Morbidade materna grave em unidades públicas de terapia intensiva

aspectos epidemiológicos e clínicos

Autores/as

DOI:

https://doi.org/10.51723/ccs.v31i02.626

Palabras clave:

Morbidade materna grave, Morbidade, Epidemiologia, Mortalidade, Near miss

Resumen

Objetivo: Avaliar os aspectos epidemiológicos e clínicos de morbidade grave e near miss materno. Método: Estudo transversal, retrospectivo, descritivo e analítico com regressão logística, em 7 unidades de terapia intensiva (UTI) públicas, de internações de 2011 a 2013. Resultados: os casos de morbidade grave e near miss materno tinham entre 20 e 35 anos, primíparas, sem doenças prévias, com menos de 6 consultas no pré-natal. As complicações mais frequentes foram hemorragia pós-parto e hipertensão. Conclusão: a frequência de near miss materno foi alta, sugerindo a necessidade de avaliação de risco nas emergências obstétricas para a identificação mais rápida das complicações maternas.

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Biografía del autor/a

  • Julia Coelho Vilela Andrade, Escola Superior em Ciências da Saúde- ESCS

    Médica graduada na Escola Superior de Ciências da Saúde (ESCS), 

  • Isadora Carneiro Valadares, Escola Superior em Ciências da Saúde - ESCS

    Médica graduada na Escola Superior de Ciências da Saúde (ESCS)

  • Maria Rita Carvalho Garbi Novaes, Escola Superior em Ciências da Saúde - ESCS / FEPECS

     

     

Referencias

Alkema L, Chou D, Houga D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet [Internet]. 2016; 387(10017):462-74. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26584737. DOI: 10.1016/S0140-6736(15)00838-7.

World Health Organization. Newborn health action plan: WHA67.10. In: Sixty-Seventh World Health Assembly [Internet]. Geneva: WHO; 2014:19-20. Available from: http://apps.who.int/gb/ebwha/pdf_files/WHA67-REC1/A67_2014_REC1-en.pdf.

Say L, Souza JP, Pattinson RC, WHO Working Group on Maternal Mortality Morbidity Classifications. Maternal near miss--towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol [Internet]. 2009;23(3):287-96. DOI: 10.1016/j.bpobgyn.2009.01.007.

Tunçalp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: a systematic review. BJOG [Internet]. 2012;119(6):653-61. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.14710528.2012.03294.x/abstract;jsessionid=9FC2718A36B3BCE668372DF98D6892C9.f03t04. DOI: 10.1111/j.1471-0528.2012.03294.x

Souza JP, Cecatti JG, Faundes A, Morais SS, Villar J, Carroli G, et al. Maternal near miss and maternal death in the World Health Organization's 2005 global survey on maternal and perinatal health. Bull World Health Organ [Internet]. 2010; 88(2):113-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2814475/pdf/08-057828.pdf. DOI: 10.2471/BLT.08.057828.

World Health Organization. Evaluating the quality of care for severe pregnancy complications: The WHO near-miss approach for maternal health [Internet]. Geneva: WHO; 2011. Available from: http://apps.who.int/iris/bitstream/10665/44692/1/9789241502221_eng.pdf.

Lotufo FA, Parpinelli MA, Haddad SM, Surita FG, Cecatti JG. Applying the new concept of maternal near-miss in an intensive care unit. Clinics (São Paulo) [Internet]. 2012;67(3):225-30. Available from: https://www.revistas.usp.br/clinics/article/viewFile/19658/21722. DOI: 10.6061/clinics/2012(03)04.

Amorim MM, Katz L, Valenca M, Araujo DE. Severe maternal morbidity in an obstetric ICU in Recife, Northeast of Brazil. Rev Assoc Med Bras [Internet]. 2008; 54(03):261-6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302008000300021.

Souza JP, Cecatti JG, Parpinelli MA, de Sousa MH, Serruya SJ. Revisão sistemática sobre morbidade materna: near miss. Cad Saúde Pública [Internet]. 2006;22(2):255-64. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2006000200003.

Soares FM, Pacagnella RC, Tunçalp Ö, et al. Provision of intensive care to severely ill pregnant women is associated with reduced mortality: Results from the WHO Multicountry Survey on Maternal and Newborn Health. Int J Gynaecol Obstet [Internet]. 2020; 10.1002/ijgo.13241. Available from: https://doi.org/10.1002/ijgo.13241

Governo do Distrito Federal; Subsecretaria de Vigilância à Saúde [Internet]. Brasília: Secretaria de Estado de Saúde do DF; 2014. Relatório epidemiológico sobre óbitos maternos no Distrito Federal. Disponível em: http://www.saude.df.gov.br/wp-conteudo/uploads/2018/03/Relatorio_natalidade_2014.pdf

Tunçalp O, Hindin MJ, Adu-Bonsaffoh K, Adanu RM. Understanding the Continuum of Maternal Morbidity in Accra, Ghana. Matern Child Health J [Internet]. 2014;18(7):1648-57. Available from: https://link.springer.com/article/10.1007%2Fs10995-013-1405-8.

Cecatti JG, Souza RT, Pacagnella RC, Leal MC, Moura EC, Santos LMP. Maternal near miss among women using the public health system in the Amazon and Northeast regions of Brazil. Rev Panam Salud Publica. 2015;37(4-5):232-8.

Rocha Filho EA, Costa ML, Cecatti JG, Parpinelli MA, Haddad SM, Sousa MH, et al. Contribution of antepartum and intrapartum hemorrhage to the burden of maternal near miss and death in a national surveillance study. Acta Obstet Gynecol Scand [Internet]. 2014;94(1):50-58. Available from: http://europepmc.org/abstract/med/25327163. DOI: 10.1111/aogs.12529.

Galvao LPL, Alvim-Pereira F, de Mendonca CM, Menezes FEF, Gois KAN, Ribeiro RF Jr, et al. The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil. BMC Pregnancy Childbirth [Internet]. 2014; 14:25. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-25. DOI: 10.1186/1471-2393-14-25.

Madeiro AP, Rufino AC, Lacerda EZ, Brasil LG. Incidence and determinants of severe maternal morbidity: a transversal study in a referral hospital in Teresina, Piauí, Brazil. BMC Pregnancy Childbirth. 2015;15:210. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562200/. DOI: 10.1186/s12884-015-0648-3.

Karolinski A, Mercer R, Micone P, Ocampo C, Mazzoni A, Fontana O, et al. The epidemiology of life-threatening complications associated with reproductive process in public hospitals in Argentina. BJOG [Internet]. 2013;120(13):1685-94;discussion 944-5. Available from: http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12395/pdf. DOI: 10.1111/1471-0528.12395.

Roost M, Altamirano VC, Liljestrand J, Essen B. Priorities in emergency obstetric care in Bolivia--maternal mortality and near-miss morbidity in metropolitan La Paz. BJOG [Internet]. 2009;116(9):1210-7. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2009.02209.x/abstract. DOI: 10.1111/j.1471-0528.2009.02209.x.

David E, Machungo F, Zanconato G, Cavaliere E, Fiosse S, Sululu C, et al. Maternal near miss and maternal deaths in Mozambique: a cross-sectional, region-wide study of 635 consecutive cases assisted in health facilities of Maputo province. BMC Pregnancy Childbirth [Internet]. 2014;14:401. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269100/. DOI: 10.1186/s12884-014-0401-3.

Cirelli J, Surita F, Costa M L, Parpinelli MA, Haddad S, Cecatti JG. The Burden of Indirect Causes of Maternal Morbidity and Mortality in the Process Of Obstetric Transition: A Cross-Sectional Multicenter Study. Rev. Bras. Ginecol. Obstet. [Internet]. 2018; 40(3):106-114 Available from: https://doi.org/10.1055/s-0038-1623511

Publicado

2020-10-02

Número

Sección

Mestrados profissionais em saúde

Cómo citar

1.
Morbidade materna grave em unidades públicas de terapia intensiva: aspectos epidemiológicos e clínicos. Com. Ciências Saúde [Internet]. 2020 Oct. 2 [cited 2024 Nov. 19];31(02):147-5. Available from: https://revistaccs.espdf.fepecs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/626