Evitabilidade e fatores determinantes do Near Miss materno: Scoping review

Abstract

Introduction: Maternal mortality and morbidity are indicators of the quality of healthcare provided in obstetrics and some adverse events can lead to some unfavorable outcomes for the patient and the fetus, as well as several interventions, which can lead to death. In 2009, WHO Mathernal Death and Dear-Miss Classifications, recommends the new classification system for causes of maternal deaths and near accidents, the “Near Miss Materno” (NMM), which is incorporated into the International Statistical Classification of Diseases and Related Health Problems (ICD), as a disease and also for maternal death certificates. Objective: to identify the determinants of maternal near miss and the recommendations for the avoidability of maternal morbidity and mortality during childbirth and birth. Method: This is a Scoping Review literature review, using the methodology of the Joanna Briggs Institute (JBI). Results: 585 scientific articles were found, after selection criteria, 26 articles were included in the Scoping Review Discussion: Direct causes of maternal mortality are related to complications in pregnancy, childbirth and the puerperium and the indirect causes are related to pre-existing diseases that worsen with physiological changes. Conclusion: The understanding of the determining factors (sociodemographic, clinical-obstetric and epidemiological), with the identification of the factors associated with cases of NMM can effectively contribute to the timely and resolutive interventions to be implemented and reduce the unfavorable rates, such as cases of maternal morbidity and mortality , in particular to developing countries.