Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences

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dc.contributor.author Cecatti, Jose G.
dc.contributor.author Souza, Joao P.
dc.contributor.author Parpinelli, Mary A.
dc.contributor.author Haddad, Samira M.
dc.contributor.author Camargo, Rodrigo S.
dc.contributor.author Pacagnella, Rodolfo C.
dc.contributor.author Silveira, Carla
dc.contributor.author Zanardi, Dulce T.
dc.contributor.author Costa, Maria L.
dc.contributor.author Pinto e Silva, Joao L.
dc.contributor.author Passini Jr, Renato
dc.contributor.author Surita, Fernanda G.
dc.contributor.author Sousa, Maria H.
dc.contributor.author Calderon, Iracema M.P.
dc.contributor.author Say, Lale
dc.contributor.author Pattinson, Robert Clive
dc.contributor.other Pattinson, Bob
dc.date.accessioned 2010-07-26T07:09:41Z
dc.date.available 2010-07-26T07:09:41Z
dc.date.issued 2009
dc.description.abstract BACKGROUND: It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. OBJECTIVE: The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. METHODS/DESIGN: This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the crosssectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. en_US
dc.identifier.citation Cecatti, JG, Souza, JP, Parpinelli, MA, Haddad, SM, Camargo, RS, Pacagnella, RC, Silveira, C, Zanardi, DT, Costa, ML, Pinto e Silva, JL, Passini Jr, R, Surita, FG, Sousa, MH, Calderon, IMP, Say, L & Pattinson, RC 2009, 'Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences', Reproductive Health, vol. 6, no. 15. [http://www.reproductive-health-journal.com/] en_US
dc.identifier.issn 0196-3635
dc.identifier.other 10.1186/1742-4755-6-15
dc.identifier.uri http://hdl.handle.net/2263/14546
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.rights © 2009 Cecatti et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.subject Brazilian network en_US
dc.subject Long term consequences en_US
dc.subject Maternal complications
dc.subject.lcsh Pregnancy -- Complications
dc.title Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences en_US
dc.type Article en_US


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