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Comparative Studies | Health Sciences | Brazil | Volume 12 Issue 2, February 2023 | Rating: 5.5 / 10

Factors Associated with Maternal Near Miss in Tertiary Maternal Health Centers in Fortaleza

Silvio Alberto Reis | Aline Bright | Adenilde Maria Silva | Ancelmo Jorge Silva

Abstract: Maternal Near Miss (MMN), defined by the WHO as ?a woman who almost died, but survived the complication that occurred during pregnancy,childbirth or up to 42 days after the end of pregnancy?.The objective of this research was to identify social determinants associated with NMM in three maternal health care centers in Cear?.Study of the analysis of secondary data from previous research,coordinated by the National Network for the Vigilance of Severe Maternal Morbidity,national scope,multicentric,cross-sectional,period from 2009 to 2019.Identified 3,351 women,204 of them presented criteria for NMM.The NMM was 10.1 and 7.5 times higher for women self-identified as black and brown, respectively.The age of 40-49 years increased the risk by 2.1 compared to 20-29 years. Schooling up to elementary school constitutes an increased risk(OR=3.2) compared to high school and higher education.Obstetric history showed an association with MNM increased by 2.1 when there were 3/+ pregnancies compared to primiparous women and 2.2 compared to 3/+ deliveries in relation to a single delivery.Heart disease(OR=2.6),kidney disease (OR =6.0)HIV/AIDS(OR=1.2) and collagenosis(OR=4.6) showed association with NMM.Chronic Arterial Hypertension(OR=1.4),pre-gestational Diabetes Mellitus (OR=1.6) showed an association statistics paradoxically the literature.It is therefore concluded that the majority black or brown,with low education,advanced age, and with main risk factors:number of prenatal consultations,multiparous,pre-existing cardiovascular diseases.

Keywords: Maternal Health, High Risk Pregnancy, Near Miss

Edition: Volume 12 Issue 2, February 2023,

Pages: 815 - 825