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Maternal near miss in the intensive care unit: clinical and epidemiological aspects.

Oliveira LC, da Costa AA - Rev Bras Ter Intensiva (2015)

Bottom Line: The descriptive analysis was performed using the program Epi-Info 3.5.1.Among these cases, 43.2% of the women had incomplete primary education, 44.7% were primiparous, and 20.5% had undergone a previous cesarean section.A high frequency of women who had a low level of education and who were primiparous was observed.

View Article: PubMed Central - PubMed

Affiliation: Unidade de Ensino de Pós-Graduação em Saúde Materno-Infantil, Instituto de Medicina Integral Professor Fernando Figueira, Recife, PE, BR.

ABSTRACT

Objective: To analyze the epidemiological clinical profile of women with maternal near miss according to the new World Health Organization criteria.

Methods: A descriptive cross-sectional study was conducted, in which the records of patients admitted to the obstetric intensive care unit of a tertiary hospital in Recife (Brazil) over a period of four years were analyzed. Women who presented at least one near miss criterion were included. The variables studied were age, race/color, civil status, education, place of origin, number of pregnancies and prenatal consultations, complications and procedures performed, mode of delivery, gestational age at delivery, and maternal near miss criteria. The descriptive analysis was performed using the program Epi-Info 3.5.1.

Results: Two hundred fifty-five cases of maternal near miss were identified, with an overall ratio of maternal near miss of 12.8/1,000 live births. Among these cases, 43.2% of the women had incomplete primary education, 44.7% were primiparous, and 20.5% had undergone a previous cesarean section. Regarding specific diagnoses, there was a predominance of hypertensive disorders (62.7%), many of which were complicated by HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome (41.2%). The laboratory near miss criteria were the most often observed (59.6%), due mainly to the high frequency of acute thrombocytopenia (32.5%).

Conclusions: A high frequency of women who had a low level of education and who were primiparous was observed. According to the new criteria proposed by the World Health Organization, hypertensive pregnancy disorders are still the most common among maternal near miss cases. The high frequency of HELLP syndrome was also striking, which contributed to acute thrombocytopenia being the most frequent near miss criterion.

No MeSH data available.


Related in: MedlinePlus

Flowchart of participant selection.ICU - intensive care unit; IMIP - Instituto de Medicina Integral ProfessorFernando Figueira.
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f01: Flowchart of participant selection.ICU - intensive care unit; IMIP - Instituto de Medicina Integral ProfessorFernando Figueira.

Mentions: This investigation was a cross-sectional study that, based on the IMIP Obstetric ICUadmissions and discharge records, identified 2,997 patients who were hospitalized duringthe pregnancy-childbirth cycle between January 2007 and December 2010. These patients’records were requested from the hospital archives, and after analysis, those having atleast one WHO-defined maternal near miss criterion were included in the study (Table 1), totaling 255 cases (Figure 1).


Maternal near miss in the intensive care unit: clinical and epidemiological aspects.

Oliveira LC, da Costa AA - Rev Bras Ter Intensiva (2015)

Flowchart of participant selection.ICU - intensive care unit; IMIP - Instituto de Medicina Integral ProfessorFernando Figueira.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592115&req=5

f01: Flowchart of participant selection.ICU - intensive care unit; IMIP - Instituto de Medicina Integral ProfessorFernando Figueira.
Mentions: This investigation was a cross-sectional study that, based on the IMIP Obstetric ICUadmissions and discharge records, identified 2,997 patients who were hospitalized duringthe pregnancy-childbirth cycle between January 2007 and December 2010. These patients’records were requested from the hospital archives, and after analysis, those having atleast one WHO-defined maternal near miss criterion were included in the study (Table 1), totaling 255 cases (Figure 1).

Bottom Line: The descriptive analysis was performed using the program Epi-Info 3.5.1.Among these cases, 43.2% of the women had incomplete primary education, 44.7% were primiparous, and 20.5% had undergone a previous cesarean section.A high frequency of women who had a low level of education and who were primiparous was observed.

View Article: PubMed Central - PubMed

Affiliation: Unidade de Ensino de Pós-Graduação em Saúde Materno-Infantil, Instituto de Medicina Integral Professor Fernando Figueira, Recife, PE, BR.

ABSTRACT

Objective: To analyze the epidemiological clinical profile of women with maternal near miss according to the new World Health Organization criteria.

Methods: A descriptive cross-sectional study was conducted, in which the records of patients admitted to the obstetric intensive care unit of a tertiary hospital in Recife (Brazil) over a period of four years were analyzed. Women who presented at least one near miss criterion were included. The variables studied were age, race/color, civil status, education, place of origin, number of pregnancies and prenatal consultations, complications and procedures performed, mode of delivery, gestational age at delivery, and maternal near miss criteria. The descriptive analysis was performed using the program Epi-Info 3.5.1.

Results: Two hundred fifty-five cases of maternal near miss were identified, with an overall ratio of maternal near miss of 12.8/1,000 live births. Among these cases, 43.2% of the women had incomplete primary education, 44.7% were primiparous, and 20.5% had undergone a previous cesarean section. Regarding specific diagnoses, there was a predominance of hypertensive disorders (62.7%), many of which were complicated by HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome (41.2%). The laboratory near miss criteria were the most often observed (59.6%), due mainly to the high frequency of acute thrombocytopenia (32.5%).

Conclusions: A high frequency of women who had a low level of education and who were primiparous was observed. According to the new criteria proposed by the World Health Organization, hypertensive pregnancy disorders are still the most common among maternal near miss cases. The high frequency of HELLP syndrome was also striking, which contributed to acute thrombocytopenia being the most frequent near miss criterion.

No MeSH data available.


Related in: MedlinePlus