Near miss maternal: influencing factors and guidelines for reducing maternal morbidity and mortality

Abstract

Objective: to analyze the scientific evidence about the factors influencing maternal near miss cases and possible guidelines for reducing maternal morbidity and mortality. Methods:integrative review with 2895 articles found and 17 selected articles. Results: the factors influencing the near miss cases were: delays in obstetric care; unprepared health team; precarious conditions of services; limited availability of blood derivatives; and prenatal disability, the limited use of evidence-based practices and audits. As main directions to minimize these events, we have evidenced: to strengthen the network of reference and counter-reference; carry out professional training; improve prenatal coverage; and invest in infrastructure, process management and clinical audits. Conclusion: the factors that influence the maternal near miss cases range from delayed care to failure to perform prenatal care, whose management improvement is the main direction.

Keywords

• maternal mortality; morbidity; maternal health; near miss
• healthcare; nursing.