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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
general
The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity
PLoS ONE, Volume 7, No. 8, Article e44129, Year 2012
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Description
Objectives: To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments. Methods: In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death probability among women with severe maternal complications and benchmark the management of severe maternal morbidity. Results: Of the 82,388 women having deliveries in the participating health facilities, 9,555 women presented pregnancy-related complications, including 140 maternal deaths and 770 maternal near misses. The WHO maternal near-miss criteria were found to be accurate and highly associated with maternal deaths (Positive likelihood ratio 106.8 (95% CI 99.56-114.6)). The maternal severity index (MSI) model was developed and found to able to describe the relationship between life-threatening conditions and mortality (Area under the ROC curve: 0.951 (95% CI 0.909-0.993)). Conclusion: The identification of maternal near-miss cases using the WHO list of pregnancy-related life-threatening conditions was validated. The MSI model can be used as a tool for benchmarking the performance of health services managing women with severe maternal complications and provide case-mix adjustment. © 2012 Souza et al.
Authors & Co-Authors
Souza, Joao Paulo
United States, Washington, D.c.
The World Bank, Usa
Cecatti, José Guilherme
Brazil, Campinas
Universidade Estadual de Campinas
Haddad, Samira Maerrawi
Brazil, Campinas
Universidade Estadual de Campinas
Parpinelli, Mary Ângela
Brazil, Campinas
Universidade Estadual de Campinas
Costa, Maria Laura Botelho
Brazil, Campinas
Universidade Estadual de Campinas
Say, Lale
United States, Washington, D.c.
The World Bank, Usa
Almeida, Elson J.
Unknown Affiliation
Amaral, Eliana Martorano
Unknown Affiliation
Amorim, Melania M.
Unknown Affiliation
Andreucci, Carla Betina
Unknown Affiliation
Aquino, Márcia M.
Unknown Affiliation
Bahamondes, María Valéria
Unknown Affiliation
Barroso, Frederico Vitório Lopes
Unknown Affiliation
Bione, Adriana
Unknown Affiliation
Brum, Ione Rodrigues
Unknown Affiliation
Calderon, I. M.P.
Unknown Affiliation
Camargo, Rodrigo Soares
Unknown Affiliation
Campanharo, Felipe Favorette
Unknown Affiliation
Carvalho, Luiz Eduardo Campos De
Unknown Affiliation
Carvalho, Simone A.
Unknown Affiliation
Chaves, George N.
Unknown Affiliation
Cordioli, Eduardo
Unknown Affiliation
Costa, Roberto Antônio Araújo
Unknown Affiliation
Costa, Sergio Martins
Unknown Affiliation
Feitosa, Francisco Edson De Lucena
Unknown Affiliation
Freire, Djacyr Magna Cabral
Unknown Affiliation
Gonçalves, Simone Pollini
Unknown Affiliation
Guanabara, Everardo De Macêdo
Unknown Affiliation
Guimarães, Daniela Zaros
Unknown Affiliation
Gurgel, Lúcio T.
Unknown Affiliation
Leite, Debora Farias Batista
Unknown Affiliation
Lima, Moises DIogode
Unknown Affiliation
Lobato, Gustavo
Unknown Affiliation
Lotufo, Fátima Aparecida H.
Unknown Affiliation
Luz, Adriana Gomes
Unknown Affiliation
Martins, Marília G.
Unknown Affiliation
Matias, Jacinta Pereira
Unknown Affiliation
Mattar, Rosiane
Unknown Affiliation
Menezes, Carlos Augusto Santos
Unknown Affiliation
Moisés, Elaine Christine Dantas
Unknown Affiliation
Moreira, Joaquim L.
Unknown Affiliation
Nakamura-Pereira, Marcos
Unknown Affiliation
Nascimento, Denis José
Unknown Affiliation
Ohnuma, Maria H.
Unknown Affiliation
Oliveira, Fernando Cesar
Unknown Affiliation
Pacagnella, Rodolfo C.
Unknown Affiliation
Paiva, Cláudio Sérgio Medeiros
Unknown Affiliation
Pattinson, Robert Clive
Unknown Affiliation
Paula, Liv B.
Unknown Affiliation
Peraçoli, José Carlos
Unknown Affiliation
Péret, Frederico A.
Unknown Affiliation
Perez, Cynthia D.
Unknown Affiliation
Pessoni, Cleire
Unknown Affiliation
Peterossi, Alessandra
Unknown Affiliation
Pfitscher, Lucia C.
Unknown Affiliation
Pinto e Silva, João Luiz C.
Unknown Affiliation
Quintana, Silvana Maria
Unknown Affiliation
Radaci, Ivelyne
Unknown Affiliation
Rocha Filho, Edilberto Alves
Unknown Affiliation
Rodrigues, Simone M.
Unknown Affiliation
Rohloff, Roger D.
Unknown Affiliation
Rudge, Marilza Vieira Cunha
Unknown Affiliation
Saint'Ynes, Gloria C.
Unknown Affiliation
Santana, Danielly Scaranello
Unknown Affiliation
Santos, Patricia N.
Unknown Affiliation
Say, Lale
Unknown Affiliation
Schmaltz, Luiza Emylce Pelá Rosado
Unknown Affiliation
de Sousa, Maria Helena
Unknown Affiliation
Sousa, Maria R.
Unknown Affiliation
Surita, Fernanda Garanhani De Castro
Unknown Affiliation
Zanette, Elvira A.O.
Unknown Affiliation
Zotareli, Vilma
Unknown Affiliation
Statistics
Citations: 123
Authors: 72
Affiliations: 3
Identifiers
Doi:
10.1371/journal.pone.0044129
ISSN:
19326203
Research Areas
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Grounded Theory
Study Approach
Quantitative
Participants Gender
Female