Maternal near miss in a teaching hospital in the Brazilian Midwest: contributions to care.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0200en
Aline Amorim da Silveira, Ana Paula de Assis Sales, Andreia Insabralde de Queiroz Cardoso, Elen Ferraz Teston, Adriane Pires Batiston, Renata Marien Knupp Medeiros
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Abstract

Objective: To analyze cases of maternal near miss in a teaching hospital.

Method: This is a cross-sectional study with a quantitative approach. The research was performed in a teaching hospital, in Mato Grosso do Sul, from June to December 2021. Data were collected from physical and electronic medical records, laboratory tests, and prenatal records, using a structured instrument. They were subsequently subjected to descriptive and inferential analysis in Epi Info 7.2.2.6.

Results: Fifty-nine medical records were analyzed, 49 presenting potentially life-threatening condition and ten maternal near misses. Coming from inland cities of the state, gestational risk classification, bleeding and management disorders showed a significant association with maternal near miss.

Conclusion: It becomes necessary to plan tracking actions, such as the implementation of a flow for identifying women with potentially life-threatening conditions, and the implementation of specific protocols with preventive key interventions and notification of maternal near miss, with a view to improving care and consequently reducing the risk of serious maternal outcomes.

巴西中西部一家教学医院的产妇差点错过:对护理的贡献。
目的:分析某教学医院产妇近距离错过病例。方法:采用定量方法进行横断面研究。该研究于2021年6月至12月在南马托格罗索州的一家教学医院进行。使用结构化仪器从物理和电子医疗记录、实验室检查和产前记录中收集数据。随后在Epi信息7.2.2.6中对它们进行描述性和推断性分析。结果:分析了59份医疗记录,其中49例出现可能危及生命的情况,10例产妇险些死亡。来自本州内陆城市的孕妇,其妊娠风险分级、出血及管理障碍与产妇近漏发生率显著相关。有必要规划跟踪行动,例如执行确定可能危及生命的妇女状况的流程,以及执行带有预防性关键干预措施和产妇未遂事件通知的具体协议,以期改善护理,从而减少严重产妇后果的风险。
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