title: Severe maternal morbidity identified in the Hospital Information System of the Brazilian National Health System in Paraná State, Brazil, 2010.
abstract: to describe near miss maternal morbidity among women living in Paraná State, Brazil, in 2010.
  
  
  
  this was a descriptive study using Brazilian National Hospital Information System (SIH/SUS) data on all hospital admissions with primary diagnosis falling under Chapter XV of the International Statistical Classification of Diseases and Related Health Problems 10th Revision and/or with records of obstetric procedures indicative of near misses; three criteria were used to define severe maternal morbidity.
  
  
  
  4,890 admissions owing to near miss were identified, with a rate of 52.9 hospitalizations per 1,000 births, a rate of 69.8/1,000 among women aged 35-39 and a rate of 356.6/1,000 among women aged 44-49; the leading causes of hospitalization were preeclampsia (28.2%), haemorrhage (23.7%) and immune system dysfunction (14.0%).
  
  
  
  the results indicate the need to pay greater attention to women aged 35 and over since they had higher rates of near miss.
authors.affiliation: Centro Universitário Filadélfia, Departamento de Enfermagem, Londrina-PR, Brasil.
authors.forename: Thaíse Castanho da
authors.initials: TC
authors.lastname: Silva
authors.affiliation: Universidade do Estado do Paraná, Departamento de Enfermagem, Paranavaí-PR, Brasil.
authors.forename: Patrícia Louise Rodrigues
authors.initials: PL
authors.lastname: Varela
authors.affiliation: Universidade Estadual de Maringá, Programa de Pós-Graduação em Enfermagem, Maringá-PR, Brasil.
authors.forename: Rosana Rosseto de
authors.initials: RR
authors.lastname: Oliveira
authors.affiliation: Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá-PR, Brasil.
authors.forename: Thais Aidar de Freitas
authors.initials: TA
authors.lastname: Mathias
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D002648:Child; D005260:Female; D006751:Hospital Information Systems; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008423:Maternal Age; D008427:Maternal Health Services; D008428:Maternal Mortality; D008875:Middle Aged; D009035:Mothers / Q000706:statistics & numerical data*; D000067491:Near Miss, Healthcare / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D055815:Young Adult