| Full text | |
| Author(s): |
Luz, Adriana Gomes
[1, 2]
;
Martins Duarte Osis, Maria Jose
[3]
;
Ribeiro, Meire
[3]
;
Cecatti, Jose Guilherme
[1]
;
Amaral, Eliana
[1]
Total Authors: 5
|
| Affiliation: | [1] Univ Estadual Campinas, Dept Obstet & Gynecol, Sch Med Sci, Campinas, SP - Brazil
[2] State Univ Campinas UNICAMP, BR-13083881 Campinas, SP - Brazil
[3] Campinas Ctr Studies Reprod Hlth CEMICAMP, Campinas, SP - Brazil
Total Affiliations: 3
|
| Document type: | Journal article |
| Source: | Reproductive Health; v. 11, APR 8 2014. |
| Web of Science Citations: | 2 |
| Abstract | |
Background: The Brazilian Network for the Surveillance of Severe Maternal Morbidity was developed in Brazil with the participation of 27 centers in different regions of the country. The objective of the network project was to evaluate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and the factors involved with these clinical conditions. Over the data collection period, this project implemented a surveillance system to identify these cases in the participating institutions. The objective of the present study was to evaluate the perspective of the professionals who participated in this network regarding the surveillance of cases of severe maternal morbidity, the facilities and difficulties encountered in involving colleagues in the process, and participants' proposals to give continuity to this practice of qualifying maternal healthcare. Methods: A descriptive study with a qualitative approach was conducted in which coordinators, investigators and managers at all the 27 obstetric units participating in the network were interviewed. Data were collected at 6 and 12 months after implementation of the network during semi-structured telephone interviews that were recorded following verbal informed consent. Thematic content analysis was performed of the responses to the open questions in the interviews. Results: In the opinion of 60% of the participants, involving their colleagues in the surveillance process proved difficult, principally because these professionals were not very interested in the research project, but also because they found it difficult to review concepts and professional practices, because they had an excessive workload or due to operational and technical difficulties. The great majority considered that support from government agencies providing financial resources would be crucial to enable surveillance to be maintained or expanded and also to train a larger number of professionals and improve work conditions. The majority of participants found it difficult to define the ideal time interval at which surveillance should be conducted. Conclusion: The investigators, coordinators and managers involved in the Brazilian network project mentioned several problems that had to be confronted during this process; however, in their opinion the project should be maintained and even expanded in view of its potential to contribute towards improving obstetric care. (AU) | |
| FAPESP's process: | 10/16799-0 - Perspective of professionals on the impact on the quality of care for women after participation on the Brazilian Network on Severe Maternal Morbidity. |
| Grantee: | Eliana Martorano Amaral |
| Support Opportunities: | Regular Research Grants |