{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T08:56:41Z","timestamp":1780995401969,"version":"3.54.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To identify the predictive factors of maternal near miss in caesarean patients in the obstetrics and gynaecology service at Hospital III Daniel Alcides Carri\u00f3n, Tacna, Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted from 1 January 2022 to 31 December 2023. Preoperative, intraoperative and postoperative clinical and laboratory characteristics of caesarean patients hospitalized in the obstetrics and gynaecology service were analysed. Cox proportional hazards regression was used to identify predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 264 caesarean patients, of which 49 experienced maternal near miss. The mean age was 32.81\u00b15.13\u00a0y, the median number of prenatal visits was 7 (interquartile range [IQR] 6\u20139) and the median gestational age was 39\u00a0weeks (IQR 37.5\u201340). Identified predictive factors for maternal near miss were systolic blood pressure \u2265140\u00a0mmHg before caesarean (adjusted hazard ratio [aHR] 2.20), duration of the caesarean (aHR 1.02) and number of prenatal visits (aHR 0.90).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that systolic hypertension before caesarean delivery, caesarean duration and number of prenatal visits are significant predictors of maternal near miss. These results underscore the importance of early prenatal care, monitoring blood pressure levels and optimizing surgical duration to improve maternal outcomes. Future research should focus on the implementation of targeted interventions based on these predictors to reduce maternal morbidity and improve health policies in low-resource settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/inthealth\/ihaf045","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T19:10:26Z","timestamp":1744053026000},"page":"1009-1017","source":"Crossref","is-referenced-by-count":1,"title":["Systolic hypertension, caesarean duration and prenatal visits as predictors of maternal near miss in Peru"],"prefix":"10.1093","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8679-2998","authenticated-orcid":false,"given":"Estefany Alejandra","family":"Cutipa V\u00e1squez Melgar","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Private University of Tacna ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5374-7915","authenticated-orcid":false,"given":"Rodrigo Jes\u00fas","family":"Flores Palacios","sequence":"additional","affiliation":[{"name":"Intensive and Intermediate Care Unit, Hospital III Daniel Alcides Carri\u00f3n \u2013 EsSalud, Tacna ,","place":["Peru"]},{"name":"Faculty of Health Sciences, National Jorge Basadre Grohmann University , Tacna ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"2025110420254519000_bib1","article-title":"Determinantes sociales de la salud relacionados con la aparici\u00f3n de morbilidad materna extrema en pacientes de una instituci\u00f3n de salud del municipio de Facatativ\u00e1 durante 2018\u20132023 [Internet] [Trabajo de Grado Especializaci\u00f3n]","author":"Ch\u00e1ves-Cano","year":"2024"},{"issue":"4","key":"2025110420254519000_bib2","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.ogc.2022.07.001","article-title":"Maternal mortality in low and middle-income countries","volume":"49","author":"Lawrence","year":"2022","journal-title":"Obstet Gynecol Clin North Am"},{"key":"2025110420254519000_bib3","article-title":"Morbilidad materna extremadamente grave en el Hospital General Docente Ambato 2020","author":"Toapanta Iza","year":"2022"},{"issue":"1","key":"2025110420254519000_bib4","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1515\/jpm-2020-0305","article-title":"Cesarean section one hundred years 1920\u20132020: the good, the bad and the ugly","volume":"49","author":"Antoine","year":"2020","journal-title":"J Perinat Med"},{"issue":"10","key":"2025110420254519000_bib5","doi-asserted-by":"crossref","first-page":"e20230048","DOI":"10.1590\/1806-9282.20230048","article-title":"Maternal near miss: before and during the coronavirus disease 2019 pandemic","volume":"69","author":"De Freitas","year":"2023","journal-title":"Rev Assoc M\u00e9d Bras"},{"issue":"10","key":"2025110420254519000_bib6","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1080\/14767058.2018.1527309","article-title":"Risk factors for relaparotomy after cesarean delivery and related maternal near-miss event due to bleeding","volume":"33","author":"Akkurt","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"2","key":"2025110420254519000_bib7","first-page":"18","article-title":"Morbilidad materna en la unidad de cuidados intensivos en un hospital de Huancavelica","volume":"6","author":"Jorge-Chahuayo","year":"2021","journal-title":"Per\u00fa Rev Int Salud Materno Fetal"},{"key":"2025110420254519000_bib8","article-title":"Factores de Riesgo Asociados a Morbilidad Materna Extrema en el Hospital Hip\u00f3lito Unanue de Tacna A\u00f1o 2017\u20132018","author":"Julca Maquera","year":"2019"},{"key":"2025110420254519000_bib9","first-page":"833","article-title":"Tendencia y distribuci\u00f3n regional de la mortalidad materna en el Per\u00fa: 2015\u20132019","volume":"90","author":"Roman-Lazarte","year":"2022","journal-title":"Ginecol Obstet M\u00e9xico"},{"key":"2025110420254519000_bib10","article-title":"EsSalud implementa historia cl\u00ednica digital para atenci\u00f3n de asegurados","author":"EsSalud","year":"2023"},{"key":"2025110420254519000_bib11","article-title":"EsSalud Tacna: m\u00e1s de 1700 pacientes presentan riesgo de da\u0144o renal","author":"EsSalud","year":"2024"},{"key":"2025110420254519000_bib12","volume-title":"Censos Nacionales 2017: XII de Poblaci\u00f3n, VII de Vivienda y III de Comunidades Ind\u00edgenas","author":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica","year":"2017"},{"key":"2025110420254519000_bib13","author":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica (INEI)","year":"2019","journal-title":"Per\u00fa: Indicadores de Educaci\u00f3n por Departamentos, 2008\u20132018"},{"key":"2025110420254519000_bib14","volume-title":"Evoluci\u00f3n de la Pobreza Monetaria 2009\u20132019. 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