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Awareness about a Life-Threatening Condition : Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil
Joint Authors
Santana, Danielly Scaranello
Camargo, Rodrigo Soares
Costa, Maria Laura
Filho, Edilberto Alves Rocha
Pacagnella, Rodolfo Carvalho
Haddad, Samira Maerrawi
Cecatti, Jose Guilherme
Parpinelli, Mary Angela
Sousa, Maria Helena
Pinto e Silva, Joao Luiz
Surita, Fernanda Garanhani
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-19
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To assess occurrence of severe maternal complications associated with ectopic pregnancy (EP).
Method.
A multicenter cross-sectional study was conducted, with prospective surveillance of potentially life-threatening conditions (PLTC), maternal near miss (MNM), and maternal death (MD).
EP complications, patient sociodemographic/obstetric characteristics, and conditions of severity management were assessed, estimating prevalence ratios with respective 95% CI.
Factors independently associated with greater severity were identified using multiple regression analysis.
Results.
Of the 9.555 severe maternal morbidity patients, 312 women (3.3%) had complications after EP: 286 (91.7%) PLTC, 25 (8.0%) MNM, and 1 (0.3%) MD.
Severe maternal outcome ratio (SMOR) was 0.3/1000 LB among EP cases and 10.8/1000 LB among other causes.
Complicated EP patients faced a higher risk of blood transfusion, laparotomy, and lower risk of ICU admission and prolonged hospitalization than women developing complications resulting from other causes.
Substandard care was the most common in more severe maternal morbidity and EP cases (22.7% MNM and MD versus 15% PLTC), although not significant.
Conclusion.
Increased maternal morbidity due to EP raised awareness about the condition and its impact on female reproductive life.
No important risk factors for greater severity were identified.
Care providers should develop specific guidelines and interventions to prevent severe maternal morbidity.
American Psychological Association (APA)
Filho, Edilberto Alves Rocha& Santana, Danielly Scaranello& Cecatti, Jose Guilherme& Costa, Maria Laura& Haddad, Samira Maerrawi& Parpinelli, Mary Angela…[et al.]. 2014. Awareness about a Life-Threatening Condition : Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil. BioMed Research International،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-512068
Modern Language Association (MLA)
Filho, Edilberto Alves Rocha…[et al.]. Awareness about a Life-Threatening Condition : Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil. BioMed Research International No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-512068
American Medical Association (AMA)
Filho, Edilberto Alves Rocha& Santana, Danielly Scaranello& Cecatti, Jose Guilherme& Costa, Maria Laura& Haddad, Samira Maerrawi& Parpinelli, Mary Angela…[et al.]. Awareness about a Life-Threatening Condition : Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-512068
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512068