Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012

Detalhes bibliográficos
Autor(a) principal: Domingues, Rosa Maria Soares Madeira
Data de Publicação: 2016
Outros Autores: Dias, Marcos Augusto Bastos, Schilithz, Arthur Orlando Corrêa, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29023
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
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spelling Domingues, Rosa Maria Soares MadeiraDias, Marcos Augusto BastosSchilithz, Arthur Orlando CorrêaLeal, Maria do Carmo2018-09-24T18:48:36Z2018-09-24T18:48:36Z2016DOMINGUES, Rosa Maria Soares et al. Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012. Reproductive Health, v. 13, suppl 13, p. 187-265, 2016.1742-4755https://www.arca.fiocruz.br/handle/icict/2902310.1186/s12978-016-0232-yengPeríodo Pós-PartoPartoGestantesCesáreaMaternal near-missFactors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Background: Maternal near-miss (MNM) audits are considered a useful approach to improving maternal healthcare. The aim of this study was to evaluate the factors associated with maternal near-miss cases in childbirth and the postpartum period in Brazil. Methods: The study is based on data from a nationwide hospital-based survey of 23,894 women conducted in 2011–2012. The data are from interviews with mothers during the postpartum period and from hospital medical files. Univariate and multivariable logistic regressions were performed to analyze factors associated with MNM, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals (95 % CI). Results: The estimated incidence of MNM was 10.2/1,000 live births (95 % CI: 7.5–13.7). In the adjusted analyses, MNM was associated with the absence of antenatal care (OR: 4.65; 95 % CI: 1.51–14.31), search for two or more services before admission to delivery care (OR: 4.49; 95 % CI: 2.12–9.52), obstetric complications (OR: 9.29; 95 % CI: 6.69–12.90), and type of birth: elective C-section (OR: 2.54; 95 % CI: 1.67–3.88) and forceps (OR: 9.37; 95 % CI: 4.01–21.91). Social and demographic maternal characteristics were not associated with MNM, although women who self-reported as white and women with higher schooling had better access to antenatal and maternity care services. Conclusion: The high proportion of elective C-sections performed among women in better social and economic situations in Brazil is likely attenuating the benefits that could be realized from improved prenatal care and greater access to maternity services. Strategies for reducing the rate of MNM in Brazil should focus on: 1) increasing access to prenatal care and delivery care, particularly among women who are at greater social and economic risk and 2) reducing the rate of elective cesarean section, particularly among women who receive services at private maternity facilities, where C-section rates reach 90 % of births.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/29023/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALFactors associated with maternal near miss in childbirth and the postpartum period Findings from the birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdfFactors associated with maternal near miss in childbirth and the postpartum period Findings from the birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdfapplication/pdf521124https://www.arca.fiocruz.br/bitstream/icict/29023/2/Factors%20associated%20with%20maternal%20near%20miss%20in%20childbirth%20and%20the%20postpartum%20period%20Findings%20from%20the%20birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdfba41b24045df8fac939a43fe832a508fMD52TEXTFactors associated with maternal near miss in childbirth and the postpartum period Findings from the birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtFactors associated with maternal near miss in childbirth and the postpartum period Findings from the birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtExtracted texttext/plain53682https://www.arca.fiocruz.br/bitstream/icict/29023/3/Factors%20associated%20with%20maternal%20near%20miss%20in%20childbirth%20and%20the%20postpartum%20period%20Findings%20from%20the%20birth_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txt98771ddcb91ad20bd637e754c1a41af1MD53icict/290232023-01-10 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dc.title.pt_BR.fl_str_mv Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
title Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
spellingShingle Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
Domingues, Rosa Maria Soares Madeira
Período Pós-Parto
Parto
Gestantes
Cesárea
Maternal near-miss
title_short Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
title_full Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
title_fullStr Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
title_full_unstemmed Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
title_sort Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012
author Domingues, Rosa Maria Soares Madeira
author_facet Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Schilithz, Arthur Orlando Corrêa
Leal, Maria do Carmo
author_role author
author2 Dias, Marcos Augusto Bastos
Schilithz, Arthur Orlando Corrêa
Leal, Maria do Carmo
author2_role author
author
author
dc.contributor.author.fl_str_mv Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Schilithz, Arthur Orlando Corrêa
Leal, Maria do Carmo
dc.subject.other.pt_BR.fl_str_mv Período Pós-Parto
Parto
Gestantes
Cesárea
topic Período Pós-Parto
Parto
Gestantes
Cesárea
Maternal near-miss
dc.subject.en.pt_BR.fl_str_mv Maternal near-miss
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2018-09-24T18:48:36Z
dc.date.available.fl_str_mv 2018-09-24T18:48:36Z
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 DOMINGUES, Rosa Maria Soares et al. Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012. Reproductive Health, v. 13, suppl 13, p. 187-265, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29023
dc.identifier.issn.pt_BR.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-016-0232-y
identifier_str_mv DOMINGUES, Rosa Maria Soares et al. Factors associated with maternal near miss in childbirth and the postpartum period: findings from the birth in Brazil National Survey, 2011-2012. Reproductive Health, v. 13, suppl 13, p. 187-265, 2016.
1742-4755
10.1186/s12978-016-0232-y
url https://www.arca.fiocruz.br/handle/icict/29023
dc.language.iso.fl_str_mv eng
language eng
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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institution FIOCRUZ
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