{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T04:15:15Z","timestamp":1769746515962,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,12,21]],"date-time":"2016-12-21T00:00:00Z","timestamp":1482278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate factors associated with maternal death among women experiencing life\u2010threatening conditions during pregnancy, childbirth, or within 42\u00a0days of termination of pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A secondary analysis of data prospectively collected in a Brazilian multicenter cross\u2010sectional study between July 2009 and June 2010 was conducted. Women were identified who delivered at a hospital in Cear\u00e1 and who had potentially life\u2010threatening conditions. Stepwise logistic regression was used to identify factors associated with maternal death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 941 women were identified and 11 died. Among criteria for severe maternal morbidity, eclampsia (adjusted odds ratio [<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>] 203.70, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 5.03 to 8254.20; <jats:italic>P=<\/jats:italic>0.005) and intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>) admission (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 69.30, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 6.63\u2013724.26; <jats:italic>P&lt;<\/jats:italic>0.001) were risk factors for progression to death, whereas use of magnesium sulfate (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.002, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> &lt;0.01\u20130.11; <jats:italic>P=<\/jats:italic>0.002) was a protective factor. Meeting near\u2010miss criteria other than survival (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 5.96, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.69\u201320.98; <jats:italic>P=<\/jats:italic>0.005) was associated with maternal death. Of criteria for near miss, management criteria were most strongly associated with maternal death: all 11 women who died met some management criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>'s criteria for severe maternal morbidity and near miss, eclampsia, low oxygen saturation, <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> admission, intubation, mechanical ventilation, and cardiopulmonary resuscitation were most associated with maternal death. Use of magnesium sulfate was a protective factor.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12077","type":"journal-article","created":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T06:11:27Z","timestamp":1486534287000},"page":"337-343","source":"Crossref","is-referenced-by-count":11,"title":["Factors associated with maternal mortality among patients meeting criteria of severe maternal morbidity and near miss"],"prefix":"10.1002","volume":"136","author":[{"given":"Hesly M.P.","family":"Lima","sequence":"first","affiliation":[{"name":"Department of Community Health Federal University of Cear\u00e1 Health Sciences Center  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Herl\u00e2nio C.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Federal University of Cear\u00e1 Health Sciences Center  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Edson L.","family":"Feitosa","sequence":"additional","affiliation":[{"name":"Maternity School Assis Chateaubriand  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George C.","family":"Nunes","sequence":"additional","affiliation":[{"name":"Maternity School Assis Chateaubriand  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,21]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"UN Millennium Campaign.About 2015 Millennium Campaign. 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