Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/10251
Title: Severe acute obstetric morbidity (near-miss): a review of the relative use of its diagnostic indicators
Authors: Reichenheim, Michael E.
Zylbersztajn, Flávio
Moraes, Claudia L.
Lobato, Gustavo
Affilliation: Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil. / Universidade Estácio de Sá. Programa Saúde da Família. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Obstetrícia. Rio de Janeiro, RJ, Brasil.
Abstract: Objective To assess the most commonly employed diag-nostic indicators of severe maternal morbidity (obstetric near-miss). Methods Review of the literature from January 1989 to August 2008. Results Fifty-one manuscripts met the eligibility criteria, and 96 indicators were utilized at least once. Admission to intensive care unit (n= 28 studies) was the indicator most frequently utilized, followed by eclampsia and hemorrhage (n= 27), blood transfusion (n= 26) and emergent hysterec-tomy (n=24). Conclusion Considering these Wndings, a trial version of a 13-item instrument for diagnosing obstetric near-miss is proposed. It includes the indicators eclampsia, severe hypertension, pulmonary edema, cardiac arrest, obstetrical hemorrhage, uterine rupture, admission to intensive care unit, emergent hysterectomy, blood transfusion, anesthetic accidents, urea >15 mmol/l or creatinine >400 mmol/l, oli-guria (<400 ml/24 h) and coma. Further studies should focus on consensual deWnitions for these indicators and evaluate the psychometric proprieties of this trial version.
Keywords: Maternal Mortality
Pregnancy Complications
Morbidity
Medical Audit
Near-Miss
DeCS: Mortalidade Materna
Complicações na Gravidez
Morbidade
Auditoria Médica
Issue Date: 2009
Publisher: Springer Verlag
Citation: REICHENHEIM, Michael E. et al. Severe acute obstetric morbidity (near-miss): a review of the relative use of its diagnostic indicators. Arch. gynecol. obstet., Munchen, v. 280, p. 337–343, 2009.
DOI: 10.1007/s00404-008-0891-1
Copyright: restricted access
Appears in Collections:IFF - Artigos de Periódicos



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