{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T23:38:57Z","timestamp":1782257937444,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":119,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Scientific World Journal"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The objective of this study is to describe the characteristics of women who experienced severe maternal outcomes (SMO: maternal near\u2010miss or maternal death) in an obstetric intensive care unit (ICU).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A cross\u2010sectional study was carried out including pregnant or postpartum women up to 42 days of childbirth admitted to the obstetric ICU at one reference centre in the northeast of Brazil, for any clinical, surgical, or obstetric complication, with data collected between October 29, 2018, and September 30, 2019. Maternal characteristics, details on admission to the ICU, pregnancy outcomes, and causes for ICU admission were compared between groups with SMO or with the remaining group, potential life\u2010threatening conditions (PLTCs). A significance level of 5% was adopted.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    During the study period, 309 women were admitted to the obstetric ICU and considered eligible for the study. SMO was observed in 150 (48.5%) of these women. Of these, 8 (2.6%) were maternal deaths, and 142 (45.9%) presented one or more near\u2010miss criteria. Most women with a SMO were admitted for direct obstetric causes such as hypertensive syndromes, postpartum haemorrhage, or puerperal infection. SMO was associated more frequently with puerperal infection.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    SMO is a commonly occurring outcome in an obstetric ICU with great possibility of treatment. Direct obstetric causes such as hypertension syndromes, postpartum haemorrhage, and puerperal infection were the most prevalent causes in the development of this outcome. Puerperal infection was the condition most associated with SMO.\n                  <\/jats:p>","DOI":"10.1155\/tswj\/3559062","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T03:50:32Z","timestamp":1745985032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe Maternal Outcome in Women Admitted to an Obstetric Intensive Care Unit in the Northeast of Brazil: A Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2459-7839","authenticated-orcid":false,"given":"Fl\u00e1vio Xavier","family":"da Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7674-0369","authenticated-orcid":false,"given":"Ryta","family":"de K\u00e1ssia Andrade Rufino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6692-8173","authenticated-orcid":false,"given":"Micaelly Barbosa","family":"Padilha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3911-5863","authenticated-orcid":false,"given":"Stephanie Karoline Santos","family":"Bezerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2875-8011","authenticated-orcid":false,"given":"Mario Diego Teles","family":"Correia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9854-7917","authenticated-orcid":false,"given":"Leila","family":"Katz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0044129"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.007"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15623"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2022.2134391"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2014.943839"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v27i2.3325"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v30i2.11294"},{"key":"e_1_2_11_8_2","volume-title":"Trends in Maternal Mortality 2000 to 2020: Estimates by WHO","author":"World Health Organization","year":"2023"},{"key":"e_1_2_11_9_2","unstructured":"World Health Organization Maternal Mortality 2024 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/maternal-mortality."},{"key":"e_1_2_11_10_2","volume-title":"Saving Lives. Improving Mothers\u2019 Care Core Report\u2013Lessons Learned to Inform Maternity Care From the UK and Ireland Confidential Enquiries Into Maternal Deaths and Morbidity 2019-21","author":"Knight M.","year":"2023"},{"key":"e_1_2_11_11_2","volume-title":"Safe Motherhood Programs: Options and Issues","author":"Maine D.","year":"1991"},{"key":"e_1_2_11_12_2","unstructured":"World Health Organization Evaluating the Quality of Care for Severy Pregnancy Complications: The WHO Near-Miss Approach for Maternal Health 2011 https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/44692\/9789241502221_eng.pdf?sequence=1."},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90226-7"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13241"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000231884.99763.69"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0619-8"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1321493"},{"key":"e_1_2_11_18_2","unstructured":"Health Ministry of Brazil DATASUS: Department of Informatics of the SUS. Health Information\/Vital Statistics n.d. https:\/\/www2.datasus.gov.br."},{"key":"e_1_2_11_19_2","unstructured":"Health Ministry of Brazil COVID-19 Observatory. COVID-19 and Maternal Mortality. COVID-19 Observatory Bulletin 2021 https:\/\/portal.fiocruz.br\/observatorio-covid-19."},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004619"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14127"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2016.07.008"},{"key":"e_1_2_11_23_2","volume-title":"Monitoring Emergency Obstetric Care: A Handbook","author":"World Health Organization","year":"2009"},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00021821"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1126807"},{"key":"e_1_2_11_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318263a52d"},{"key":"e_1_2_11_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008443"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2015.39"},{"key":"e_1_2_11_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340601088448"}],"container-title":["The Scientific World Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tswj\/3559062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/tswj\/3559062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tswj\/3559062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:56:18Z","timestamp":1772967378000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/tswj\/3559062"}},"subtitle":[],"editor":[{"given":"Ho","family":"SoonMin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/tswj\/3559062"],"URL":"https:\/\/doi.org\/10.1155\/tswj\/3559062","archive":["Portico"],"relation":{},"ISSN":["2356-6140","1537-744X"],"issn-type":[{"value":"2356-6140","type":"print"},{"value":"1537-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3559062"}}