Related Experiment Video
Updated: Sep 1, 2025
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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.
Objective:
To describe the maternal and obstetric characteristics associated with severe maternal morbidity, and the factors of the assistance process involved in the severe outcomes according to nurses and doctors.
Method:
Sequential mixed study at the tertiary maternity in the city of Rio de Janeiro, based on care records and interviews with these professionals, from February to July 2019. Chi-square test, prevalence ratio and thematic content analysis were applied.
Results:
In 66 (100%) women with SMM, severe preeclampsia (77.3%) was more prevalent and there were 12 (18.2%) cases of near miss and one maternal death. Postpartum hemorrhage (PR = 3.21; 95% CI 1.22-8.41) and blood transfusions (PR = 3.60; 95% CI 1.81-7.16) contributed to severe outcomes. There are deficiencies in the health system, access to reproductive health and quality of care.
Conclusion:
Improvements in access to health and quality of the care process are imperative to reduce severe maternal outcomes.
