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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 consequences

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...

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Autores principales: 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, Renato, Surita, Fernanda G, Sousa, Maria H, Calderon, Iracema MP, Say, Lale, Pattinson, Robert C
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760504/
https://www.ncbi.nlm.nih.gov/pubmed/19778437
http://dx.doi.org/10.1186/1742-4755-6-15
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author 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, Renato
Surita, Fernanda G
Sousa, Maria H
Calderon, Iracema MP
Say, Lale
Pattinson, Robert C
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, Renato
Surita, Fernanda G
Sousa, Maria H
Calderon, Iracema MP
Say, Lale
Pattinson, Robert C
author_sort Cecatti, Jose G
collection PubMed
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.
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spelling pubmed-27605042009-10-13 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 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, Renato Surita, Fernanda G Sousa, Maria H Calderon, Iracema MP Say, Lale Pattinson, Robert C Reprod Health Study Protocol 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. BioMed Central 2009-09-24 /pmc/articles/PMC2760504/ /pubmed/19778437 http://dx.doi.org/10.1186/1742-4755-6-15 Text en Copyright © 2009 Cecatti et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
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, Renato
Surita, Fernanda G
Sousa, Maria H
Calderon, Iracema MP
Say, Lale
Pattinson, Robert C
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
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_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_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
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760504/
https://www.ncbi.nlm.nih.gov/pubmed/19778437
http://dx.doi.org/10.1186/1742-4755-6-15
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