title: The effect of maternal near miss on adverse infant nutritional outcomes.
abstract: To evaluate the association between self-reported maternal near miss and adverse nutritional status in children under one year of age.
  This study is a secondary analysis of a study in which women who took their children under one year of age to the national vaccine campaign were interviewed. The self-reported condition of maternal near miss used the criteria of Intensive Care Unit admission; eclampsia; blood transfusion and hysterectomy; and their potential associations with any type of nutritional disorder in children, including deficits in weight-for-age, deficits in height-for-age, obesity and breastfeeding. The rates of near miss for the country, regions and states were initially estimated. The relative risks of infant adverse nutritional status according to near miss and maternal/childbirth characteristics were estimated with their 95% CIs using bivariate and multiple analyses.
  The overall prevalence of near miss was 2.9% and was slightly higher for the Legal Amazon than for other regions. No significant associations were found with nutritional disorders in children. Only a 12% decrease in overall maternal breastfeeding was associated with near miss. Living in the countryside and child over 6 months of age increased the risk of altered nutritional status by approximately 15%, while female child gender decreased this risk by 30%. Maternal near miss was not associated with an increased risk of any alteration in infant nutritional status.
  There was no association between maternal near miss and altered nutritional status in children up to one year of age. The risk of infant adverse nutritional status was greater in women living in the countryside, for children over 6 months of age and for male gender.
authors.affiliation: University of Campinas, School of medicine, Department of Obstetrics and Gynecology, Campinas/SP, Brazil.
authors.forename: Dulce M
authors.initials: DM
authors.lastname: Zanardi
authors.affiliation: FIOCRUZ, National School of Public Health, Researcher scholarship, Rio de Janeiro/RJ, Brazil.
authors.forename: Erly C
authors.initials: EC
authors.lastname: Moura
authors.affiliation: University of Brasília, School of Health Sciences, Department of Public Health, Brasília/DF, Brazil.
authors.forename: Leonor P
authors.initials: LP
authors.lastname: Santos
authors.affiliation: FIOCRUZ, National School of Public Health, Rio de Janeiro/RJ, Brazil.
authors.forename: Maria C
authors.initials: MC
authors.lastname: Leal
authors.affiliation: University of Campinas, School of medicine, Department of Obstetrics and Gynecology, Campinas/SP, Brazil.
authors.forename: Jose G
authors.initials: JG
authors.lastname: Cecatti
mesh_terms: D000328:Adult; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D001942:Breast Feeding / Q000706:statistics & numerical data; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000453:epidemiology* / Q000209:etiology*; D007231:Infant, Newborn; D008297:Male; D000068097:Maternal Health / Q000706:statistics & numerical data*; D000067491:Near Miss, Healthcare / Q000706:statistics & numerical data*; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D018570:Risk Assessment; D012307:Risk Factors; D057566:Self Report; D012737:Sex Factors; D012959:Socioeconomic Factors; D055815:Young Adult