Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol

he sustained reduction in maternal mortality in America underlines the need to analyse women who survived a complication that could have been fatal if appropriate and timely care had not been taken. Analysis of maternal near-miss (MNM) cases, as well as potentially life-threatening conditions (PLTC)...

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Main Author: Serruya, Suzanne J. (author)
Other Authors: de Mucio, Bremen (author), Sosa, Claudio (author), Colomar, Mercedes (author), Durán, Pablo (author), Gomez Ponce de Leon, Rodolfo (author), Aleman, Alicia (author), Luz, Adriana G. (author), Souza, Renato T. (author), Costa, María L. (author), Cecatti, José G. (author)
Format: article
Language:English
Published: 2023
Subjects:
Online Access:https://hdl.handle.net/20.500.12008/54031
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author Serruya, Suzanne J.
author2 de Mucio, Bremen
Sosa, Claudio
Colomar, Mercedes
Durán, Pablo
Gomez Ponce de Leon, Rodolfo
Aleman, Alicia
Luz, Adriana G.
Souza, Renato T.
Costa, María L.
Cecatti, José G.
author2_role author
author
author
author
author
author
author
author
author
author
author_browse Aleman, Alicia
Cecatti, José G.
Colomar, Mercedes
Costa, María L.
Durán, Pablo
Gomez Ponce de Leon, Rodolfo
Luz, Adriana G.
Serruya, Suzanne J.
Sosa, Claudio
Souza, Renato T.
de Mucio, Bremen
author_facet Serruya, Suzanne J.
de Mucio, Bremen
Sosa, Claudio
Colomar, Mercedes
Durán, Pablo
Gomez Ponce de Leon, Rodolfo
Aleman, Alicia
Luz, Adriana G.
Souza, Renato T.
Costa, María L.
Cecatti, José G.
author_role author
collection COLIBRI
dc.contributor.none.fl_str_mv Serruya Suzanne J., Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
de Mucio Bremen, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
Sosa Claudio, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
Colomar Mercedes, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
Durán Pablo, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
Gomez Ponce de Leon Rodolfo, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductiva
Aleman Alicia, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Medicina Social y Preventiva
Luz Adriana G., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e Ginecologia
Souza Renato T., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e Ginecologia
Costa María L., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e Ginecologia
Cecatti José G., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e Ginecologia
dc.coverage.none.fl_str_mv AMÉRICA LATINA
CARIBE
dc.creator.none.fl_str_mv Serruya, Suzanne J.
de Mucio, Bremen
Sosa, Claudio
Colomar, Mercedes
Durán, Pablo
Gomez Ponce de Leon, Rodolfo
Aleman, Alicia
Luz, Adriana G.
Souza, Renato T.
Costa, María L.
Cecatti, José G.
dc.date.none.fl_str_mv 2023
2026-03-23T13:19:17Z
2026-03-23T13:19:17Z
dc.format.none.fl_str_mv 7 p.
application/pdf
dc.identifier.none.fl_str_mv Serruya S, de Mucio B, Sosa C y otros. Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol. Global Health Action [en línea]. 2023;16(1). 7 p.
https://hdl.handle.net/20.500.12008/54031
1654-9880
dc.language.none.fl_str_mv en
eng
dc.publisher.none.fl_str_mv Taylor and Francis Group
dc.relation.none.fl_str_mv Global Health Action. 2023;16(1)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
Licencia Creative Commons Atribución (CC - By 4.0)
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.none.fl_str_mv Severe maternal morbidity
Maternal near-miss
Maternal mortality
Potentially life-threatening conditions
Latin America and the Caribbean
EPIDEMIOLOGÍA
ESTUDIOS TRANSVERSALES
MUJERES
MATERNIDADES
HOSPITALES
MORTALIDAD MATERNA
EMBARAZO
ESTUDIOS MULTICÉNTRICOS COMO ASUNTO
dc.title.none.fl_str_mv Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
dc.type.none.fl_str_mv Artículo
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
description he sustained reduction in maternal mortality in America underlines the need to analyse women who survived a complication that could have been fatal if appropriate and timely care had not been taken. Analysis of maternal near-miss (MNM) cases, as well as potentially life-threatening conditions (PLTC), are considered indicators for monitoring the quality of maternal care. The specific objective of this study protocol is to develop a surveillance system for PLTC, MNM and maternal mortality, as primary outcomes, in Latin American and Caribbean maternal healthcare institutions. Secondarily, the study was designed to identify factors associated with these conditions and estimate how often key evidence-based interventions were used for managing severe maternal morbidity. This is a multicenter cross-sectional study with prospective data collection. The target population consists of all women admitted to health centres participating in the network during pregnancy, childbirth, or the postpartum period. Variables describing the sequence of events that may result in a PLTC, MNM or maternal death are recorded. Relevant quality control is carried out to ensure the quality of the database and confidentiality. Centres with approximately 2,500 annual deliveries will be included to achieve a sufficient number of cases for calculation of indicators. The frequency of outcome measures for PLTC, MNM and maternal mortality and their confidence intervals and differences between groups will be calculated using the most appropriate statistical tests. Similar procedures will be performed with variables describing the use of evidence-based practices. Networking creates additional possibilities for global information management and interaction between different research groups. Lessons can be learned and shared, generating scientific knowledge to address relevant health problems throughout the region with provision of efficient data management.
eu_rights_str_mv openAccess
format article
id anni_0bb7d3af9ceb67c367ec4c3fa2efd090
identifier_str_mv Serruya S, de Mucio B, Sosa C y otros. Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol. Global Health Action [en línea]. 2023;16(1). 7 p.
1654-9880
instacron_str Universidad de la República
institution Universidad de la República
instname_str Universidad de la República
language eng
language_invalid_str_mv en
network_acronym_str anni
network_name_str oai-lr-anni
oai_identifier_str oai:colibri.udelar.edu.uy:20.500.12008/54031
publishDate 2023
publishDateSort 2023
publisher.none.fl_str_mv Taylor and Francis Group
reponame_str COLIBRI
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
spelling Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocolSerruya, Suzanne J.de Mucio, BremenSosa, ClaudioColomar, MercedesDurán, PabloGomez Ponce de Leon, RodolfoAleman, AliciaLuz, Adriana G.Souza, Renato T.Costa, María L.Cecatti, José G.Severe maternal morbidityMaternal near-missMaternal mortalityPotentially life-threatening conditionsLatin America and the CaribbeanEPIDEMIOLOGÍAESTUDIOS TRANSVERSALESMUJERESMATERNIDADESHOSPITALESMORTALIDAD MATERNAEMBARAZOESTUDIOS MULTICÉNTRICOS COMO ASUNTOhe sustained reduction in maternal mortality in America underlines the need to analyse women who survived a complication that could have been fatal if appropriate and timely care had not been taken. Analysis of maternal near-miss (MNM) cases, as well as potentially life-threatening conditions (PLTC), are considered indicators for monitoring the quality of maternal care. The specific objective of this study protocol is to develop a surveillance system for PLTC, MNM and maternal mortality, as primary outcomes, in Latin American and Caribbean maternal healthcare institutions. Secondarily, the study was designed to identify factors associated with these conditions and estimate how often key evidence-based interventions were used for managing severe maternal morbidity. This is a multicenter cross-sectional study with prospective data collection. The target population consists of all women admitted to health centres participating in the network during pregnancy, childbirth, or the postpartum period. Variables describing the sequence of events that may result in a PLTC, MNM or maternal death are recorded. Relevant quality control is carried out to ensure the quality of the database and confidentiality. Centres with approximately 2,500 annual deliveries will be included to achieve a sufficient number of cases for calculation of indicators. The frequency of outcome measures for PLTC, MNM and maternal mortality and their confidence intervals and differences between groups will be calculated using the most appropriate statistical tests. Similar procedures will be performed with variables describing the use of evidence-based practices. Networking creates additional possibilities for global information management and interaction between different research groups. Lessons can be learned and shared, generating scientific knowledge to address relevant health problems throughout the region with provision of efficient data management.Taylor and Francis GroupSerruya Suzanne J., Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud Reproductivade Mucio Bremen, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud ReproductivaSosa Claudio, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud ReproductivaColomar Mercedes, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud ReproductivaDurán Pablo, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud ReproductivaGomez Ponce de Leon Rodolfo, Organización Panamericana de la Salud (Uruguay). Centro Latinoamericano de Perinatología, Salud de la Mujer y Salud ReproductivaAleman Alicia, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Medicina Social y PreventivaLuz Adriana G., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e GinecologiaSouza Renato T., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e GinecologiaCosta María L., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e GinecologiaCecatti José G., Universidad Estadual de Campinas (Brasil). Departamento de Obstetrícia e Ginecologia2026-03-23T13:19:17Z2026-03-23T13:19:17Z2023Artículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion7 p.application/pdfSerruya S, de Mucio B, Sosa C y otros. Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol. Global Health Action [en línea]. 2023;16(1). 7 p.https://hdl.handle.net/20.500.12008/540311654-9880reponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaenengGlobal Health Action. 2023;16(1)AMÉRICA LATINACARIBELas obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)oai:colibri.udelar.edu.uy:20.500.12008/540312026-04-14T10:28:28Z
spellingShingle Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
Serruya, Suzanne J.
Severe maternal morbidity
Maternal near-miss
Maternal mortality
Potentially life-threatening conditions
Latin America and the Caribbean
EPIDEMIOLOGÍA
ESTUDIOS TRANSVERSALES
MUJERES
MATERNIDADES
HOSPITALES
MORTALIDAD MATERNA
EMBARAZO
ESTUDIOS MULTICÉNTRICOS COMO ASUNTO
status_str publishedVersion
title Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
title_full Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
title_fullStr Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
title_full_unstemmed Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
title_short Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
title_sort Surveillance of severe maternal morbidity and maternal mortality in maternity hospitals of the Latin American and Caribbean network - Red CLAP: study protocol
topic Severe maternal morbidity
Maternal near-miss
Maternal mortality
Potentially life-threatening conditions
Latin America and the Caribbean
EPIDEMIOLOGÍA
ESTUDIOS TRANSVERSALES
MUJERES
MATERNIDADES
HOSPITALES
MORTALIDAD MATERNA
EMBARAZO
ESTUDIOS MULTICÉNTRICOS COMO ASUNTO
url https://hdl.handle.net/20.500.12008/54031