Near miss maternal: influencing factors and guidelines for reducing maternal morbidity and mortality

• Monte, Alana Santos ^[1] ; Mendes, Igor Cordeiro ^[2] ; Oriá, Mônica Batista Oliveira ^[2] ; Carvalho, Francisco Herlânio Costa ^[2] ; Brown, Helen ^[3] ; Damasceno, Ana Kelve de Castro ^[2]
  1. [1] Universidade da Integração Internacional da Lusofonia Afro-Brasileira

     Universidade da Integração Internacional da Lusofonia Afro-Brasileira

     Brasil

     
  2. [2] Universidade Federal do Ceará

     Universidade Federal do Ceará

     Brasil

     
  3. [3] School of Nursing at University British Columbia. Vancouver, Canada.

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• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 19, Nº. 1, 2018
• Idioma: inglés
• DOI: 10.15253/2175-6783.2018193182
• Títulos paralelos:
  • Near miss materno: fatores influenciadores e direcionamentos para redução da morbidade e mortalidade materna
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• Resumen
  • português

    Objetivo: analisar as evidências científicas acerca dos fatores que influenciam os casos de near miss materno e possíveis direcionamentos para redução da morbidade e mortalidade materna. Métodos: revisão integrativa com 2.895 artigos encontrados e 17 selecionados. Resultados: os fatores que influenciam nos casos de near miss foram: atrasos nos cuidados obstétricos; despreparo da equipe de saúde; condições precárias dos serviços; disponibilidade limitada de derivados de sangue; e deficiência no pré-natal, no uso de Práticas Baseadas em Evidências e nas auditorias. Como principais direcionamentos para minimizar esses eventos, evidenciaram-se: fortalecer a rede de referência e contrarreferência; realizar capacitação profissional; melhorar a cobertura do pré-natal; e investir na infraestrutura, na gestão de processos e em auditorias clínicas. Conclusão: os fatores que influenciam os casos de near miss materno englobam desde o atraso nos cuidados até a não realização do pré-natal, cuja melhoria na gestão constitui o principal direcionamento.

  • English

    Objective: to analyze the scientific evidence about the factors influencing maternal near miss cases and possible guidelines for reducing maternal morbidity and mortality. Methods:integrative review with 2895 articles found and 17 selected articles. Results: the factors influencing the near miss cases were: delays in obstetric care; unprepared health team; precarious conditions of services; limited availability of blood derivatives; and prenatal disability, the limited use of evidence-based practices and audits. As main directions to minimize these events, we have evidenced: to strengthen the network of reference and counter-reference; carry out professional training; improve prenatal coverage; and invest in infrastructure, process management and clinical audits. Conclusion: the factors that influence the maternal near miss cases range from delayed care to failure to perform prenatal care, whose management improvement is the main direction.

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