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A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project

机译:在巴西坎皮纳斯进行的基于人群的严重急性孕产妇发病(未命中)和围产期不良后果的监测研究:Vigimoma项目

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Background Auditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system. Methods From October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees. Results A total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal deathear miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage. Conclusion Auditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health providers training, and organization of care.
机译:已建议根据最佳实践协议对前哨健康事件进行背景审核。这项研究描述了基于人群的不良围产期事件调查,包括严重的急性孕产妇发病(未命中),孕产妇和围产期死亡率,作为有助于改善监测系统的健康干预措施。方法2005年10月至2005年12月,在巴西坎皮纳斯市发生的所有孕产妇死亡(MD),未命中(NM),胎儿死亡(FD)和新生儿早期死亡(END)病例均由孕产妇死亡委员会进行了审核。结果共修订了4491例活产婴儿(LB)和159例围产期不良事件(35.4 / 1000 LB),包括4 MD(89 / 100.000 LB)和95 NM(21.1 / 1000 LB),每个MD 23.7 NM。此外,发生了32 FD(7.1 / 1000 LB)和28 END(6.2 / 1000 LB)。孕产妇死亡/未命中率是23.7:1。 34%的患者被认为护理有所延迟,而高血压并发症占NM事件的57.8%,其次是产后出血。结论对未遂案件的审计扩大了对从孕产妇发病率到死亡率的认识,并提高了孕产妇死亡率委员会成员对临床规程的依从性的重要性。高血压疾病和产后出血被确定为卫生人员培训和组织护理的优先主题。

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