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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8002207 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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