a population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in campinas, brazil the vigimoma project以人群为基础的监测研究严重急性产妇发病率(靠近弹)和不良围产期结果在坎皮纳斯,巴西vigimoma项目.pdfVIP

Amaral et al. BMC Pregnancy and Childbirth 2011, 11:9 /1471-2393/11/9 RESEARCH ARTICLE Open Access A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project 1* 1 1 1 1 Eliana Amaral , João Paulo Souza , Fernanda Surita , Adriana G Luz , Maria Helena Sousa , José Guilherme Cecatti1, Oona Campbell2 Abstract Background: Auditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system. Methods: From October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees. Results: A total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal death/near miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage. Conclusion: Auditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health prov