Avaliação dos fatores determinantes do near miss materno em uma unidade de terapia intensiva obstétrica no município de João Pessoa – PB

Abstract

Introduction: Women's health and the reduction of maternal mortality are priorities in current public policies and studies. Maternal mortality is a significant issue in women's health, with maternal Near miss being a severe and treatable event. Objective: To evaluate the determinants of maternal Near miss in an Obstetric Intensive Care Unit. Methods: Admission records of 730 women in the Obstetric Intensive Care Unit from 2016 to 2019 were analyzed, with 25 deaths, resulting in a mortality rate of 34.2 per thousand women. Patient records were digitized in the Rede Cuidar Paraíba system for further data analysis. Different models, including survival analysis and logistic regression, were used to identify risk factors associated with maternal Near miss. Results: In the analyzed sample, 53.3% of women with Near miss were aged 20 to 34 years, 58% resided in other municipalities, and 88.7% were of mixed race. The majority (67.3%) had a partner, while 26.1% had no education. Regarding obstetric history and pregnancy characteristics, 62.2% of women with Near miss had 1 or more children, 93.1% had a singleton pregnancy, and 84.4% had no previous cesarean section. Approximately 26.2% were not classified as high risk but still experienced Near miss. Additionally, 76.5% did not complete prenatal care, and 48.7% of women with Near miss were not hospitalized during pregnancy. Conclusion: The results of this study contribute to understanding the determinants of maternal Near miss and provide important insights to improve care for pregnant women.