title: [Determinants of maternal near miss in an obstetric intensive care unit].
abstract: OBJECTIVE
  To evaluate the risk factors for morbidity and mortality in an obstetric intensive care unit at a university hospital.
  
  
  METHODS
  Observational cross-sectional study with 492 pregnant/puerperal women. Patients were admitted to the obstetric intensive care unit over a period of one year, being informed about the proposals of the study and a questionnaire was applied. The analysis was performed using Microsoft Excel 2013 and GraphPad Prism 6. To evaluate risk factors, χ2 tests were used.
  
  
  RESULTS
  The main risk factors to near miss were: non-white race (OR=2.5; PR=2.3); marital status (married women) (OR=7.9; PR=7.1), schooling (primary) (OR=3.1; PR=2.8), being from the countryside (OR=4.6; PR=4.0), low income (OR=70; PR=5.5), gestational hypertensive disorders (OR=16.3; PR=13.2), receiving prenatal care (OR=5.0; PR=4.254) and C-section before labor (OR=39.2; PR=31.2).
  
  
  CONCLUSIONS
  The prevalence of near miss was associated with socioeconomic/clinical factors and care issues, revealing the importance of interventions to improve these indicators. Additionally, we suggest a better curriculum insertion of this subject in the discipline of the medical course due to the importance of avoiding the near miss using adequate medical education. The importance of correct prenatal care is emphasized in order to identify potential risks, to provide nutritional support to pregnant women, to treat potential diseases and to establish a maternal immunization program, as well as providing better care regarding the clinical features of the patients, in order to reduce obstetrical and neonatal risk.
authors.affiliation: Departamento de Toco-Ginecologia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Maria Aparecida Cardoso
authors.initials: MA
authors.lastname: De Souza
authors.affiliation: Curso de Graduação em Medicina, Universidade Federal de Campina Grande, Campina Grande, PB, Brazil.
authors.forename: Tházio Henrique Soares Cardoso
authors.initials: TH
authors.lastname: De Souza
authors.affiliation: Departamento de Toco-Ginecologia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Ana Katherine Da Silveira
authors.initials: AK
authors.lastname: Gonçalves
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D000067491:Near Miss, Healthcare; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult