Abstract:
BACKGROUND:To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death. METHODS:A descriptive population study with data from the HIS and Mortality Information System (MIS) files of records of women during pregnancy, delivery and in the postpartum period in all the capital cities of the Brazilian states in 2002. Initially, records of women between 10 and 49 years of age were selected; next, those records with at least one criterion suggestive of near miss were selected. For the linkage of HIS with MIS and HIS with itself, a blocking strategy consisting of three independent steps was established. In the data analysis, near miss ratios were calculated with corresponding 95% confidence interval and the diagnoses and procedures were described; a multiple logistic regression model was adjusted. Primary and secondary diagnoses and the requested and performed procedures during hospitalization were the main outcome measures. RESULTS:The overall maternal near miss ratio was 44.3/1,000 live births. Among the records indicating near miss, 154 maternal deaths were identified. The criteria of severity most frequently found were infection, preeclampsia and hemorrhage. Logistic regression analysis resulted in 12 variables, including four significant interactions. CONCLUSION:Although some limitations, the perspective of routinely using this information system for surveillance of near miss and implementing measures to avoid maternal death is promising.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Sousa MH,Cecatti JG,Hardy EE,Serruya SJdoi
10.1186/1742-4755-5-6subject
Has Abstractpub_date
2008-10-28 00:00:00pages
6issn
1742-4755pii
1742-4755-5-6journal_volume
5pub_type
杂志文章abstract:BACKGROUND:A review of validated methods for assessing female sexual dysfunction and a review of male and female sexual dysfunction did not refer to any specific questionnaire for evaluating sexuality during pregnancy. A study was performed at the Obstetrics and Gynecology Department of Botucatu Medical School, São Pau...
journal_title:Reproductive health
pub_type: 杂志文章
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journal_title:Reproductive health
pub_type: 杂志文章
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journal_title:Reproductive health
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pub_type: 社论
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pub_type: 杂志文章
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更新日期:2018-08-14 00:00:00
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更新日期:2020-05-26 00:00:00
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更新日期:2014-11-19 00:00:00
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更新日期:2017-03-04 00:00:00
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pub_type: 杂志文章
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更新日期:2014-12-17 00:00:00
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更新日期:2019-08-15 00:00:00