Subsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy
Clinics
; 66(8): 1367-1372, 2011. tab
Article
in English
| LILACS
| ID: lil-598377
Responsible library:
BR1.1
ABSTRACT
OBJECTIVE:
To evaluate the long-term reproductive consequences that affect women who have experienced potentially life-threatening or life-threatening (near-miss) maternal complications.INTRODUCTION:
Although advances have been made in reducing maternal death, few studies have investigated the long-term repercussions of significant events such as severe maternal morbidity and maternal near-misses. These repercussions may be long-lasting and negatively affect quality of life.METHODS:
A total of 382 women who had experienced a potentially life-threatening pregnancy-related condition within the last five years were analyzed in this retrospective cohort study. A control group of 188 women who gave birth without complications was also included. Trained interviewers contacted the subjects by telephone and completed a pre-coded, structured questionnaire on reproductive health. Data were analyzed using odds ratios adjusted for age. The main outcome measures were occurrence and outcome of subsequent pregnancies.RESULTS:
The estimated risk of becoming infertile as a result of tubal ligation or hysterectomy was 3.5 times higher in women who experienced a maternal near-miss or severe maternal morbidity during the index pregnancy as compared to controls. Likewise, the risk of complications in subsequent pregnancies was five times greater in women who had experienced severe maternal morbidity. However, no differences were found in the occurrence or number of subsequent pregnancies or perinatal outcome.CONCLUSION:
The occurrence of a life-threatening or potentially life-threatening maternal condition reduces future reproductive potential and increases the risk of complications in subsequent pregnancies.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.1: Reduce maternal mortality
Database:
LILACS
Main subject:
Pregnancy Complications
/
Quality of Life
/
Pregnancy Outcome
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Qualitative research
/
Risk factors
Aspects:
Patient-preference
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2011
Document type:
Article
/
Project document
Affiliation country:
Brazil
Institution/Affiliation country:
Campinas Center for Studies in Reproductive Health/BR
/
University of Campinas/BR