Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

Página do item simplificado
dc.contributor.authorHaddad, Samira Maerrawi
dc.contributor.authorCecatti, Jose Guilherme
dc.contributor.authorSouza, Joao Paulo
dc.contributor.authorSousa, Maria Helena
dc.contributor.authorParpinelli, Mary Angela
dc.contributor.authorCosta, Maria Laura
dc.contributor.authorPacagnella, Rodolfo C.
dc.contributor.authorBrum, Ione R.
dc.contributor.authorMoraes Filho, Olímpio B.
dc.contributor.authorFeitosa, Francisco E.
dc.contributor.authorMenezes, Carlos A.
dc.contributor.authorGuanabara, Everardo M.
dc.contributor.authorMoreira, Joaquim L.
dc.contributor.authorPeret, Frederico A.
dc.contributor.authorSchmaltz, Luiza E.
dc.contributor.authorKatz, Leila
dc.contributor.authorLima, Antonio C. Barbosa
dc.contributor.authorAmorim, Melania M.
dc.contributor.authorMartins, Marilia G.
dc.contributor.authorNascimento, Denis J.
dc.contributor.authorPaiva, Cláudio S.
dc.contributor.authorRohloff, Roger D.
dc.contributor.authorCosta, Sergio M.
dc.contributor.authorLuz, Adriana G.
dc.contributor.authorLobato, Gustavo
dc.contributor.authorCordioli, Eduardo
dc.contributor.authorPeraçoli, Jose C.
dc.contributor.authorMaia Filho, Nelson L.
dc.contributor.authorQuintana, Silvana M.
dc.contributor.authorLotufo, Fátima A.
dc.contributor.authorAndreucci, Carla B.
dc.contributor.authorAquino, Márcia M.
dc.contributor.authorMattar, Rosiane
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionCentre for Research on Reproductive Health of Campinas (Cemicamp)
dc.contributor.institutionFederal University of Amazonas
dc.contributor.institutionCISAM, School of Medical Sciences
dc.contributor.institutionFederal University of Ceará
dc.contributor.institutionUniversidade Federal da Bahia (UFBA)
dc.contributor.institutionHospital Geral Cesar Cals
dc.contributor.institutionHospital Geral de Fortaleza
dc.contributor.institutionMaternidade Odete Valadares
dc.contributor.institutionHospital Materno Infantil
dc.contributor.institutionIMIP
dc.contributor.institutionUniversidade Federal de Pernambuco (UFPE)
dc.contributor.institutionFederal University of Campina Grande
dc.contributor.institutionFederal University of Maranhão
dc.contributor.institutionFederal University of Paraná
dc.contributor.institutionFederal University of Paraíba
dc.contributor.institutionHospital Maternidade Fernando Magalhães
dc.contributor.institutionFederal University of Rio Grande Do sul
dc.contributor.institutionHospital Maternidade Celso Pierro
dc.contributor.institutionInstituto Fernandes Figueira
dc.contributor.institutionHospital Israelita Albert Einstein
dc.contributor.institutionUniversity of the State of São Paulo
dc.contributor.institutionJundiaí School of Medicine
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionSanta Casa de Limeira
dc.contributor.institutionSanta Casa de São Carlos
dc.contributor.institutionMaternidade Leonor Mendes de Barros
dc.date.accessioned2022-04-28T19:01:09Z
dc.date.available2022-04-28T19:01:09Z
dc.date.issued2014-01-01
dc.description.abstractObjective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. The expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P < 0.001), delays related to quality of medical care (P = 0.012), absence of blood derivatives (P = 0.013), difficulties of communication between health services (P = 0.004), and any delay during the whole process (P = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. In this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.en
dc.description.affiliationDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Campinas (UNICAMP), R. Alexander Fleming 101, P.O. Box 6030
dc.description.affiliationCentre for Research on Reproductive Health of Campinas (Cemicamp), R. Vital Brasil 200
dc.description.affiliationFederal University of Amazonas
dc.description.affiliationCISAM, School of Medical Sciences
dc.description.affiliationFederal University of Ceará
dc.description.affiliationFederal University of Bahia
dc.description.affiliationHospital Geral Cesar Cals
dc.description.affiliationHospital Geral de Fortaleza
dc.description.affiliationMaternidade Odete Valadares
dc.description.affiliationHospital Materno Infantil
dc.description.affiliationIMIP
dc.description.affiliationFederal University of Pernambuco
dc.description.affiliationFederal University of Campina Grande
dc.description.affiliationFederal University of Maranhão
dc.description.affiliationFederal University of Paraná
dc.description.affiliationFederal University of Paraíba
dc.description.affiliationHospital Maternidade Fernando Magalhães
dc.description.affiliationFederal University of Rio Grande Do sul
dc.description.affiliationHospital Maternidade Celso Pierro
dc.description.affiliationInstituto Fernandes Figueira
dc.description.affiliationHospital Israelita Albert Einstein
dc.description.affiliationUniversity of the State of São Paulo
dc.description.affiliationJundiaí School of Medicine
dc.description.affiliationUniversity of São Paulo
dc.description.affiliationSanta Casa de Limeira
dc.description.affiliationSanta Casa de São Carlos
dc.description.affiliationMaternidade Leonor Mendes de Barros
dc.description.affiliationFederal University of São Paulo
dc.description.sponsorshipConsiglio Nazionale delle Ricerche
dc.description.sponsorshipIdConsiglio Nazionale delle Ricerche: 402702/2008-5
dc.identifierhttp://dx.doi.org/10.1155/2014/989815
dc.identifier.citationBioMed Research International, v. 2014.
dc.identifier.doi10.1155/2014/989815
dc.identifier.issn2314-6141
dc.identifier.issn2314-6133
dc.identifier.scopus2-s2.0-84931587491
dc.identifier.urihttp://hdl.handle.net/11449/220390
dc.language.isoeng
dc.relation.ispartofBioMed Research International
dc.sourceScopus
dc.titleApplying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Studyen
dc.typeArtigo
unesp.author.orcid0000-0003-1285-8445[2]

Arquivos

Coleções

Artigos