Relevant bibliographies by topics / Maternal morbidity

Academic literature on the topic 'Maternal morbidity'

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Published: 4 June 2021
Last updated: 10 March 2023

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Journal articles on the topic "Maternal morbidity"

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Shaikh, Sumera, and Kiran Wassan. "MATERNAL MORBIDITY." Professional Medical Journal 23, no. 10 (October 10, 2016): 1183–86. http://dx.doi.org/10.29309/tpmj/2016.23.10.1719.

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Objective … To determine the frequency of maternal morbidity in patients withmajor degree of placenta previa in a previously scarred uterus. Study Design: Descriptivestudy. Setting: Department of Obstetrics and Gynecology Liquat University of medical andHealth Sciences, Jamshoro. Period: April 1st 2012 to Sep 30th 2012. Methods: The data wascollected on pre-designed pro-forma by the researcher. Tools and techniques were analyzedthrough SPSS version 15. Results The Following results were drawn by the study: Themean age of enrolled participants was 32.5±4.7 years, mean parity was 3.8±1.4 and meangestational age was 34.7±2.9 weeks. The frequency of morbidly adherent placenta was 23.7%,postpartum hemorrhage 21.9%, blood transfusion >4 47.2% and cesarean hystrectomy was12.3% cases. Conclusions: It is concluded from this study that morbidly adherent placenta was23.7%, postpartum hemorrhage 21.9%, blood transfusion >4 47.2% and cesarean hystrectomywas 12.3% cases.
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Simpson, Kathleen Rice. "Severe Maternal Morbidity and Maternal Mortality." MCN, The American Journal of Maternal/Child Nursing 43, no. 4 (2018): 240. http://dx.doi.org/10.1097/nmc.0000000000000446.

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Shulman, L. P. "Maternal morbidity after maternal-fetal surgery." Yearbook of Obstetrics, Gynecology and Women's Health 2007 (January 2007): 125–26. http://dx.doi.org/10.1016/s1090-798x(08)70091-2.

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Golombeck, Kirstin, Robert H. Ball, Hanmin Lee, Jody A. Farrell, Diana L. Farmer, Volker R. Jacobs, Mark A. Rosen, Roy A. Filly, and Michael R. Harrison. "Maternal morbidity after maternal-fetal surgery." American Journal of Obstetrics and Gynecology 194, no. 3 (March 2006): 834–39. http://dx.doi.org/10.1016/j.ajog.2005.10.807.

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JABEEN, SALMA, SOHAIL MEHMOOD CH., SARWAT FARIDI, and Afzaal Ahmed. "MATERNAL MORBIDITY AND MORTALITY;." Professional Medical Journal 19, no. 06 (November 3, 2012): 797–803. http://dx.doi.org/10.29309/tpmj/2012.19.06.2460.

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Objective: To assess the demographic features of unsafe abortion and associated maternal morbidity and mortality, andavailability of post abortion care. Study Design: A Case-Series. Place and Duration of Study: The study was carried out in Gynae Unit-1 ofBahawal Victoria Hospital (BVH), Bahawalpur from 1st January 2009 to 31st December 2009. Material and Methods: Patients admitted withcomplicated unsafe abortion were evaluated regarding age, parity, marital status, educational status, socio-economic status, indication ofabortion, qualification of abortionist and method used for abortion, contraceptive usage, immediate complications and death rate in abortionseekers. Descriptive statistics were used for describing variable. Results: 119 patients were admitted with unsafe abortion. The mean age was28.5 years. 90.8% women were married, 59.6% multiparous, 21% got secondary and higher education, 62 belonged to poor socio-economicstatus. In 72% cases unsafe abortion was done during 1st trimester and 80% of women had previous history of unsafe abortion, 95%approached unqualified / semi skilled abortion providers who used instrumentation in 53% cases. The most common reason for abortion wasmultiparity (48%),& poor socio-economic status (19%), only 26.5% were using some kind of contraception. Most common complications werecontinued ongoing haemorrhage (incomplete abortion in 44%), followed by septic complications in 25% of cases and trauma to urogenital tract(22%) which also involved gut in 6% of cases. 2.5% patients reached in very critical stage & could not survived. Post abortion care provided toall patients of which 22% managed conservatively & 78% managed surgically. Contraception services offered to all but 24% refused themtotally. Conclusions: Unsafe abortion constitutes a major threat to health and lives of women. Most of them are multiparous, married at peak oftheir reproductive life and belong to poor economic status. The associated immediate morbidity is much higher than mortality in terms ofcontinued haemorrhage, sepsis, and trauma. The study focused on the need of post abortion care and easy accessibility to contraception toimprove quality of life.
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CHOUDRY, ABEERA, AFEERA AFSHEEN, HUMAIRA CHOUDRY, Uzma Saleem, and Naureen Yasir. "SEVERE ACUTE MATERNAL MORBIDITY;." Professional Medical Journal 19, no. 01 (January 3, 2012): 046–52. http://dx.doi.org/10.29309/tpmj/2012.19.01.1941.

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Objective: To determine the frequency and pattern of severe obstetric morbidity and mortality. Design: Cross sectional study.Period: 1st Oct 2005 to 30th Sep 2007. Setting: Military Hospital Rawalpindi. Methods: Cases of severe acute maternal morbidity and maternalmortality were collected and comparisons made of disease profile, organ system dysfunction, parity, mode of delivery, whether incidentoccurred at home or in the hospital and also whether patient was booked or unbooked. Results: One hundred and ten cases of Severe AcuteMaternal Mortality (SAMM) and eleven cases of maternal mortality were identified. More maternal deaths occurred in patients who had notbooked themselves for antenatal care. The four most frequent cases of severe morbidity were: hypertension 36 (32%), haemorrhage 32 (29%),anemia 16 (14%), sepsis12 (10%) in this order. The four causes of deaths were: sepsis 4 (36%), hypertension 4(36%), amniotic fluid embolism2(18.% ), haemorrhage 01(10%). There were statistically significant number of patients in mortality arm of sepsis group (p=0.01) In patients withSAMM there was a higher percentage of patients undergoing caesarean sections in haemorrhage and hypertension arm compared tobackground rate of 35%. Multi organ failure, cerebral and respiratory system involvement was linked to both SAMM and morbidity. Maternalmortality index was highest for sepsis (25%), and lowest for haemorrhage (3%) with hypertension intermediate in position (10%). Conclusions:A review of Severe Acute Maternal Morbidity offers a non threatening stimulus for improving quality of care. Comparison of Severe acutematernal morbidity with maternal death gives a different disease pattern and shows that different factors operate in each condition. Thereforeboth reviews complement each other.
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Hunt, Summer. "Defining Severe Maternal Morbidity." Nursing for Women's Health 18, no. 2 (April 2014): 169–72. http://dx.doi.org/10.1111/1751-486x.12114.

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Maier, Katrin. "Maternal morbidity and mortality." Journal of Children and Poverty 14, no. 1 (March 2008): 99–109. http://dx.doi.org/10.1080/10796120701871355.

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Witcher, Patricia M., and Melissa C. Sisson. "Maternal Morbidity and Mortality." Journal of Perinatal & Neonatal Nursing 29, no. 3 (2015): 202–12. http://dx.doi.org/10.1097/jpn.0000000000000112.

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Briller, Joan E. "Severe Maternal Cardiovascular Morbidity." JACC: Advances 1, no. 4 (October 2022): 100124. http://dx.doi.org/10.1016/j.jacadv.2022.100124.

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Dissertations / Theses on the topic "Maternal morbidity"

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Polido, Carla Betina Andreucci 1969. "Morbidade materna grave e sexualidade = Severe maternal morbidity and sexual functioning." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312759.

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Orientadores: José Guilherme Cecatti, Rodolfo de Carvalho Pacagnella
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: Morbidade materna grave e near miss materno são indicadores de saúde mais abrangentes, quando comparados à razão de morte materna. Esse conceito recente permite não apenas a identificação do número de mulheres que morrem durante gestação e/ou parto, mas também o estudo da prevalência de condições potencialmente ameaçadoras de vida. No entanto, pouco se conhece sobre as possíveis consequências em longo prazo após esses episódios nos diversos aspectos da vida das sobreviventes. A gestação e o parto podem modificar a resposta sexual feminina, mas poucos estudos avaliaram esse desfecho após eventos de morbidade materna grave. Objetivos: Realizar uma revisão sistemática sobre aspectos de sexualidade, incluindo função sexual, em mulheres que apresentaram qualquer tipo de complicação durante gestação ou parto. Avaliar aspectos da resposta sexual feminina em mulheres com e sem morbidade materna grave. Métodos: Revisão sistemática nas bases de dados PubMed, EMBASE e SciELO, avaliando a associação de morbidade materna geral e grave com alterações da função e/ou resposta sexual feminina. A revisão seguiu o protocolo do método proposto para estudos observacionais (PRISMA). A resposta sexual feminina foi estudada como um dos desfechos da Coorte de Morbidade Materna Grave (COMMAG). O questionário Female Sexual Function Index (FSFI) foi aplicado às mulheres expostas (com antecedente de morbidade grave) e não expostas (com antecedente de gestação sem complicações). Além do FSFI, questões gerais sobre saúde geral e reprodutiva complementaram o estudo. Resultados: Lesões perineais maiores (terceiro e quarto graus) foram avaliadas como desfechos de morbidade geral em 12 estudos, e a morbidade materna grave foi analisada em 2 estudos. A morbidade geral e a grave foram associadas com maior tempo para a retomada da atividade sexual após o parto. A morbidade também se associou a uma maior frequência de dispareunia após o parto. Escores totais do FSFI não foram significativamente diferentes entre grupos de exposição e controle. Pela heterogeneidade entre eles, os estudos individuais permitiram apenas uma síntese qualitativa dos resultados, mas não metanálise. Para avaliação da resposta sexual feminina no COMMAG, foram incluídas 638 mulheres previamente internadas durante gestação ou parto na maternidade do CAISM/UNICAMP. Dessas, 315 tinham antecedente de morbidade materna grave, e 323 eram mulheres sem complicações durante gestação ou parto. Os escores totais médios do FSFI encontrados foram abaixo dos valores de ponto de corte para suspeita de disfunção, sem diferença entre os grupos estudados. Mulheres com antecedente de morbidade materna grave retomaram atividade sexual mais tardiamente após o parto do que as do grupo controle, porém sem diferença entre os grupos a partir do terceiro mês pós-parto. A análise múltipla identificou associação de valores mais baixos de FSFI com baixo de peso materno e ausência de parceria. Conclusões: Alterações da resposta sexual feminina podem ser consequências em longo prazo da ocorrência de episódios de morbidade materna grave. Com o crescimento da população de mulheres que sobrevivem a esses episódios, a abordagem da sexualidade no seguimento dessa população se faz premente
Abstract: Introduction: Severe maternal morbidity and maternal near miss currently are better health indicators than maternal mortality ratio. Together with the identification of women who died during pregnancy and/or childbirth, the new concept allows also to investigate the prevalence of potential life-threatening conditions. However, little is known about possible long-term consequences after those episodes over several aspects of the lives of survivors. It has already been described that uncomplicated pregnancy and childbirth might modify female sexual response. Notwithstanding, only few studies have evaluated aspects of sexuality of women after episodes of severe maternal morbidity. Objectives: To perform a systematic review of aspects of sexuality, including sexual function, in women who had had any kind of complication during pregnancy or childbirth. To evaluate aspects of female sexual response in women with and without severe maternal morbidity. Methods: Investigation included a systematic review through the databases PubMed, EMBASE, and SciELO, assessing general and severe maternal morbidity associated with altered female sexual response. The review followed the protocol method proposed for observational studies (PRISMA). The female sexual response has been studied as one of the outcomes at a retrospective cohort study on maternal severe morbidity (COMMAG). The Female Sexual Function Index questionnaire (FSFI) was applied at exposed women (severe morbidity) and unexposed (pregnancy without complications). Along with FSFI, the survey included also questions on general and reproductive health. Results: Major perineal injuries (3rd and 4th degree) were evaluated as general morbidity outcomes at 12 studies, and severe maternal morbidity was analyzed at 2 studies. Compared to control group, both women exposed to general and severe morbidity delayed resumption of sexual activity after childbirth. The exposed group had also more frequently dyspareunia after childbirth. The mean total FSFI scores were similar at both groups. The heterogeneity of the studies allowed only a qualitative synthesis, and meta-analysis was not feasible. To assess female sexual response at the cohort study, 638 women who delivered at UNICAMP's maternity unit were included. 315 of them were severe maternal morbidity cases, and 323 were women who had had uncomplicated pregnancy or childbirth. The mean total scores of FSFI were similar in both groups, though below cut-off values for suspected dysfunction. Women after severe maternal morbidity resumed sexual activity after birth later, when compared to control group. However, there was no significant difference at three months. Multivariate analysis showed association of lower FSFI scores with maternal low maternal weight and no partner. Conclusions: Altered female sexual response might be a long-term consequence after episodes of severe maternal morbidity. Since there is a growing population of women who survive these episodes, proper evaluation of sexual functioning among those women should be conducted
Doutorado
Saúde Materna e Perinatal
Doutora em Ciências da Saúde
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Mawani, Farah Naaz. "Cultural determinants of maternal morbidity among the Maasai." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22362.pdf.

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Ejidokun, Oluwatoyin Oyindamola. "Maternal anaemia and morbidity in South-Western Nigeria." Thesis, University College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338732.

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Marshall, Kathleen. "The first vaginal delivery and associated maternal morbidity." Thesis, University of Ulster, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286948.

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Monte, Alana Santos. "Severe maternal morbidity in a intensive care unit and maternal and perinatal repercussions." Universidade Federal do CearÃ, 2016. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=18717.

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Objetivou-se avaliar as admissÃes em uma UTI materna de acordo com os critÃrios de morbidade materna grave estabelecidos e suas repercussÃes maternas e perinatais. Estudo epidemiolÃgico analÃtico, de corte transversal. A coleta de dados aconteceu no perÃodo de agosto a dezembro de 2015 na Maternidade Escola Assis Chateaubriand (MEAC). A populaÃÃo do estudo foi composta por todos os prontuÃrios das mulheres que tivessem se internado na UTI materna da MEAC entre os anos de 2010 a 2014, totalizando 882. Foram utilizados como critÃrios de exclusÃo: prontuÃrios de mulheres com mais de 42 dias pÃs-parto; prontuÃrios com dados incompletos ou nÃo encontrados; casos de complicaÃÃes ginecolÃgicas, sendo 322 prontuÃrios excluÃdos, totalizando uma amostra de 560 prontuÃrios. Os dados foram compilados e analisados por meio do programa Statistical Package for the Social Sciences (SPSS) versÃo 20.0. A maioria das mulheres que teve near miss materno (NMM) se associou à faixa etÃria entre 20 e 34 anos, nÃo trabalhava, multigesta, com histÃria de aborto anterior e com menos que seis consultas de prÃ-natal. O parto vaginal apresentou-se como fator de risco para Ãbito quando analisado isoladamente. PorÃm, na regressÃo logÃstica foi a cesÃrea que passou a apresentar maior chance. Os principais diagnÃsticos dessas mulheres foram as sÃndromes hipertensivas. No entanto foram as sÃndromes hemorrÃgicas que lideraram as causas bÃsicas da morte. O nÃmero de casos de NMM no critÃrio de Waterstone foi muito mais elevado do que nos outros critÃrios. Contudo, ao fazer a associaÃÃo com o Ãbito materno, ele foi o critÃrio que menos classificou as mulheres que evoluÃram para Ãbito, inferindo a necessidade de utilizar o CritÃrio da OMS. O baixo peso ao nascer, Apgar no 5 minuto menor que 7 e Idade Gestacional ao nascer menor que 30 semanas tiveram forte associaÃÃo com o Ãbito perinatal. As sÃndromes hipertensivas maternas e a insuficiÃncia respiratÃria foram as causas principais dos Ãbitos fetais e neonatais, respectivamente. Diante disso, recomenda-se que a morbidade materna grave seja investigada, pois permitirà uma anÃlise mais precisa dos fatores relacionados com a sua ocorrÃncia e tambÃm serà usada para auditar a qualidade do cuidado obstÃtrico do ponto de vista hospitalar e como grupo de comparaÃÃo em estudos de caso de morte materna e perinatal.
The objective was to evaluate the admissions in a maternal ICU according to the established criteria of severe maternal morbidity and its maternal and perinatal repercussions. Analytical epidemiological study, cross-sectional. Data collection took place from August to December 2015 at the Maternity School Assis Chateaubriand (MEAC). The study population consisted of all the medical records of women who had been admitted to the maternal intensive care unit of MEAC from 2010 to 2014, totaling 882. Exclusion criteria were: records of women more than 42 days postpartum ; Charts with incomplete or missing data; Cases of gynecological complications, 322 of which were excluded, totaling a sample of 560 medical records. Data were compiled and analyzed using the Statistical Package for Social Sciences (SPSS) program version 20.0. The majority of women who had near miss maternal (NMM) were associated to the age group between 20 and 34 years, did not work, multigesta, with previous abortion history and with less than six prenatal consultations. Vaginal delivery was a risk factor for death when analyzed alone. However, in the logistic regression it was the cesarean section that presented a greater chance. The main diagnoses of these women were hypertensive syndromes. However, it was the hemorrhagic syndromes that led the basic causes of death. The number of NMM cases in the Waterstone criterion was much higher than in the other criteria. However, in association with maternal death, it was the criterion that less classified the women who died, inferring the need to use the WHO Criteria. Low birth weight, Apgar at 5 minutes less than 7 and Gestational Age at birth less than 30 weeks had a strong association with perinatal death. Maternal hypertensive syndromes and respiratory failure were the main causes of fetal and neonatal deaths, respectively. In view of this, it is recommended that serious maternal morbidity be investigated, as it will allow a more precise analysis of the factors related to its occurrence and will also be used to audit the quality of obstetric care from the hospital point of view and as a comparison group in studies Case of maternal and perinatal death.
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Siregar, Kemal Nazaruddin. "Social and programme factors influencing maternal morbidity in Indonesia." Thesis, University of Exeter, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297578.

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McCauley, M. E. "Assessing maternal morbidity in India, Pakistan, Kenya and Malawi." Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3022882/.

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Background: For every woman who dies during pregnancy and childbirth, many more suffer ill-health, the burden of which is highest in low- and middle-income countries. The PhD study sought to assess the extent and type of maternal morbidity in these settings. Methods: A descriptive observational cross-sectional study was conducted to assess physical (infectious and medical/obstetric), psychological and social morbidity. Socio-demographic factors, education, socioeconomic status, reported symptoms, clinical examination and laboratory investigations, quality of life, and satisfaction with health were assessed. Relationships between morbidity and maternal characteristics were investigated using logistic regression analysis. Findings: 11454 women were assessed in India (2099), Malawi (2923), Kenya (3145), and Pakistan (3287). Almost 3 out of 4 women had ≥1 symptom (73.5%), abnormalities on clinical examination (71.3%) or laboratory investigation (73.5%). In total, 9.0% of women had an identified infectious disease (HIV, malaria, syphilis or chest infection) and 23.1% had signs of early sepsis with an identifiable source of infection in 43%. HIV positive status was highest in Malawi (14.5%) as was malaria (10.4%). Overall, 47.9% of women were anaemic, 11.5% had other medical or obstetric conditions, 25.1% psychological and 36.6% social morbidity. Infectious morbidity was highest in Malawi (40.5%) and Kenya (38.5%), psychological and social morbidity was highest in Pakistan (47.3%, 60.2%). Morbidity was not limited to a core at risk group; only 1.2% had a combination of all four morbidities. Age, socioeconomic status, educational, previous pregnancies, and adverse maternal or neonatal outcomes were associated with different types of morbidity per country, but there was no consistent direction of strength of association. For each country, women with medical/obstetric morbidity was more likely to report psychological and infectious morbidity, apart from Malawi. Women with an infectious morbidity were more likely to report medical/obstetric, psychological and social morbidity in Pakistan and Malawi. Women with psychological morbidity were more likely to report social morbidity in Pakistan and Kenya. Conclusion: Despite women reporting that they have a good quality of life and are satisfied with their health, there is evidence of a significant burden of infectious, medical/obstetric, psychological, and social morbidity in women during and after pregnancy. At present available antenatal and postnatal care packages do not include comprehensive screening for all forms of ill-health. This study demonstrates that women have health needs, beyond simply the physical aspects of health and includes psychological and social well-being. To ensure all women have the right to the highest attainable standard of health and well-being, current antenatal and postnatal care packages need to be adapted and improved to provide comprehensive, holistic care in a way that meets a woman’s health needs.
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Boundy, Ellen O'Neal. "Determinants of Global Maternal and Neonatal Morbidity and Mortality." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:16121139.

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In 2013, approximately 289,000 women died from pregnancy-related causes and 2.8 million newborns died within the first 28 days of life. The vast majority of these deaths occur in resource-limited settings. This work examines risk and protective factors for the development of several perinatal complications that put mothers and their infants at risk for adverse health outcomes. We explored determinants of preeclampsia and gestational hypertension among women in Dar es Salaam, Tanzania. We also examined the effects of pregnancy spacing intervals on perinatal outcomes in that group of women. We used log binomial regression to obtain risk ratios and 95% confidence intervals for the development of the adverse pregnancy outcomes of interest. We also looked at the efficacy of an intervention aimed at improving neonatal outcomes by conducting a systematic review and meta-analysis of the effects of kangaroo mother care on neonatal morbidity and mortality. We found that nulliparity, history of hypertension, urinary tract infection, low calcium intake, history of preeclampsia, and history of preterm birth were associated with an increased risk of developing preeclampsia among women in Dar es Salaam. Risk factors for gestational hypertension included a history of diabetes, elevated blood pressure at study enrollment, increased mid-upper arm circumference, high hematocrit, low mean corpuscular volume, a history of miscarriage or stillbirth, and older age at first pregnancy. Twin gestation and increased body mass index were risk factors for both types of hypertensive disorders of pregnancy among women in Tanzania. After a live birth, inter-pregnancy intervals less than six months were associated with an increased the risk of having a low birth weight baby in the next pregnancy; while after a stillbirth, short inter-pregnancy intervals were associated with increased risk of stillbirth and perinatal death. Providing kangaroo mother care to infants after birth was associated with decreased neonatal morbidity and mortality and increased likelihood of exclusive breastfeeding when compared to conventional care. These findings can help identify women and infants at increased risk for developing pregnancy-related complications and contribute to informing development of evidence-based maternal, newborn, and family planning programs and policies.
Epidemiology
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Valentin, Dominique. "Reducing Maternal and Child Morbidity and Mortality Through Project Recommendations." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2588.

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Haiti is a Caribbean island with a humanitarian medical center providing healthcare services to 90,000 residents. Pregnant women visiting the medical clinic for prenatal care often do not return for delivery; instead, they return home to deliver alone or with the assistance of a traditional matron. Home-birth practices increase maternal-child health morbidity and mortality in an already fragile country. The purpose of this project was to gain a deeper understanding of Haitian pregnant women's preferences to deliver at home or at the healthcare clinic. The transtheoretical model for behavior change and the Johns Hopkins nursing evidence-based practice model guided the project. Two focus groups of 10 pregnant women total were recruited in the community of Delmas 32, Haiti. Group 1 was comprised of 5 women who delivered at home with matrons and Group 2 was comprised of 5 women who delivered at the clinic. Structured questions were asked to identify themes related to delivery location preferences. Focus group transcripts were analyzed guided by the Krueger and Casey strategy model. The thematic analysis was aligned with the peer-reviewed literature. Findings revealed that lack of access to care, lack of education and sensitization, and the attitude of healthcare personnel impacted women's preference for delivery at the clinic. Findings also supported a need to educate staff and the community in the best options for maternal-child care. A workshop was developed, based on the project findings, to share the recommendations with the clinic staff. The clinical leadership have indicated that they will implement the project recommendations. This project has the potential to support social change by reducing maternal-child deaths in Delmas 32 and across the Caribbean.
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Pfitscher, Lúcia Chaves 1981. "Morbidade materna grave por infecção e influenza H1N1 na Rede Brasileira de Vigilância de Morbidade Materna Grave = Severe maternal morbidity due to infection in the Brazilian Network for the Surveillance of Severe Maternal Morbidity." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311042.

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Orientadores: Maria Laura Costa do Nascimento, José Guilherme Cecatti
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: A infecção representa importante causa de morbidade e mortalidade materna, sendo uma preocupação crescente no mundo todo. As doenças respiratórias, especialmente as virais, têm se destacado justamente pelo potencial de epidemia com que ameaçam a saúde da população mundial e pela vulnerabilidade identificada durante a gestação. Objetivo: Avaliar o impacto da morbidade materna grave (MMG) atribuível à infecção (sepse, meningite e doença respiratória) e os fatores associados ao pior resultado materno (near miss e óbito), entre mulheres da Rede Brasileira de Vigilância da Morbidade Materna Grave. Métodos: análise secundária de um estudo transversal, multicêntrico, que incluiu 27 centros de referência obstétrica das cinco regiões do Brasil no período de 2009 e 2010. A vigilância prospectiva dos casos de infecção grave foi realizada utilizando os critérios da OMS de condições potencialmente ameaçadoras da vida (CPAV) e near miss materno (NMM). Os principais focos de infecção foram identificados e comparados a outras causas de MMG. Mulheres com complicação devido à doença respiratória também foram avaliadas em dois grupos: com e sem suspeita de A(H1N1)pdm09 e também comparadas a outras causas de MMG. Casos com suspeita de A(H1N1)pdm09 foram revisados e separados em três grupos: não-testados, confirmados e não confirmados para A(H1N1)pdm09 e os seus resultados foram comparados. Complicações devidas à infecção e a doenças respiratórias foram comparadas com complicações devidas a outras causas de MMG. Os fatores associados com desfecho materno grave (DMG) foram avaliados para os casos de infecção e doença respiratória. Resultados: Dentre os 9555 casos de MMG, apenas 502 (5,3%) apresentaram infecção grave, entretanto foram responsáveis por cerca de um quarto dos casos de NMM e quase metade dos casos de morte materna (MM). Os indicadores de saúde avaliados demonstram maior gravidade dos casos complicados por infecção, com índice de mortalidade (IM) superior a 26% em comparação com 11% para as demais causas de MMG. Para doença respiratória, 206 mulheres apresentaram suspeita de A(H1N1)pdm09, cerca de 60% foram testados para a doença e 49 mulheres apresentaram resultado positivo. A gravidade dos desfechos maternos foi pior entre os casos de A(H1N1)pdm09 positivo, com uma taxa de NMM:MM abaixo de 1 (0,9:1), em comparação a 12:1 para outras causas de MMG. O IM para doença respiratória foi superior a 50% (7,4% outras causas de MMG). Demoras no atendimento foram associadas com pior prognóstico materno e estiveram presentes em mais de 50% entre os casos de infecção, aumentando em duas vezes o risco de DMG para doença respiratória. Resultados perinatais foram piores dentre os casos de doença respiratória, com aumento da prematuridade, morte fetal, baixo peso ao nascer e Apgar <7. HIV/AIDS, histerectomia, hospitalização prolongada, admissão em UTI e demoras no atendimento foram alguns fatores independentes associados DMG. Conclusão: complicações por infecção e em especial por influenza A(H1N1)pdm09 geram grande impacto sobre morbidade e mortalidade materna no Brasil e compreender os fatores associados à maior gravidade pode gerar medidas capazes de colaborar para a melhoria do cuidado obstétrico. Investir em intervenções específicas para gravidez, visando diagnóstico precoce e tratamento oportuno são essenciais para melhorar a saúde materna e reduzir o número de mortes maternas evitáveis no país
Abstract: Background: Infection represents the major cause of maternal morbidity and mortality, and a growing concern worldwide. Respiratory diseases, especially viral, have stood out because of their epidemic potential and the identified vulnerability towards infection during pregnancy. Objective: To assess the impact of severe maternal morbidity (SMM) due to infection (sepsis, meningitis and respiratory disease) and the factors associated with worse maternal outcome (near miss and death) among women of the Brazilian Network for the Surveillance of Severe Maternal Morbidity. Methods: secondary analysis of a cross-sectional, multicenter study that included 27 obstetric referral centers in five regions of Brazil between 2009 and 2010. Prospective surveillance of severe infection was performed using WHO criteria of potentially life threatening conditions (PLTC) and maternal near miss (MNM). The main sources of infection were identified and compared to other causes of SMM. Women with complications due to respiratory disease were also assessed in two groups: with and without suspected A(H1N1)pdm09 and also compared to other causes of SMM. Cases of suspected A(H1N1)pdm09 were reviewed and divided into three groups: non-tested, confirmed and unconfirmed for A(H1N1)pdm09 and their results were compared. Complications due to infection and respiratory disease were compared with complications due to other causes of SMM. Factors associated with SMO were assessed for cases of infection and respiratory disease. Results: Among the 9555 cases of SMM, only 502 (5.3%) had severe infection, however they were responsible for about a quarter of cases of MNM and almost half of the cases of maternal mortality (MM). The assessed health indicators demonstrate greater severity of cases complicated by infection, with a mortality index (MI) above 26% compared to 11% for other causes of SMM. For respiratory disease, 206 women had suspected A(H1N1)pdm09, about 60% were tested for the disease and 49 women were positive. The severity of the maternal outcomes was worse between the cases of A(H1N1)pdm09 positive, with a rate of MNM: MM below 1 (0.9: 1), compared to 12: 1 for other SMM causes. The MI among respiratory disease was superior to 50% (7.4% other causes SMM). Delays in care were associated with worse maternal prognosis and were present in over 50% of cases of infection. Perinatal results were worse in cases of respiratory disease, with increased prematurity, stillbirth, low birth weight and Apgar <7. HIV/AIDS, hysterectomy, prolonged hospitalization, ICU admission and delays in care were independent factors associated with severe maternal outcome. Conclusion: infections and especially those caused by A(H1N1)pdm09 presented great impact on maternal morbidity and mortality in Brazil and the identification of factors associated with the increased severity can contribute to the improvement of obstetric care. There is need for specific interventions during pregnancy, seeking early diagnosis and timely treatment of infections, which are essential for improving maternal health and to reducing the number of preventable maternal deaths in the country
Mestrado
Saúde Materna e Perinatal
Mestra em Ciências da Saúde
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Books on the topic "Maternal morbidity"

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Shah, Urvi. Maternal morbidity in India. Baroda: Population Research Centre, Department of Statistics, Faculty of Science, M. S. University of Baroda, 2008.

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Alper, Joe, Rose Marie Martinez, and Kelly McHugh, eds. Advancing Maternal Health Equity and Reducing Maternal Morbidity and Mortality. Washington, D.C.: National Academies Press, 2021. http://dx.doi.org/10.17226/26307.

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Abeykoon, A. T. P. L. Maternal mortality and morbidity in Sri Lanka. Colombo: Population Division, Ministry of Health and Women's Affairs, 1998.

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Massachusetts. Bureau of Family and Community Health. Maternal mortality and morbidity review in Massachusetts. Boston, Mass: Massachusetts Dept. of Public Health, Bureau of Family and Community Health, 2000.

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Marshall, Kathleen. The first vaginal delivery and associated maternal morbidity. [s.l: The Author], 1999.

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Population, National Research Council (U S. ). Committee on. The consequences of maternal morbidity and maternal mortality: Report of a workshop. Washington, DC: National Academy Press, 2000.

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Mondal, Subrato Kumar. Health, nutrition, and morbidity: A study of maternal behaviour. New Delhi: Bookwell, 2003.

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Akhtar, Halida Hanum. A cross-sectional study on maternal morbidity in Bangladesh. Dhaka: Bangladesh Institute of Research for Promotion of Essential & Reproductive Health and Technologies, 1996.

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Women's Global Network for Reproductive Rights and Latin American and Caribbean Women's Health Network, eds. Maternal mortality & morbidity: A call to women for action. [Santiago, Chile: Women's Global Network for Reproductive Rights and Latin American & Caribbean Women's Health Network/Isis International], 1990.

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Mondal, Subrato Kumar. Health, nutrition, and morbidity: A study of maternal behaviour. New Delhi: Bookwell, 2003.

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Book chapters on the topic "Maternal morbidity"

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Adams, Melisa M. "Maternal Morbidity." In Perinatal Epidemiology for Public Health Practice, 49–101. Boston, MA: Springer US, 2009. http://dx.doi.org/10.1007/978-0-387-09439-7_3.

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Datta, Sanjay, Bhavani Shankar Kodali, and Scott Segal. "Maternal Mortality and Morbidity." In Obstetric Anesthesia Handbook, 399–403. New York, NY: Springer New York, 2009. http://dx.doi.org/10.1007/978-0-387-88602-2_19.

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Sikka, Pooja, and Rinnie Brar. "Maternal Mortality and Morbidity in Autoimmune Diseases." In Women's Health in Autoimmune Diseases, 197–202. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-0114-2_19.

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Russell, I. F. "Obstetric Anaesthesia and Maternal Morbidity and Mortality." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 1135–50. Milano: Springer Milan, 2002. http://dx.doi.org/10.1007/978-88-470-2099-3_98.

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Ratha, Chinmayee, and Ashok Khurana. "Potential for Assessing Maternal Morbidity in Fetal Medicine Clinics." In Fetal Medicine, 175–80. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-6099-4_17.

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Tomkinson, J. S. "A Global Overview of Maternal and Perinatal Mortality and Morbidity." In Gynecology and Obstetrics, 315–16. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-70559-5_103.

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Rodríguez, Eugenia Arrieta, Francisco Edna Estrada, William Caicedo Torres, and Juan Carlos Martínez Santos. "Early Prediction of Severe Maternal Morbidity Using Machine Learning Techniques." In Lecture Notes in Computer Science, 259–70. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-47955-2_22.

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Arps, Shahna. "The Consequences of Social Inequality: Maternal Morbidity and Mortality in Honduran Miskito Communities." In Global Maternal and Child Health, 403–30. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_21.

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Heinrichs, Gretchen. "Maternal Morbidity and Mortality in the Rural Trifinio Region of Southwestern Guatemala: Analysis of the Problems, Strategic Successes, and Challenges." In Global Maternal and Child Health, 583–97. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_30.

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Lang, C. T., and J. C. King. "The Burden of Maternal Mortality and Morbidity in the United States and Worldwide." In Handbook of Disease Burdens and Quality of Life Measures, 647–59. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-0-387-78665-0_37.

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Conference papers on the topic "Maternal morbidity"

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Mukami, Victoria, Richard Millham, and Threethambal Puckree. "Comparison of frameworks and models for analyzing determinants of maternal mortality and morbidity." In 2016 IST-Africa Week Conference. IEEE, 2016. http://dx.doi.org/10.1109/istafrica.2016.7530653.

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Leon Jara Almonte, Juan. "Untangling the Effect of Maternal Schooling on Child Morbidity and Malnutrition in Peru." In 2020 AERA Annual Meeting. Washington DC: AERA, 2020. http://dx.doi.org/10.3102/1585332.

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Godoy, Antonio, Diego Mendoza, Jesus Campos, and Lizbeth Escobedo. "Putting pregnancy track in hands of women to try to reduce Maternal-fetal morbidity and mortality." In 13th EAI International Conference on Pervasive Computing Technologies for Healthcare - Demos and Posters. EAI, 2019. http://dx.doi.org/10.4108/eai.20-5-2019.2283806.

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"Maternal health seeking behaviors and health care utilization in Pakistan." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xzpo9700.

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Background: Direct estimations of maternal mortality were carried out in Pakistan for the first time. Maternal health and health issues, maternal mortality and the specific causes of death among women must be studied to improve the health care of women and better utilization of maternal health services for better public health. Objective: The main objectives of this study are to analyze maternal health, morbidity and mortality indicators. The causes of death and health care utilization will be highlighted, hence, useful recommendations can be made to reduce maternal deaths and to attain the Sustainable Development Goal 3.1. Method: Utilizing the data of Pakistan Maternal Mortality Survey 2019, crosstabs and frequency tables are constructed and multivariant analysis was conducted to find out the most effective factors contributing to the deaths. IBM SPSS and STATA were used for the analysis. Results and Conclusion: 40% population surveyed was under 15, age 65 or above. Average household members were 6-7. Drinking water facility was majorly improved in both urban and rural areas. Hospital services in rural areas were mostly (54%) in the parameter of 10+ kms and Basic Health Units were mainly found inside the community. Very few urban households were in the poorest quantile while very few rural households were in the wealthiest quantile. Women education distribution showed that a high percentage of women (52%) were uneducated and only a 12% had received higher education. Maternal mortality ratio (MMR) for the 3-year period before the survey was 186 deaths per 100,000 live births while pregnancy related mortality rate was 251 deaths per 100,000 live births, which was higher compared to the MMR. Maternal death causes were divided into direct and indirect causes, where major causes were reported to be obstetric Hemorrhage (41%), Hypertensive disorders (29%), Pregnancy with abortive outcome (10%), other obstetric pregnancy related infection (6%) and non-obstetric (4%). 37% women who died in the three years before the survey sought medical care at a public sector health facility while 26% at private sector and 5% at home. A majority (90%) of women who had pregnancy complications in the 3 years before the survey received ANC from a skilled provider. Keywords: Maternal health, antenatal care, maternal mortality rates, pregnancy related diseases
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Daffos, F., F. Forestier, C. Kaplan, and J. Y. Muller. "PERNATAL MANAGEMENT OF FETAL THROMBOCYTOPENIA." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644272.

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Fetal thrombocytopenia resulting from alloimmunisation (NAIT] or from autoimmune pathology (ITP) may contribute to morbidity from hemorrhage particularly when bleeding occurs into the central nervous system.Utilizing a safe procedure for in utero blood samplings i.e. directpuncture under ultrasound guidance, we are able to propose a prenatal management. Considering NAIT we haveuntil now treated 6 patients. We propose a screening protocol for highrisk group based on maternal antecedents and immunological grounds. Fetal blood sampling is performed at 20th week of gestation allowing platelet count and typing. If there isincompatibility between the fetus and his mother two ways can be consFdered : absence or presence of thrombocytopenia. If the platelet countis normal, nothing is done until 37th week of gestation. In the other case, frequent ultrasound examinations are done. At the 37e week, a fetal blood sampling is performed andin utero maternal platelet transfusion is done in the case of thrombocytopenia, before the delivery. It is possible with this prenatal treatment to have vaginal delivery. Considering ITP. when the maternal status permit it. fetal blood samplingslet us to know exactly the fetal platelet count. By this way. the indication of delivery can be documented.This procedure offers a new possibility of easily taking iterative samples. until the end of pregnancyand represents a particular interest in the prenatal treatment of suchhemorrhagic disorders.
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TAVARES, Lívia Hygino, and Bruno MOURA. "DIABETES IN PREGNANCY AND FETAL CARDIAC RISK: LITERATURE REVIEW." In SOUTHERN BRAZILIAN JOURNAL OF CHEMISTRY 2021 INTERNATIONAL VIRTUAL CONFERENCE. DR. D. SCIENTIFIC CONSULTING, 2022. http://dx.doi.org/10.48141/sbjchem.21scon.45_abstract_tavares.pdf.

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Gestational diabetes mellitus (MGD) is associated with poor cardiac malformation in the fetus. It is related to changes in the clinical course of the disease and pre-gestational periods. The prevalence and incidence of MGD have been increasing worldwide. Early screening, diagnosis, and lifestyle change, such as physical exercise and healthy eating, provide better outcomes for children's health. This study aims to analyze the data concerning gestational diabetes and fetal malformations and to group the various protocols for diagnosis, highlighting the risk factors associated with MGD and their prevention. A systematic review of the literature was conducted with the PubMed, Scielo, Medline databases with English, Portuguese, and Spanish articles. The studies gathered clinical trials, randomized clinical trials, and original articles. In 12 articles analyzed maternal alterations, while 11 articles analyzed fetal alterations, and 9 articles analyzed how to diagnose cardiac changes in the fetus. The patient with MGD should be inserted in multidisciplinary activities seeking the change of lifestyle, physical exercises, and food reeducation, intending to give the fetus the appropriate nutrients and optimize the drug treatment; cardiac malformations are among the most severe and recurrent complications. However, they can be avoided with the control of pre-gestational diabetes (stricter follow-up from the moment the patient feels the desire to become pregnant) and the diagnosis and treatment of early gestational diabetes, as strict control of maternal blood glucose during pregnancy reduces morbidities and mortality. The study showed that hyperglycemic status during pregnancy is related to increased mortality and morbidity, even if it is asymptomatic. Therefore, it is necessary to guide the diabetic woman to plan her pregnancy in a euglycemic period because only this control can guarantee health to the fetus. The diagnosis of pregnant women with gestational diabetes needs to be early to optimize treatment.
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Kartika, Fanny, Bhisma Murti, and Eti Poncorini Pamungkasari. "The Effect of Vitamin D Supplementation on The Pre-Eclampsia Risk Reduction in Pregnant Women: A Meta-Analysis." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.122.

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ABSTRACT Background: Pre-eclampsia (PE), a complication of pregnancy, remains a major cause of maternal and fetal morbidity and mortality. Research showed that vitamin D reduces the risk of pre-eclampsia in pregnant women. The recommended dose for vitamin D supplementation is 600 IU per day. This study aimed to determine the effect of vitamin D supplementationon the pre-eclampsia risk reduction in pregnant women. Subjects and Method: This was a meta-analysis and sytematic review toward vitamin supplementation and pre-eclampsia in pregnant women. Published original studies from PubMed, Science Direct, Springer Link, and Google Scholar databases, from year 2013 to 2017 were collected for this study. Keywords used “Vitamin D” AND “Decrease Risk” OR “Prevention” OR “Reduce Risk” AND “Pre-eclampsia”. The inclusion criteria were full text, in English language, using randomized controlled trial study design, and reporting odds ratio. The selected articles were analyzed using PRISMA guideline and Revman 5.3. Results: 7 studies were met inclusion criteria. This study showed that vitamin D supplementation reduced the risk of pre-eclampsia in pregnant women (OR= 0.97; 95% CI= 0.79 to 1.18; p=0.730), with (I2 = 86%; p<0.001). Conslusion: Vitamin D supplementation reduces the risk of pre-eclampsia in pregnant women. Keywords: vitamin D supplementation, pre-eclampsia Correspondence: Fanny Kartika Fajriyani. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fannykfa9@gmail.com. Mobile: 085728125412. DOI: https://doi.org/10.26911/the7thicph.03.122
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Christiaens, G. C. M. L. "DIAGNOSIS AND MANAGEMENT OF ITP DURING THE PERINATAL PERIOD." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644762.

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Although maternal and perinatal mortality and morbidity in pregnant patients with ITP are lower than previously assumed, they are not negligable. Significant postpartum hemorrhage occurs in 7% of the mothers with ITP. Thrombocytopenia is found in 51% of the newborns born from mothers with ITP and 6% of these have serious bleeding problems. Tests which predict which fetuses are at risk, are not yet available. Thrombocyte counts in a fetal blood sample are falsely low in 40% of cases.A prospective controlled randomized study done in the Netherlands failed to show an effect of antenatal corticosteroid treatment on neonatal platelet counts. Elective caesarean section has not been shown to protect against intracranial bleeding in thrombocytopenic newborns. The choice between vaginal delivery and caesarean section in ITP patients should be made on obstetric grounds with one exception: no other assisted vaginal delivery than the easy outlet forceps should be done. All cases of slow progress of the second stage of labour with insufficient descent should be terminated by caesarean section as well as breech delivery with suboptimal progress. Newborn thrombocyte counts should be done daily during the first week of life, since lowest platelet counts are often found between the 3rd and 5th postpartum day. Newborn thrombocytopenia is transient and does not warrant splenectomy, but can necessitate treatment with corticosteroids and/or high doses of immunoglobulin 6. Current data do not justify to dissuade breastfeeding.The recurrence of neonatal thrombocytopenia in subsequent patients is unknown.
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Moraes, Carolina Leão de, Fernanda Sardinha de Abreu Tacon, Andréa de Faria Rezende Matos, Natália Cruz e. Melo, Michelle Hermínia Mesquita de Castro, and Waldemar Naves do Amaral. "Congenital anomalies of the central nervous system: prevalence in a fetal medicine service in the Brazilian Midwest." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.092.

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Introduction: Approximately 21% of congenital anomalies (CA) involve the Central Nervous System (CNS), constituting one of the most common birth defects, affecting 1 to 10: 1,000 of live births. Objective: To analyze the prevalence of CNS anomalies diagnosed by obstetric ultrasound. Methods: Prospective longitudinal cohort study carried out in a public fetal medicine service in Goiânia with pregnant women who were attended in high-risk prenatal care. The patients were followed up during the ultrasound exams from March 2018 to March 2019. Results: 225 cases of pregnant women with ultrasound diagnoses of CA were surveyed during the investigated period. CNS anomalies were the most prevalent, being present in 34.22% (77/225) of the cases. The mean maternal age of pregnant women was 25.55 years and mean gestational age was 28.84 weeks. Hydrocephalus was identified in 23 pregnant women (29.87%), being the most prevalent CNS anomalie. Anencephaly was present in 24.68% (19/77) and holoprosencephaly in 18.18% (14/77). Other CA were also diagnosed (21/77), such as meningocele, spina bifida, acrania, among others. However, they showed a lower prevalence in relation to hydrocephalus, anencephaly and holoprosencephaly. Conclusion: The findings are essential for the planning and allocation of hospital resources and investment in health. Besides that, to adequate and specific prenatal care, is indispensable in the search for reducing the incidence of these malformations, morbidity and improving survival rates of the affected population.
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Amalia, Veterina Rizki, Hanung Prasetya, and Bhisma Murti. "Factors Associated with Job Performance of Midwives at Community Health Centers in Mojokerto, East Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.43.

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ABSTRACT Background: Midwives performance play an important role in reducing maternal and neonatal morbidity and mortality. The purpose of this study was to analyze factors associated with midwives performance in Mojokerto, East Jva, Indonesia. Subjects and Method: A cross sectional study was carried out in Mojokerto, East Java, Indonesia. A sample of 200 midwives who worked in community health centers was selected randomly. The dependent variable was works performance. The independent variables were age, tenure, employment status, perceived financial compensation, social support, workload, and motivation. The data were collected by a questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Work performance in midwives increased with age ≥42 years (OR= 9.2; 95% CI= 1.91 to 44.72; p= 0.006), tenure ≥18 years (OR= 4.5; 95% CI= 1.04 to 19.46; p= 0.044), high perceived financial compensation (OR= 10.65; 95% CI= 2.23 to 50.97; p= 0.003), strong social support (OR= 12.53; 95% CI= 2.59 to 60.70; p= 0.002), low workload (OR= 10.88; 95% CI= 2.41 to 49.12; p= 0.002), and strong motivation (OR= 13.52; 95% CI= 2.64 to 69.21; p= 0.002). Work performance decreased with non civil servants (OR= 0.071; 95% CI= 0.01 to 0.55; p= 0.011). Conclusion: Work performance in midwives increases with age ≥42 years, tenure ≥18 years, high perceived financial compensation, strong social support, low workload, and strong motivation. Work performance decreases with non civil servants. Keywords: work performance, financial compensation, midwives Correspondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501. DOI: https://doi.org/10.26911/the7thicph.04.43
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Reports on the topic "Maternal morbidity"

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Chatterji, Pinka, Hanna Glenn, Sara Markowitz, and Jennifer Karas Montez. ACA Medicaid Expansions and Maternal Morbidity. Cambridge, MA: National Bureau of Economic Research, December 2022. http://dx.doi.org/10.3386/w30770.

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Seedu, Tegwende, Eden Manly, Taylor Moore, Laura Anderson, Beth Murray-Davis, Diane Ménage, Rebecca Seymour, and Rohan D'Souza. Understanding maternal morbidity from the perspectives of women & people with pregnancy experience: a concept analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0097.

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Review question / Objective: This study will investigate the question: what is maternal morbidity from the perspective of women and people with pregnancy experience? The objectives of this study are to: 1. describe the conditions and events that WPPE conceptualize as maternal morbidities, 2. identify the themes that arise across WPPE’s experiences, such as regional and cultural differences and similarities, and 3. produce a schematic representation of how WPPE conceptualize maternal morbidity. Background: Maternal morbidity is primarily concerned with adverse pregnancy-related outcomes, excluding mortality, among the pregnant and postpartum population. Although presently a global concern, maternal morbidity was not always prioritized in healthcare and research. The increased attention towards maternal morbidity in recent decades was preceded by the initial prioritization of maternal mortality as the dominant indicator of maternal health, leading to its decreasing trend over the decades.(1) Standards of maternal care are no longer solely defined by preventing mortality; they now include preventing and better treatment of maternal morbidity to improve patient outcomes. However, there are no universally accepted criteria for describing maternal morbidity. Less evidence is available on the views of Women and People with Pregnancy Experience (WPPE), and a knowledge gap exists in conceptualizing maternal morbidity from their perspective.
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Zamorano, Natalia, and Cristian Herrera. Can community-based intervention packages reduce maternal and neonatal morbidity and mortality? SUPPORT, 2017. http://dx.doi.org/10.30846/170115.

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In the last three decades, rates of neonatal mortality in low-income countries have declined much more slowly than the rates of infant and maternal mortality. A significant proportion of these deaths could potentially be addressed by community-based intervention packages, which are defined as delivering more than one intervention via different sets of strategies that include additional training of outreach workers, building community-support, community mobilization, antenatal and postnatal home visitation, training of traditional birth attendants, antenatal and delivery home visitation, and home-based neonatal care and treatment; usually supplemented by strengthening linkages with local health systems.
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Alford, Josephine, Sonja Williams, Michelle Oriaku, Donielle White, Alexander Schwartzman, and Geoffrey Jackson. National Hospital Care Survey Demonstration Projects: Severe Maternal Morbidity in Inpatient and Emergency Departments. National Center for Health Statistics (U.S.), October 2021. http://dx.doi.org/10.15620/cdc:109829.

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S. Lassi, Zohra, and Batool A. Haider. Community-based intervention packages for reducing maternal morbidity and mortality and improving neonatal outcomes. International Initiative for Impact Evaluation (3ie), May 2012. http://dx.doi.org/10.23846/sr1014.

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Lassi, Zohra S., Batool A. Haider, and Zulfiqar A. Bhutta. Community-based intervention packages for reducing maternal morbidity and mortality and improving neonatal outcomes. International Initiative for Impact Evaluation, May 2012. http://dx.doi.org/10.23846/sr14.

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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.

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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Rogo, Khama, and Ann Leonard. Unsafe Abortion in Kenya: Findings from Eight Studies. Population Council, 1996. http://dx.doi.org/10.31899/rh1996.1022.

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One of the most topical areas in reproductive health today is the consequences of induced and often unsafe abortion. Safe motherhood initiatives continue to highlight the contribution of unsafe abortion to the persistent high rates of maternal mortality and morbidity in sub-Saharan Africa. In some countries, unsafe abortion is responsible for up to half of all maternal mortality and morbidity, with adolescents constituting a significant proportion of those procuring unsafe abortions. In Kenya, concern about the problem of incomplete and septic abortion has increased, particularly on the part of service providers who must treat women suffering from the complications of poorly performed procedures. Debate about what can be done to reduce the negative consequences of unsafe abortion ranges from highly emotional arguments to pragmatic policies and programs. In 1998, in response to requests for assistance from Kenyan policymakers, the Population Council embarked on a four-year collaborative program to document the magnitude and nature of the problem of unsafe abortion. With assistance from the Population Council, researchers from the Centre for the Study of Adolescence designed and implemented a package of eight studies. This monograph provides a summary of the findings of these studies.
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Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.
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Traditional birth attendants in maternal health programmes. Population Council, 2003. http://dx.doi.org/10.31899/rh2003.1017.

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Despite the tremendous resources invested in training Traditional Birth Attendants (TBAs) over the past two decades, scientific evidence from around the world has shown that training TBAs has not reduced maternal mortality. Any improvement observed when TBA training programs have been introduced was because of the associated supervision and referral systems, and the quality of essential obstetric services available at first referral level. Conversely, evidence has shown reduced maternal and perinatal morbidity and mortality when women have a “Skilled Attendant” (a qualified health care provider who has midwifery or obstetric skills) present at every birth. Thus, national safe motherhood programs, including in Kenya, are now focusing on increasing the number of Skilled Attendants, whether a woman delivers in a facility or at home. Since TBAs are highly regarded by their communities, it is critical that they still be enabled to play a role in improving maternal health. As noted in this brief, the continued preference for TBAs in Western Province can be attributed to their proximity to the woman’s home, respectful attitude toward women, and flexible modes of payment. Problems can arise, however, when TBAs delay seeking skilled care for women in difficult labor.
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