Ethnic diferences in maternal near miss

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dc.contributor.authorFernandes, Karayna Gilen_US
dc.contributor.authorSouza, Renato Teixeiraen_US
dc.contributor.authorLeal, Maria Carmoen_US
dc.contributor.authorMoura, Erly C.en_US
dc.contributor.authorSantos, Leonor M.en_US
dc.contributor.authorCecatti, Jose Guilhermeen_US
dc.creator.affilliationUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.en_US
dc.creator.affilliationUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.en_US
dc.creator.affilliationUniversidade de Brasília. Faculdade de Ciências da Saúde. Departamento de Saúde Coletiva. Brasília, DF, Brasil.en_US
dc.creator.affilliationUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.en_US
dc.date.accessioned2021-12-21T16:01:31Z
dc.date.available2021-12-21T16:01:31Z
dc.date.issued2017en_US
dc.description.abstractenPurpose: To evaluate the association between ethnic diferences and the occurrence of maternal near miss (MNM) in the Amazon and Northeast regions of Brazil. Methods: This is a secondary analysis of a national crosssectional study focused on the assessment of care to pregnancy, childbirth, and infants under 1 year of age. Ethnicity was classifed as white, black or indigenous. Ethnic distribution by state and region, the proportion of severe maternal complications and related procedures, and the prevalence of MNM and its criteria were calculated for the ethnic groups. Risks for MNM were estimated per sociodemographic characteristics and healthcare received by ethnic group, using prevalence ratios adjusted by all predictors and by the sampling method. Results: 76% of the 16.783 women were black, 20% white and 3.5% indigenous. Around 36% reported any complication related to pregnancy and the most frequent were hemorrhage (27–31%), and infection (7.1–9.0%). The MNM ratio was higher among indigenous (53.1) and black (28.4) than in white women (25.7). For black women, the risks of MNM were lower for private prenatal care and hospital admission for conditions other than hypertension, while higher for cesarean section and peregrination. For indigenous, the risks of MNM were lower for private prenatal care, and higher for a longer time to reach the hospital. For white women, only the low number of prenatal visits increased the risk of MNM. Conclusions: The occurrence of MNM was higher for indigenous and black than for white women.en_US
dc.identifier.citationFERNANDES, Karayna Gil et al. Ethnic diferences in maternal near miss. Archives of Gynecology and Obstetrics, v. 296, n. 6, p. 1063-1070, 16 Sept. 2017.en_US
dc.identifier.doi10.1007/s00404-017-4530-6en_US
dc.identifier.eissn1432-0711en_US
dc.identifier.issn0932-0067en_US
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/5635
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.rightsrestricted accessen_US
dc.subject.decsBrasilpt_BR
dc.subject.decsÍndios Sul-Americanospt_BR
dc.subject.decsSaúde de Populações Indígenaspt_BR
dc.subject.decsEcossistema Amazônicopt_BR
dc.subject.decsEpidemiologiapt_BR
dc.subject.decsSaúde da Criançapt_BR
dc.subject.decsSaúde da Mulherpt_BR
dc.subject.decsEstudos Epidemiológicospt_BR
dc.subject.decsSaúde Maternapt_BR
dc.subject.decsDisparidades nos Níveis de Saúdept_BR
dc.subject.decsSaúde Reprodutivapt_BR
dc.subject.enBrazilen_US
dc.subject.enEthnic groupsen_US
dc.subject.enMaternal healthen_US
dc.subject.enMorbidityen_US
dc.subject.enNear miss, healthcareen_US
dc.subject.otherRegião Nordestept_BR
dc.subject.otherRegião Amazônicapt_BR
dc.subject.otherDesigualdades em Saúdept_BR
dc.subject.otherGravidez, Parto e Puerpériopt_BR
dc.titleEthnic diferences in maternal near missen_US
dc.typeArticleen_US
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