Maternal near miss in a teaching hospital in the Brazilian Midwest: contributions to care

Abstract

Objective: To analyze cases of maternal near miss in a teaching hospital. Method: This is a cross-sectional study with a quantitative approach. The research was performed in a teaching hospital, in Mato Grosso do Sul, from June to December 2021. Data were collected from physical and electronic medical records, laboratory tests, and prenatal records, using a structured instrument. They were subsequently subjected to descriptive and inferential analysis in Epi Info 7.2.2.6. Results: Fifty-nine medical records were analyzed, 49 presenting potentially life-threatening condition and ten maternal near misses. Coming from inland cities of the state, gestational risk classification, bleeding and management disorders showed a significant association with maternal near miss. Conclusion: It becomes necessary to plan tracking actions, such as the implementation of a flow for identifying women with potentially life-threatening conditions, and the implementation of specific protocols with preventive key interventions and notification of maternal near miss, with a view to improving care and consequently reducing the risk of serious maternal outcomes.