Studiesmentioning

confidence: 99%

“…The aspects that differ from the methodology of the study are shown in Table 2, along with each of the 13 articles. Cecatti et al 35 present overall results, and the other articles explore MNM according to age group 36 and with specific conditions: abortion, 37 ectopic pregnancy, 38 hypertensive diseases, 39,40 hemorrhage, 41,42 infections, 43,44 heart diseases. 45 Healthcare factors were also analyzed, such as quality of care 46 and the association with cesarean section 47 based on Robson's Classification.…”

Section: National Hospital Based Studiesmentioning

confidence: 99%

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

Silva

Fonseca

Dias

et al. 2018

Rev. Bras. Saude Mater. Infant.

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Section: National Hospital Based Studiesmentioning

confidence: 99%

Section: National Hospital Based Studiesmentioning

confidence: 99%

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

Silva

Fonseca

Dias

et al. 2018

Rev. Bras. Saude Mater. Infant.

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“…A surveillance study conducted in 27 obstetric units in Brazil found the maternal near miss ratio to be 2.2 per 1000 women with PPH [3]. Wagner et el.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of women’s emotional and physical health problems following a postpartum haemorrhage: a systematic review

Carroll

Daly

Begley

2016

BMC Pregnancy Childbirth

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BackgroundPostpartum Haemorrhage (PPH) is a leading cause of maternal mortality with approximately 225 women dying as a result of it each day especially in low income countries. However, much less is known about morbidity after a PPH. This systematic review aimed to determine the overall prevalence of emotional and physical health problems experienced by women following a postpartum haemorrhage.MethodsEight databases were searched for published non-randomised, observational, including cohort, primary research studies that reported on the prevalence of emotional and/or physical health problems following a PPH. Intervention studies were included and data, if available, were abstracted on the control group. All authors independently screened the papers for inclusion. Of the 2210 papers retrieved, six met the inclusion criteria. Data were extracted independently by two authors. The methodological quality of the included studies was assessed using a modified Newcastle Ottawa Scale (NOS). The primary outcome measure reported was emotional and physical health problems up to 12 months postpartum following a postpartum haemorrhage.ResultsTwo thousand two hundred ten citations were identified and screened with 2089 excluded by title and abstract. Following full-text review of 121 papers, 115 were excluded. The remaining 6 studies were included. All included studies were judged as having strong or moderate methodological quality. Five studies had the sequelae of PPH as their primary focus, and one study focused on morbidity postnatally, from which we could extract data on PPH. Persistent morbidities following PPH (at ≥ 3 and < 6 months postpartum) included postnatal depression (13 %), post-traumatic stress disorder (3 %), and health status ‘much worse than one year ago’ (6 %). Due to the different types of health outcomes reported in the individual studies, it was possible to pool results from only four studies, and only then by accepting the slightly differing definitions of PPH. Those that could be pooled reported rates of acute renal failure (0.33 %), coagulopathy (1.74 %) and re-admission to hospital following a PPH between 1 and 3 months postpartum (3.6 %), an appreciable indication of underlying physical problems.ConclusionThis systematic review demonstrates that the existence and type of physical and emotional health problems post PPH, regardless of the volume of blood lost, are largely unknown. Further large cohort or case control studies are necessary to obtain better knowledge of the sequelae of this debilitating morbidity.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1054-1) contains supplementary material, which is available to authorized users.

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“…The hereditary risk of retained placenta across generations has to our knowledge not been previously studied. This disorder is emerging as one of the main causes of severe postpartum haemorrhage and near‐miss maternal mortality . Our results indicate that awareness of family history with regard to this complication may be useful in identifying women at risk of postpartum haemorrhage.…”

Section: Discussionmentioning

confidence: 75%

“…Retained placenta is an obstetric complication occurring in approximately 3% of deliveries and associated with severe postpartum haemorrhage (PPH) . There is no certain preventative or non‐invasive treatment for this disorder .…”

Section: Introductionmentioning

confidence: 99%

The inherited risk of retained placenta: a population based cohort study

Endler

Cnattingius

Granfors

et al. 2017

BJOG

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Severe maternal morbidity and near miss due to postpartum hemorrhage in a national multicenter surveillance study

Abstract: PPH frequently leads to severe maternal morbidity. A surveillance system can identify the main causes of morbidity and could help to improve care, especially among women identified as being at high risk of PPH.

Cited by 33 publications

References 24 publications

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

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

The prevalence of women’s emotional and physical health problems following a postpartum haemorrhage: a systematic review

The inherited risk of retained placenta: a population based cohort study

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