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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Severe maternal morbidity and nearmiss due to postpartumhemorrhage in a national multicenter surveillance study
International Journal of Gynecology and Obstetrics, Volume 128, No. 2, Year 2015
Notification
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Description
Objective: To assess the occurrence of severe maternal complications owing to postpartum hemorrhage (PPH) and its associated factors.Methods: A secondary analysis of data from a multicenter cross-sectional prospective surveillance study included 9555 cases of severe maternal morbidity at 27 centers in Brazil between July 2009 and June 2010. Complications of PPH, conditions of severity management, and sociodemographic and obstetric characteristics were assessed. Factors independently associated with severe maternal outcome (SMO) were identified usingmultiple regression analysis.Results: Overall, 1192 (12.5%) of the 9555women experienced complications owing to PPH (981 had potentially life-threatening conditions, 181 maternal near miss, and 30 had died). The SMO ratio was 2.6 per 1000 live births among women with PPH and 8.5 per 1000 live births among women with other complications. Women with PPH had a higher risk of blood transfusion and return to the operating theater than did those with complications from other causes. Maternal age, length of pregnancy, previous uterine scar, and cesarean deliverywere themain factors associatedwith an increased risk of SMO secondary to PPH.Conclusion: PPH frequently leads to severe maternal morbidity. A surveillance systemcan identify the main causes of morbidity and could help to improve care, especially among women identified as being at high risk of PPH. © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Rocha Filho, Edilberto Alves
Brazil, Campinas
Universidade Estadual de Campinas
Brazil, Recife
Universidade Federal de Pernambuco
Costa, Maria Laura Botelho
Brazil, Campinas
Universidade Estadual de Campinas
Cecatti, José Guilherme
Brazil, Campinas
Universidade Estadual de Campinas
Parpinelli, Mary Ângela
Brazil, Campinas
Universidade Estadual de Campinas
Haddad, Samira Maerrawi
Brazil, Campinas
Universidade Estadual de Campinas
Pacagnella, Rodolfo C.
Brazil, Campinas
Universidade Estadual de Campinas
de Sousa, Maria Helena
Unknown Affiliation
Surita, Fernanda Garanhani De Castro
Brazil, Campinas
Universidade Estadual de Campinas
Souza, Joao Paulo
Brazil, Campinas
Universidade Estadual de Campinas
Pinto e Silva, João Luiz C.
Unknown Affiliation
Rudge, Marilza Vieira Cunha
Unknown Affiliation
Calderon, I. M.P.
Unknown Affiliation
Pattinson, Robert Clive
Unknown Affiliation
Say, Lale
Unknown Affiliation
Santana, Danielly Scaranello
Unknown Affiliation
Gonçalves, Simone Pollini
Unknown Affiliation
Carvalho, Simone A.
Unknown Affiliation
Feitosa, Francisco Edson De Lucena
Unknown Affiliation
Chaves, George N.
Unknown Affiliation
Brum, Ione Rodrigues
Unknown Affiliation
Saint'Ynes, Gloria C.
Unknown Affiliation
Menezes, Carlos Augusto Santos
Unknown Affiliation
Santos, Patricia N.
Unknown Affiliation
Guanabara, Everardo De Macêdo
Unknown Affiliation
Almeida, Elson J.
Unknown Affiliation
Moreira, Joaquim L.
Unknown Affiliation
Sousa, Maria R.
Unknown Affiliation
Péret, Frederico A.
Unknown Affiliation
Paula, Liv B.
Unknown Affiliation
Schmaltz, Luiza Emylce Pelá Rosado
Unknown Affiliation
Pessoni, Cleire
Unknown Affiliation
Bione, Adriana
Unknown Affiliation
Amorim, Melania M.
Unknown Affiliation
Leite, Debora Farias Batista
Unknown Affiliation
Radaci, Ivelyne
Unknown Affiliation
Martins, Marília G.
Unknown Affiliation
Barroso, Frederico Vitório Lopes
Unknown Affiliation
Oliveira, Fernando Cesar
Unknown Affiliation
Nascimento, Denis José
Unknown Affiliation
Paiva, Cláudio Sérgio Medeiros
Unknown Affiliation
Lima, Moises DIogode
Unknown Affiliation
Freire, Djacyr Magna Cabral
Unknown Affiliation
Rohloff, Roger D.
Unknown Affiliation
Rodrigues, Simone M.
Unknown Affiliation
Costa, Sergio Martins
Unknown Affiliation
Pfitscher, Lucia C.
Unknown Affiliation
Luz, Adriana Gomes
Unknown Affiliation
Guimarães, Daniela Zaros
Unknown Affiliation
Lobato, Gustavo
Unknown Affiliation
Nakamura-Pereira, Marcos
Unknown Affiliation
Cordioli, Eduardo
Unknown Affiliation
Peterossi, Alessandra
Unknown Affiliation
Perez, Cynthia D.
Unknown Affiliation
Peraçoli, José Carlos
Unknown Affiliation
Costa, Roberto Antônio Araújo
Unknown Affiliation
Matias, Jacinta Pereira
Unknown Affiliation
Quintana, Silvana Maria
Unknown Affiliation
Moisés, Elaine Christine Dantas
Unknown Affiliation
Lotufo, Fátima Aparecida H.
Unknown Affiliation
Carvalho, Luiz Eduardo Campos De
Unknown Affiliation
Zanette, Elvira A.O.
Unknown Affiliation
Andreucci, Carla Betina
Unknown Affiliation
Aquino, Márcia M.
Unknown Affiliation
Ohnuma, Maria H.
Unknown Affiliation
Mattar, Rosiane
Unknown Affiliation
Campanharo, Felipe Favorette
Unknown Affiliation
Statistics
Citations: 28
Authors: 66
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijgo.2014.08.023
ISSN:
00207292
Research Areas
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female