BACKGROUND: To evaluate maternal @entity299 as a cause or complicating factor for severe morbidity in the setting of the Brazilian Network for Surveillance of Severe Maternal Morbidity. METHODS AND FINDINGS: Secondary data analysis of this multicenter cross-sectional study was implemented in 27 referral obstetric units in Brazil. From July 2009 to June 2010, a prospective surveillance was conducted among all delivery hospitalizations to identify cases of severe maternal morbidity (SMM), including Potentially Life-Threatening Conditions (PLTC) and Maternal Near Miss (MNM), using the new criteria established by the WHO. The variables studied included: sociodemographic characteristics, clinical and obstetric history of the @entity1 ; perinatal outcome and the occurrence of maternal outcomes (PLTC, MNM, @entity601 ) between groups of cardiac and non-cardiac @entity1 . Only heart conditions with hemodynamic impact characterizing severity of maternal morbidity were considered. 9555 @entity1 were included in the Network with severe @entity14422 : 770 maternal near miss cases and 140 maternal @entity204 cases. A total of 293 (3.6%) cases were related to @entity299 and the condition was known before pregnancy in 82.6% of cases. Maternal near miss occurred in 15% of @entity299 @entity1 (most due to clinical-surgical causes, p<0.001) and 7.7% of non-cardiac @entity1 ( @entity548 and @entity101 causes, p<0.001). @entity204 occurred in 4.8% of cardiac @entity1 and in 1.2% of non-cardiac @entity1 , respectively. CONCLUSIONS: In this study, @entity299 was significantly associated with a higher occurrence of severe maternal outcomes, including maternal @entity204 and maternal near miss, among @entity1 presenting with any severe maternal morbidity.

The Impact of XXXX during Pregnancy on Severe Maternal Morbidity and Mortality in Brazil.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertensive'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic'] @entity14422 :: ('MESH:D011248', 'Disease') :: ['pregnancy-related complications'] @entity601 :: ('MESH:D009436', 'Disease') :: ['MD'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac disease', 'heart disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Maternal death', 'death']
@entity299 :: (MESH:D006331,Disease) :: ['Cardiac Diseases']
