A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project

BMC Pregnancy and Childbirth

Research Article

Fernanda Surita¹  Adriana G Luz¹  Eliana Amaral¹  João Paulo Souza¹  José Guilherme Cecatti¹  Maria Helena Sousa¹  Oona Campbell² 

[1] Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil;London School of Hygiene and Tropical Medicine, University of London, Keppel Street, WC1E 7HT, London, UK;

关键词: Maternal Mortality;    Maternal Death;    Fetal Death;    Postpartum Hemorrhage;    Maternal Morbidity;   

DOI  :  10.1186/1471-2393-11-9

 received in 2010-09-01, accepted in 2011-01-22,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundAuditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system.MethodsFrom October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees.ResultsA total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal death/near miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage.ConclusionAuditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health providers training, and organization of care.

【 授权许可】

CC BY   
© Amaral et al; licensee BioMed Central Ltd. 2011