Revista Brasileira de Saúde Materno Infantil (May 2020)

Adverse outcomes of childbirth in high-risk maternity hospitals

  • Thais da Costa Oliveira,
  • Tâmara Silva de Lucena,
  • Jovânia Marques de Oliveira e Silva,
  • Patrícia de Carvalho Nagliate,
  • Regina Célia Sales Santos Veríssimo,
  • Maria Lucélia da Hora Sales

DOI
https://doi.org/10.1590/1806-93042020000100011
Journal volume & issue
Vol. 20, no. 1
pp. 193 – 201

Abstract

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Abstract Objectives: to analyze adverse outcomes in teaching maternity hospitals in Maceió, Alagoas, Brazil. Methods: a cross-sectional, retrospective and analytical study was carried out with a random sample of 480 medical records of postpartum women in 2016 using the Adverse Outcome Index: in-hospital maternal death, neonatal in-hospital death> 2500g and> 37 weeks, uterine rupture, unplanned maternal admission to intensive care unit, delivery trauma to the newborn, return to the operating room, admission to an intensive neonatal unit with >2500g and > 37 weeks for more than one day, Apgar 2500g and>37 weeks for more than one day (52. 5%), maternal blood transfusion (20.8%) and unplanned maternal admission in intensive care (17.8%). Conclusions: the evaluation of adverse outcomes evidenced a high proportion of births with undesirable results, which allowed the analysis of the outlook of unfavorable outcomes related to safety in maternity wards through the use of indicators.

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