Document Detail


The WHO maternal near-miss approach and the maternal severity index model (MSI): tools for assessing the management of severe maternal morbidity.
MedLine Citation:
PMID:  22952897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments.
METHODS: In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death probability among women with severe maternal complications and benchmark the management of severe maternal morbidity.
RESULTS: Of the 82,388 women having deliveries in the participating health facilities, 9,555 women presented pregnancy-related complications, including 140 maternal deaths and 770 maternal near misses. The WHO maternal near-miss criteria were found to be accurate and highly associated with maternal deaths (Positive likelihood ratio 106.8 (95% CI 99.56-114.6)). The maternal severity index (MSI) model was developed and found to able to describe the relationship between life-threatening conditions and mortality (Area under the ROC curve: 0.951 (95% CI 0.909-0.993)).
CONCLUSION: The identification of maternal near-miss cases using the WHO list of pregnancy-related life-threatening conditions was validated. The MSI model can be used as a tool for benchmarking the performance of health services managing women with severe maternal complications and provide case-mix adjustment.
Authors:
Joao Paulo Souza; Jose Guilherme Cecatti; Samira M Haddad; Mary Angela Parpinelli; Maria Laura Costa; Leila Katz; Lale Say; ;
Related Documents :
23284777 - Trans-generational effect of maternal lactation during pregnancy: a holstein cow model.
15185567 - How important is a cardiac echogenic focus in a routine fetal examination?
23610877 - Pregnancy-like (pseudolactational) hyperplasia: uncommon cause of microcalcifications a...
22623897 - Umbilical cord serum erythropoietin levels and maternal smoking in pregnancy.
22719977 - Prenatal and early life exposure to stressful life events and risk of autism spectrum d...
3763077 - Uninhibited urethral relaxation: an unusual cause of incontinence.
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2012-08-29
Journal Detail:
Title:  PloS one     Volume:  7     ISSN:  1932-6203     ISO Abbreviation:  PLoS ONE     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-06     Completed Date:  2013-02-07     Revised Date:  2014-02-05    
Medline Journal Info:
Nlm Unique ID:  101285081     Medline TA:  PLoS One     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e44129     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Biological Markers / metabolism
Brazil / epidemiology
Female
Humans
Maternal Death / statistics & numerical data
Models, Biological*
Morbidity
Pregnancy
Pregnancy Complications / epidemiology*,  mortality
World Health Organization*
Chemical
Reg. No./Substance:
0/Biological Markers
Investigator
Investigator/Affiliation:
Elson J Almeida / ; Eliana M Amaral / ; Melania M Amorim / ; Carla B Andreucci / ; Márcia M Aquino / ; Maria V Bahamondes / ; Antonio C Barbosa Lima / ; Frederico Barroso / ; Adriana Bione / ; Ione R Brum / ; Iracema M Calderon / ; Rodrigo S Camargo / ; Felipe F Campanharo / ; Luiz E Carvalho / ; Simone A Carvalho / ; José G Cecatti / ; George N Chaves / ; Eduardo Cordioli / ; Maria L Costa / ; Roberto A Costa / ; Sergio M Costa / ; Francisco E Feitosa / ; Djacyr M Freire / ; Simone P Gonçalves / ; Everardo M Guanabara / ; Daniela Guimarães / ; Lúcio T Gurgel / ; Samira M Haddad / ; Leila Katz / ; Debora Leite / ; Moises D Lima / ; Gustavo Lobato / ; Fátima A Lotufo / ; Adriana G Luz / ; Nelson L Maia Filho / ; Marilia G Martins / ; Jacinta P Matias / ; Rosiane Mattar / ; Carlos A Menezes / ; Elaine C Moises / ; Olímpio B Moraes Filho / ; Joaquim L Moreira / ; Marcos Nakamura-Pereira / ; Denis J Nascimento / ; Maria H Ohnuma / ; Fernando C Oliveira / ; Rodolfo C Pacagnella / ; Cláudio S Paiva / ; Mary A Parpinelli / ; Robert C Pattinson / ; Liv B Paula / ; Jose C Peraçoli / ; Frederico A Peret / ; Cynthia D Perez / ; Cleire Pessoni / ; Alessandra Peterossi / ; Lucia C Pfitscher / ; João L Pinto e Silva / ; Silvana M Quintana / ; Ivelyne Radaci / ; Edilberto A Rocha Filho / ; Simone M Rodrigues / ; Roger D Rohloff / ; Marilza V Rudge / ; Gloria C Saint'ynes / ; Danielly S Santana / ; Patricia N Santos / ; Lale Say / ; Luiza E Schmaltz / ; MariaH Sousa / ; Maria R Sousa / ; Joäo P Souza / ; Fernanda G Surita / ; Elvira A Zanette / ; Vilma Zotareli /
Comments/Corrections
Erratum In:
PLoS One. 2013;8(11). doi:10.1371/annotation/ca8ccfaa-71c2-4bb8-8b15-121af175a43f

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A resealed-cell system for analyzing pathogenic intracellular events: perturbation of endocytic path...
Next Document:  Do implicit attitudes predict actual voting behavior particularly for undecided voters?