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. 2022 Aug 15:43:e20210046.
doi: 10.1590/1983-1447.2022.20210046.en. eCollection 2022.

Assistance process to women with severe maternal morbidity: a mixed study

[Article in English, Portuguese]
Jessica Paola Garcia Villalba  1 , Adriana Lenho de Figueiredo Pereira  2 , Ana Beatriz Azevedo Queiroz  3 , Deise Breder Dos Santos Batista  1 , Juliana Cristina Nascimento Guimarães  1
Affiliations
Free article

Assistance process to women with severe maternal morbidity: a mixed study

[Article in English, Portuguese]
Jessica Paola Garcia Villalba et al. Rev Gaucha Enferm. .
Free article

Abstract

Objective: To describe the maternal and obstetric characteristics associated with severe maternal morbidity, and the factors of the assistance process involved in the severe outcomes according to nurses and doctors.

Method: Sequential mixed study at the tertiary maternity in the city of Rio de Janeiro, based on care records and interviews with these professionals, from February to July 2019. Chi-square test, prevalence ratio and thematic content analysis were applied.

Results: In 66 (100%) women with SMM, severe preeclampsia (77.3%) was more prevalent and there were 12 (18.2%) cases of near miss and one maternal death. Postpartum hemorrhage (PR = 3.21; 95% CI 1.22-8.41) and blood transfusions (PR = 3.60; 95% CI 1.81-7.16) contributed to severe outcomes. There are deficiencies in the health system, access to reproductive health and quality of care.

Conclusion: Improvements in access to health and quality of the care process are imperative to reduce severe maternal outcomes.

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