Maternal near-miss in labor and delivery in the light of technologies in health

Authors

  • Izabel Dayana de Lemos Santos Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem
  • Fabiana Fontana Medeiros Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem
  • Rosângela Aparecida Pimenta Ferrari Universidade Estadual de Londrina, Centro de Ciências da Saúde, Departamento de Enfermagem
  • Deise Serafim Universidade Estadual de Londrina, Centro de Ciências da Saúde, Departamento de Enfermagem
  • Sandra Mara Maciel Universidade Estadual de Maringá
  • Alexandrina Aparecida Maciel Cardelli Universidade Estadual de Londrina, Centro de Ciências da Saúde, Departamento de Enfermagem

DOI:

https://doi.org/10.1590/s1980-220x2017049603409

Keywords:

Near Miss, Healthcare, Pregnancy, High-Risk, Parturition, Obstetric Nursing, Technology

Abstract

Objective: To know maternal near-miss situations during labor and delivery according to technologies in health. Method: A quantitative study conducted with puerperal women in a public institution in which the maternity department is a reference for high risk care. Data collection was performed from October 2016 to August 2017, and data were processed in SPSS 20.0. Technologies in health were used for discussing the results. Results: Participation of 319 puerperal women. Primiparous women (p=0.027), previous diagnosis of hypertension (p=0.0001), preeclampsia (p=0.0001) and urinary tract infection (p=0.002) were items with statistical significance for the maternal near-miss outcome in labor and delivery. The hard technology associated with the outcome was transportation for hospitalization (p=0.035). Among the light-hard technologies, the following were associated: characteristics of amniotic fluid (p=0.05), vital signs check (p=0.0001), and initiation of the partograph for cesarean section (p=0.026). Among the light technologies, user satisfaction was relevant (p=0.007). Conclusion: Health technologies can be used for structuring the assistance in order to prevent maternal near-miss.

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Published

2019-02-27

Issue

Section

Original Article

How to Cite

Maternal near-miss in labor and delivery in the light of technologies in health. (2019). Revista Da Escola De Enfermagem Da USP, 52, e03409. https://doi.org/10.1590/s1980-220x2017049603409