The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity

Detalhes bibliográficos
Autor(a) principal: Souza, Joao Paulo
Data de Publicação: 2012
Outros Autores: Cecatti, Jose Guilherme, Haddad, Samira M., Parpinelli, Mary Angela, Costa, Maria Laura, Katz, Leila, Say, Lale
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/9175
Resumo: World Health Organization. World Bank Special Programme of Research. Development and Research Training in Human Reproduction. Department of Reproductive Health and Research. Geneva, Switzerland.
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spelling Souza, Joao PauloCecatti, Jose GuilhermeHaddad, Samira M.Parpinelli, Mary AngelaCosta, Maria LauraKatz, LeilaSay, Lale2014-12-16T14:55:00Z2014-12-16T14:55:00Z2012SOUZA, Joao Paulo. et al. The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity. PLos ONE., San Francisco, v. 7, n. 8, 2012.1932-6203https://www.arca.fiocruz.br/handle/icict/9175engPublic Library of ScienceThe WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleWorld Health Organization. World Bank Special Programme of Research. Development and Research Training in Human Reproduction. Department of Reproductive Health and Research. Geneva, Switzerland.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Instituto de Medicina Integral Professor Fernando Figueira. Department of Obstetrics. Recife, Pernambuco, Brasil.World Health Organization. World Bank Special Programme of Research. Development and Research Training in Human Reproduction. Department of Reproductive Health and Research. Geneva, Switzerland.Objectives: To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments. Methods: In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death probability among women with severe maternal complications and benchmark the management of severe maternal morbidity. Results: Of the 82,388 women having deliveries in the participating health facilities, 9,555 women presented pregnancyrelated complications, including 140 maternal deaths and 770 maternal near misses. The WHO maternal near-miss criteria were found to be accurate and highly associated with maternal deaths (Positive likelihood ratio 106.8 (95% CI 99.56–114.6)). The maternal severity index (MSI) model was developed and found to able to describe the relationship between lifethreatening conditions and mortality (Area under the ROC curve: 0.951 (95% CI 0.909–0.993)). Conclusion: The identification of maternal near-miss cases using the WHO list of pregnancy-related life-threatening conditions was validated. The MSI model can be used as a tool for benchmarking the performance of health services managing women with severe maternal complications and provide case-mix adjustment.Organização Mundial da SaúdeMorbidadeGestantesServiços de Saúdeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/9175/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALThe WHO Maternal Near-Miss Approach and the Maternal Severity Index Model....pdfThe WHO Maternal Near-Miss Approach and the Maternal Severity Index Model....pdfapplication/pdf206805https://www.arca.fiocruz.br/bitstream/icict/9175/2/The%20WHO%20Maternal%20Near-Miss%20Approach%20and%20the%20Maternal%20Severity%20Index%20Model....pdf71006c9f0c79bf3e550c90be927f8465MD52TEXTThe WHO Maternal Near-Miss Approach and the Maternal Severity Index Model....pdf.txtThe WHO Maternal Near-Miss Approach and the Maternal Severity Index Model....pdf.txtExtracted texttext/plain54175https://www.arca.fiocruz.br/bitstream/icict/9175/3/The%20WHO%20Maternal%20Near-Miss%20Approach%20and%20the%20Maternal%20Severity%20Index%20Model....pdf.txt63fd17847ea392d458d863d1112a137fMD53icict/91752018-04-06 08:48:47.527oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T11:48:47Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
title The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
spellingShingle The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
Souza, Joao Paulo
Organização Mundial da Saúde
Morbidade
Gestantes
Serviços de Saúde
title_short The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
title_full The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
title_fullStr The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
title_full_unstemmed The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
title_sort The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity
author Souza, Joao Paulo
author_facet Souza, Joao Paulo
Cecatti, Jose Guilherme
Haddad, Samira M.
Parpinelli, Mary Angela
Costa, Maria Laura
Katz, Leila
Say, Lale
author_role author
author2 Cecatti, Jose Guilherme
Haddad, Samira M.
Parpinelli, Mary Angela
Costa, Maria Laura
Katz, Leila
Say, Lale
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Souza, Joao Paulo
Cecatti, Jose Guilherme
Haddad, Samira M.
Parpinelli, Mary Angela
Costa, Maria Laura
Katz, Leila
Say, Lale
dc.subject.decs.pt_BR.fl_str_mv Organização Mundial da Saúde
Morbidade
Gestantes
Serviços de Saúde
topic Organização Mundial da Saúde
Morbidade
Gestantes
Serviços de Saúde
description World Health Organization. World Bank Special Programme of Research. Development and Research Training in Human Reproduction. Department of Reproductive Health and Research. Geneva, Switzerland.
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2014-12-16T14:55:00Z
dc.date.available.fl_str_mv 2014-12-16T14:55:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv SOUZA, Joao Paulo. et al. The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity. PLos ONE., San Francisco, v. 7, n. 8, 2012.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/9175
dc.identifier.issn.none.fl_str_mv 1932-6203
identifier_str_mv SOUZA, Joao Paulo. et al. The WHO maternal near-miss approach and the Maternal Severity Index Model (MSI): tools for assessing the management of severe maternal morbidity. PLos ONE., San Francisco, v. 7, n. 8, 2012.
1932-6203
url https://www.arca.fiocruz.br/handle/icict/9175
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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