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Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study

The maternal mortality or "maternal near miss" ratio in Brazil reflects the socioeconomic indicators as well as the healthcare quality in some areas of this country, pointing out fragile points in the health services. The aim of this study was to estimate the association of diverse variabl...

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Autores principales: Magalhães, Daniela Mendes dos Santos, Bernardes, João Marcos, Ruiz-Frutos, Carlos, Gómez-Salgado, Juan, Calderon, Iracema de Mattos Paranhos, Dias, Adriano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8002207/
https://www.ncbi.nlm.nih.gov/pubmed/33809643
http://dx.doi.org/10.3390/healthcare9030335
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author Magalhães, Daniela Mendes dos Santos
Bernardes, João Marcos
Ruiz-Frutos, Carlos
Gómez-Salgado, Juan
Calderon, Iracema de Mattos Paranhos
Dias, Adriano
author_facet Magalhães, Daniela Mendes dos Santos
Bernardes, João Marcos
Ruiz-Frutos, Carlos
Gómez-Salgado, Juan
Calderon, Iracema de Mattos Paranhos
Dias, Adriano
author_sort Magalhães, Daniela Mendes dos Santos
collection PubMed
description The maternal mortality or "maternal near miss" ratio in Brazil reflects the socioeconomic indicators as well as the healthcare quality in some areas of this country, pointing out fragile points in the health services. The aim of this study was to estimate the association of diverse variables related to pregnancy and the occurrence of Near Miss in a population of women who were cared in public maternity wards in Brazil. A case-control study was performed. The association between variables and outcomes was verified through a chi-square test. A multiple analysis was carried out, producing odds ratio (OR) estimates with values of p≤0.25 in the univariate model. The results point to the following risk factors for Severe Maternal Morbidity: non-white (<0.001, OR 2.973), family income of up to two minimum wage salaries (<0.001; OR 2.159), not having a partner (<0.001, OR 2.694), obesity (<0.001, OR 20.852), not having received pre-natal care (<0.001, OR 2.843), going to less than six prenatal appointments (<0.001, OR 3.498), undergoing an inter-hospital transfer (<0.001, OR 24.655), and the absence of labor during admission (<0.001, OR 25.205). Although the results vary, the incidence of women with potential life-threatening complications is high in Brazil, which reinforces the need to universalize more complex interventions as well as coverage of primary care. The presence of precarious socio-economic indicators and unqualified obstetric care were risk factors for Severe Maternal Morbidity.
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spelling pubmed-80022072021-03-28 Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study Magalhães, Daniela Mendes dos Santos Bernardes, João Marcos Ruiz-Frutos, Carlos Gómez-Salgado, Juan Calderon, Iracema de Mattos Paranhos Dias, Adriano Healthcare (Basel) Article The maternal mortality or "maternal near miss" ratio in Brazil reflects the socioeconomic indicators as well as the healthcare quality in some areas of this country, pointing out fragile points in the health services. The aim of this study was to estimate the association of diverse variables related to pregnancy and the occurrence of Near Miss in a population of women who were cared in public maternity wards in Brazil. A case-control study was performed. The association between variables and outcomes was verified through a chi-square test. A multiple analysis was carried out, producing odds ratio (OR) estimates with values of p≤0.25 in the univariate model. The results point to the following risk factors for Severe Maternal Morbidity: non-white (<0.001, OR 2.973), family income of up to two minimum wage salaries (<0.001; OR 2.159), not having a partner (<0.001, OR 2.694), obesity (<0.001, OR 20.852), not having received pre-natal care (<0.001, OR 2.843), going to less than six prenatal appointments (<0.001, OR 3.498), undergoing an inter-hospital transfer (<0.001, OR 24.655), and the absence of labor during admission (<0.001, OR 25.205). Although the results vary, the incidence of women with potential life-threatening complications is high in Brazil, which reinforces the need to universalize more complex interventions as well as coverage of primary care. The presence of precarious socio-economic indicators and unqualified obstetric care were risk factors for Severe Maternal Morbidity. MDPI 2021-03-16 /pmc/articles/PMC8002207/ /pubmed/33809643 http://dx.doi.org/10.3390/healthcare9030335 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Magalhães, Daniela Mendes dos Santos
Bernardes, João Marcos
Ruiz-Frutos, Carlos
Gómez-Salgado, Juan
Calderon, Iracema de Mattos Paranhos
Dias, Adriano
Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title_full Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title_fullStr Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title_full_unstemmed Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title_short Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study
title_sort predictive factors for severe maternal morbidity in brazil: a case-control study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8002207/
https://www.ncbi.nlm.nih.gov/pubmed/33809643
http://dx.doi.org/10.3390/healthcare9030335
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