Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1742-4755-6-15 http://hdl.handle.net/11449/71200 |
Resumo: | Background. It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective. The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design. This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. © 2009 Cecatti et al. |
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Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequencesadultBrazildata analysisdisease associationfemalefunctional statusgroups by agehealth care qualityhealth surveyhumaninfantmajor clinical studymaternal morbiditymultiple organ failureposttraumatic stress disorderpregnancy complicationprevalencepuerperal depressionquality of liferisk factorsexual dysfunctionBackground. It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective. The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design. This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. © 2009 Cecatti et al.Department of Obstetrics and Gynecology School of Medical Sciences University of CampinasUNDP/UNFPA/WHO/World Bank Spec. Prog. of Res., Devmt. and Research Training in Human Reproduction Department of Reproductive Health and Research World Health Organization, GenevaCEMICAMP - Campinas Center for Studies in Reproductive Health, CampinasDepartment of Gynaecology and Obstetrics Botucatu Medical School So Paulo State UniversityObstetrics and Gynaecology Department University of PretoriaDepartment of Gynaecology and Obstetrics Botucatu Medical School So Paulo State UniversityUniversidade Estadual de Campinas (UNICAMP)World Health OrganizationCEMICAMP - Campinas Center for Studies in Reproductive HealthUniversidade Estadual Paulista (Unesp)University of PretoriaCecatti, Jose G.Souza, João P.Parpinelli, Mary A.Haddad, Samira M.Camargo, Rodrigo S.Pacagnella, Rodolfo C.Silveira, CarlaZanardi, Dulce T.Costa, Maria L.Pinto E Silva, João L.Passini Jr., RenatoSurita, Fernanda G.Sousa, Maria H.Calderon, Iracema de Mattos Paranhos [UNESP]Say, LalePattinson, Robert C.2014-05-27T11:24:00Z2014-05-27T11:24:00Z2009-10-21info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1186/1742-4755-6-15Reproductive Health, v. 6, n. 1, 2009.1742-4755http://hdl.handle.net/11449/7120010.1186/1742-4755-6-152-s2.0-703500150042-s2.0-70350015004.pdf0679387622604743Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengReproductive Health2.0141,228info:eu-repo/semantics/openAccess2024-08-16T14:06:55Zoai:repositorio.unesp.br:11449/71200Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:06:55Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
title |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
spellingShingle |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences Cecatti, Jose G. adult Brazil data analysis disease association female functional status groups by age health care quality health survey human infant major clinical study maternal morbidity multiple organ failure posttraumatic stress disorder pregnancy complication prevalence puerperal depression quality of life risk factor sexual dysfunction |
title_short |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
title_full |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
title_fullStr |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
title_full_unstemmed |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
title_sort |
Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences |
author |
Cecatti, Jose G. |
author_facet |
Cecatti, Jose G. Souza, João P. Parpinelli, Mary A. Haddad, Samira M. Camargo, Rodrigo S. Pacagnella, Rodolfo C. Silveira, Carla Zanardi, Dulce T. Costa, Maria L. Pinto E Silva, João L. Passini Jr., Renato Surita, Fernanda G. Sousa, Maria H. Calderon, Iracema de Mattos Paranhos [UNESP] Say, Lale Pattinson, Robert C. |
author_role |
author |
author2 |
Souza, João P. Parpinelli, Mary A. Haddad, Samira M. Camargo, Rodrigo S. Pacagnella, Rodolfo C. Silveira, Carla Zanardi, Dulce T. Costa, Maria L. Pinto E Silva, João L. Passini Jr., Renato Surita, Fernanda G. Sousa, Maria H. Calderon, Iracema de Mattos Paranhos [UNESP] Say, Lale Pattinson, Robert C. |
author2_role |
author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual de Campinas (UNICAMP) World Health Organization CEMICAMP - Campinas Center for Studies in Reproductive Health Universidade Estadual Paulista (Unesp) University of Pretoria |
dc.contributor.author.fl_str_mv |
Cecatti, Jose G. Souza, João P. Parpinelli, Mary A. Haddad, Samira M. Camargo, Rodrigo S. Pacagnella, Rodolfo C. Silveira, Carla Zanardi, Dulce T. Costa, Maria L. Pinto E Silva, João L. Passini Jr., Renato Surita, Fernanda G. Sousa, Maria H. Calderon, Iracema de Mattos Paranhos [UNESP] Say, Lale Pattinson, Robert C. |
dc.subject.por.fl_str_mv |
adult Brazil data analysis disease association female functional status groups by age health care quality health survey human infant major clinical study maternal morbidity multiple organ failure posttraumatic stress disorder pregnancy complication prevalence puerperal depression quality of life risk factor sexual dysfunction |
topic |
adult Brazil data analysis disease association female functional status groups by age health care quality health survey human infant major clinical study maternal morbidity multiple organ failure posttraumatic stress disorder pregnancy complication prevalence puerperal depression quality of life risk factor sexual dysfunction |
description |
Background. It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective. The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design. This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. © 2009 Cecatti et al. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-10-21 2014-05-27T11:24:00Z 2014-05-27T11:24:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1742-4755-6-15 Reproductive Health, v. 6, n. 1, 2009. 1742-4755 http://hdl.handle.net/11449/71200 10.1186/1742-4755-6-15 2-s2.0-70350015004 2-s2.0-70350015004.pdf 0679387622604743 |
url |
http://dx.doi.org/10.1186/1742-4755-6-15 http://hdl.handle.net/11449/71200 |
identifier_str_mv |
Reproductive Health, v. 6, n. 1, 2009. 1742-4755 10.1186/1742-4755-6-15 2-s2.0-70350015004 2-s2.0-70350015004.pdf 0679387622604743 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Reproductive Health 2.014 1,228 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128142483652608 |