{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:38:40Z","timestamp":1787639920483,"version":"build-2736575974"},"reference-count":53,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>A Organiza\u00e7\u00e3o Mundial da Sa\u00fade (OMS) recomenda a an\u00e1lise dos casos de morbidade materna severa\/near miss materno como complemento \u00e0s an\u00e1lises das mortes de m\u00e3es, dado que a incid\u00eancia \u00e9 mais elevada e os fatores preditivos dos dois desfechos s\u00e3o semelhantes. Tendo em vista que as raz\u00f5es de mortalidade materna, no Brasil, t\u00eam se mantido constantes apesar do compromisso firmado durante a Assembleia Geral da Organiza\u00e7\u00e3o das Na\u00e7\u00f5es Unidas (ONU), em 2015, o objetivo deste artigo \u00e9 propor um sistema nacional de vigil\u00e2ncia de near miss materno. Prop\u00f5e-se a inclus\u00e3o dos eventos near miss materno na Lista Nacional de Notifica\u00e7\u00e3o Compuls\u00f3ria de Doen\u00e7as, Agravos e Eventos de Sa\u00fade P\u00fablica, por meio da compatibiliza\u00e7\u00e3o dos crit\u00e9rios diagn\u00f3sticos de near miss materno, informados pela OMS, com os c\u00f3digos da Classifica\u00e7\u00e3o Internacional de Doen\u00e7as (CID) para identifica\u00e7\u00e3o dos casos. Tendo em vista que a vigil\u00e2ncia em sa\u00fade se faz baseada em diversas fontes de informa\u00e7\u00f5es, a notifica\u00e7\u00e3o poderia ser feita pelos profissionais dos servi\u00e7os de sa\u00fade t\u00e3o logo fosse identificado um caso confirmado ou suspeito. A partir do estudo dos fatores associados aos desfechos, espera-se a avalia\u00e7\u00e3o mais qualificada dos servi\u00e7os voltados \u00e0 assist\u00eancia obst\u00e9trica e consequente implementa\u00e7\u00e3o de pol\u00edticas mais eficientes de preven\u00e7\u00e3o n\u00e3o apenas do \u00f3bito materno, mas de eventos que podem tanto causar sequelas irrevers\u00edveis \u00e0 sa\u00fade da mulher quanto aumento do risco de \u00f3bito fetal e neonatal.<\/jats:p>","DOI":"10.1590\/0102-311xpt013923","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T12:43:44Z","timestamp":1691412224000},"source":"Crossref","is-referenced-by-count":20,"title":["Morbimortalidade materna no Brasil e a urg\u00eancia de um sistema nacional de vigil\u00e2ncia do near miss materno"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3353-5258","authenticated-orcid":false,"given":"Michelle Elaine Siqueira","family":"Ferreira","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-1480","authenticated-orcid":false,"given":"Raquel Zanatta","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-1025","authenticated-orcid":false,"given":"Bernardo Lanza","family":"Queiroz","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s12978-018-0527-2","article-title":"A global view of severe maternal morbidity moving beyond maternal mortality","volume":"15","author":"Geller SE","year":"2018","journal-title":"Reprod Health"},{"key":"ref2","series-title":"Sa\u00fade materna."},{"issue":"29","key":"ref3","article-title":"Mortalidade proporcional por grupos de causas em mulheres no Brasil em 2010 e 2019.","volume":"52","year":"2021","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref4","series-title":"Relat\u00f3rio da Confer\u00eancia Internacional sobre popula\u00e7\u00e3o e Desenvolvimento - Plataforma de Cairo, 1994."},{"key":"ref5","series-title":"Implanta\u00e7\u00e3o das Redes de Aten\u00e7\u00e3o \u00e0 Sa\u00fade e outras estrat\u00e9gias da SAS","year":"2014"},{"key":"ref6","series-title":"Guia de vigil\u00e2ncia epidemiol\u00f3gica do \u00f3bito materno.","year":"2009"},{"key":"ref7","article-title":"Portaria n\u00ba 1.119, de 5 de junho de 2008. 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