| Texto completo | |
| Autor(es): |
Fernando César de Oliveira Jr
[1]
;
Maria Laura Costa
[2]
;
Jose Guilherme Cecatti
[2]
;
João Luiz Pinto e Silva
[4]
;
Fernanda Garanhani Surita
[2]
Número total de Autores: 5
|
| Afiliação do(s) autor(es): | [1] University of Campinas. School of Medical Sciences. Department of Obstetrics and Gynecology - Brasil
[2] Univ Estadual Campinas, UNICAMP, Sch Med Sci, Dept Obstet & Gynecol, Campinas, SP - Brazil
[3] University of Campinas. School of Medical Sciences. Department of Obstetrics and Gynecology - Brasil
Número total de Afiliações: 3
|
| Tipo de documento: | Artigo Científico |
| Fonte: | Clinics; v. 68, n. 7, p. 922-927, 2013-07-00. |
| Resumo | |
OBJECTIVE: To study the prevalence of potentially life-threatening maternal conditions and near miss in Brazil according to maternal age. METHODS: A secondary analysis of the 2006 Brazilian demographic health survey database using a validated questionnaire to evaluate maternal morbidity with a focus on age extremes. The study included 5,025 women with at least 1 live birth in the 5-year reference period preceding their interviews. Three age range periods were used: 15-19 years (younger age), 20-34 years (control), and 35-49 years (advanced maternal age). According to a pragmatic definition, any woman reporting eclampsia, hysterectomy, blood transfusion, or admission to the intensive care unit during her pregnancy/childbirth was considered a near-miss case. The associations between age and severe maternal morbidity were further assessed. RESULTS: For the 6,833 reported pregnancies, 73.7% of the women were 20-34 years old, 17.9% were of advanced maternal age, and only 8.4% were of younger age. More than 22% of the women had at least one of the complications appraised, and blood transfusion, which was more prevalent among the controls, was the only variable with a significant difference among the age groups. The overall rate of maternal near miss was 21.1 per 1000 live births. There was a trend of higher maternal near miss with increasing age. The only significant risk factor identified for maternal near miss was a lower literacy level among older women. CONCLUSIONS: There is a trend towards worse results with increasing age. The investigation of the determinants of maternal near miss at the community level using an innovative approach through a demographic health survey is an example suggested for under-resourced settings. (AU) | |
| Processo FAPESP: | 13/03889-9 - Morbidade materna e near miss associada á idade materna: Avaliação dos dados da 2006 da Pesquisa Nacional de Demografia e Saúde do Brasil. |
| Beneficiário: | Fernanda Garanhani de Castro Surita |
| Modalidade de apoio: | Auxílio à Pesquisa - Publicações científicas - Artigo |