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Assistance process to women with severe maternal morbidity: a mixed study
Jessica Paola Garcia Villalba1, Adriana Lenho de Figueiredo Pereira2, Ana Beatriz Azevedo Queiroz3
1Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-Graduação em Enfermagem, Curso de Mestrado. Rio de Janeiro, Rio de Janeiro, Brasil.
Revista Gaucha De Enfermagem
|August 17, 2022
Summary
Severe maternal morbidity, often linked to preeclampsia and postpartum hemorrhage, necessitates improved healthcare access and quality for better maternal outcomes. This study highlights critical areas for intervention in obstetric care.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Healthcare Quality Improvement
Background:
- Severe maternal morbidity (SMM) represents a significant global health challenge.
- Understanding the characteristics and contributing factors to SMM is crucial for effective prevention and management.
Purpose of the Study:
- To identify maternal and obstetric factors associated with severe maternal morbidity.
- To explore healthcare assistance factors contributing to severe outcomes from the perspective of nurses and doctors.
Main Methods:
- A sequential mixed-methods study was conducted at a tertiary maternity hospital.
- Data collection involved analysis of care records and interviews with healthcare professionals.
- Statistical analyses included Chi-square tests and prevalence ratios, alongside thematic content analysis.
Main Results:
- Severe preeclampsia was the most prevalent condition (77.3%) among women with SMM.
- Postpartum hemorrhage and blood transfusions were significantly associated with severe outcomes.
- Deficiencies were identified in health system access, reproductive health services, and overall quality of care.
Conclusions:
- Enhancing access to healthcare services is essential for reducing severe maternal outcomes.
- Improving the quality of the obstetric care process is imperative for mitigating maternal morbidity and mortality.
