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

被引:1
|
作者
Monte, Alana Santos [1 ]
Mendes, Igor Cordeiro [2 ]
Batista Oria, Monica Oliveira [2 ]
Costa Carvalho, Francisco Herlanio [2 ]
Brown, Helen [3 ]
de Castro Damasceno, Ana Kelve [2 ]
机构
[1] Univ Integracao Int Lusofonia Afrobrasileira, Fortaleza, CE, Brazil
[2] Univ Fed Ceara, Fortaleza, CE, Brazil
[3] Univ British Columbia, Sch Nursing, Vancouver, BC, Canada
关键词
Maternal Mortality; Morbidity; Maternal Health; Near Miss; Healthcare; Nursing;
D O I
10.15253/2175-6783.2018193182
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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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收藏
页数:8
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