Aspectos clínicos e epidemiológicos do near miss materno em um hospital universitário, 2017

Abstract

INTRODUCTION: For obstetrics, the term maternal near miss is related to the situation of almost maternal death, that is, it refers to a woman who survived to a serious complication which occurred during pregnancy, childbirth or up to 42 days after termination of pregnancy. OBJECTIVES: To analyze the epidemiological profile of women with maternal near miss in relation to their characteristics and the perinatal outcome in a regional reference hospital, where there is no record of data about this topic. METHODS: the present work is a case control study with a quantitative and exploratory approach, in which a survey of medical records of women hospitalized during 2017 with high risk pregnancy classification was performed, whose groups used were ICDs Z35, O85 to O99 and O08. For the classification of patients with maternal near miss, the criteria proposed by the World Health Organization were used. RESULTS: the first article revealed a maternal near miss ratio of 18.8 / 1000 live births, with the highest proportion of women varying between 20 and 34 years old, and the associated complications were hypertensive syndromes, haemorrhage and sepsis. The second article demonstrated that presenting criteria for maternal near miss was related to perinatal deaths, gestational age of birth less than 37 weeks, weight less than 2500 grams, Apgar < 7 in the first minute of life, need for procedures at birth and admission to the Neonatal Intensive Care Unit. CONCLUSION: the identification of patients with maternal near miss criteria exhibited an association with potentially avoidable complications. Adequate management of pregnant women, in accordance with good practices in childbirth and birth care, in addition to good previous health conditions reduce the impact on maternal and child morbidity and mortality.