Maternal near miss in a teaching hospital in the Brazilian Midwest: contributions to care.
Aline Amorim da Silveira, Ana Paula de Assis Sales, Andreia Insabralde de Queiroz Cardoso and 3 others
PMID 39888871WHAT IT FOUND
In a Brazilian maternity ward, 10 maternal near miss events were found among 59 women with life-threatening complications.
Orange/red admission risk classification and living inland were linked to near miss.
Key findings
01Over six months, 10 maternal near miss events occurred among 1,062 births, a prevalence of 9.4 per 1000 live births.
02Maternal near miss was significantly associated with living in an inland city and with admission risk classification.
03Among women classified as near miss, management disorders affected 80.0% (n=8) and hypertensive disorders affected 60.0% (n=6); having more potentially life-threatening conditions was significantly associated with near miss.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Data were collected over only six months in one teaching hospital, so the findings may not apply to other maternity units. The study was cross-sectional, so it shows association rather than cause or effect. Only 59 women were analysed, and a loss occurred because data were incomplete and interview could not be completed. The pandemic period affected adherence of some women admitted to the service. Women who did not speak Portuguese, could not consent, or had missing or insufficient records were excluded.
Declared interests
The study was financed in part by CAPES and UFMS-MEC. The supplied text does not report author conflicts of interest.
The easy way to misread this
Do not conclude that nurse risk classification prevented maternal death or that cesarean section caused near miss. This was a cross-sectional study of associations in one hospital, not a trial of care.