The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil

Galvão, Larissa Paes Leme; Alvim Pereira, Fabiano; Mendonça, Caio Menezes Machado de; Menezes, Filipe Emanuel Fonseca; Góis, Kaique Andre do Nascimento; Ribeiro Júnior, Ruy Farias; Gurgel, Ricardo Queiroz

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Campo DC	Valor	Lengua/Idioma
dc.contributor.author	Galvão, Larissa Paes Leme	-
dc.contributor.author	Alvim Pereira, Fabiano	-
dc.contributor.author	Mendonça, Caio Menezes Machado de	-
dc.contributor.author	Menezes, Filipe Emanuel Fonseca	-
dc.contributor.author	Góis, Kaique Andre do Nascimento	-
dc.contributor.author	Ribeiro Júnior, Ruy Farias	-
dc.contributor.author	Gurgel, Ricardo Queiroz	-
dc.date.accessioned	2026-01-26T19:15:49Z	-
dc.date.available	2026-01-26T19:15:49Z	-
dc.date.issued	2014	-
dc.identifier.citation	GALVÃO, L. P. L. et al. The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil. BMC pregnancy and childbirth, London, v. 14, n. 25, 2014. Disponível em: https://link.springer.com/article/10.1186/1471-2393-14-25. Acesso em: 26 jan. 2026.	pt_BR
dc.identifier.issn	1471-2393	-
dc.identifier.uri	https://ri.ufs.br/jspui/handle/riufs/24395	-
dc.language	eng	pt_BR
dc.publisher	BioMed Central	pt_BR
dc.relation.ispartof	BMC pregnancy and childbirth	pt_BR
dc.subject	Severe maternal morbidity	eng
dc.subject	Maternal deaths	eng
dc.subject	Severe acute obstetric morbidity	eng
dc.subject	Deliveries	eng
dc.subject	Epidemiology	eng
dc.subject	Maternal near miss	eng
dc.title	The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil	pt_BR
dc.type	Artigo	pt_BR
dc.identifier.license	Creative Commons Atribuição 2.0 Genérica (CC BY 2.0)	pt_BR
dc.description.resumo	Background: The investigation of severe maternal morbidity (SAMM) and maternal near miss (NM) and associated risk factors is important for the global reduction of maternal mortality. This study investigated the prevalence of SAMM and NM cases and the associated risk factors in two reference maternity hospitals in a capital city in Northeast-Brazil. Methods: A cross-sectional study with a nested case–control component was conducted from June-2011 to May-2012. Case identification was prospective and data collection was performed according to WHO criteria and definitions. Odds ratio with confidence intervals and multivariate analysis were used whenever possible. Results: There were 16,243 deliveries, 1,102 SAMM cases, 77 NM cases and 17 maternal deaths. The maternal NM outcome ratio was 5.8 cases/1,000 live births (LB); the total prevalence of SAMM + NM was 72.6 cases/1,000 LB, the maternal near miss: mortality ratio was 4.5cases/1 maternal death (18% of mortality index). Management-based criteria were the most common events for NM (87.1%) and hypertensive disorders for SAMM (67.5%). Higher age, previous abortion and caesarean delivery, the non-adhesion to antenatal care, current caesarean delivery and bad perinatal results were associated with SAMM/NM. In the multivariate analysis, patient’s status, previous caesarian and abortion and level of consciousness were significant when analyzed together. Conclusions: SAMM and NM situations were prevalent in the studied population and some risk factors seem to be associated with the event, particularly previous gestational antecedents. Protocols based on SAMM/NM situations can save lives and decrease maternal mortality.	pt_BR
dc.description.local	London	pt_BR
dc.identifier.doi	https://doi.org/10.1186/1471-2393-14-25	-
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