I like this idea, but I'm having a hard time fully understanding how it works. Would you mind providing a bit more detail?
Is the network an online network, or a network of individuals that are located throughout the country (or both)? How does the network itself prevent maternal mortality? What are the key areas that need to be addressed in Brazil around maternal mortality?
In each center, we have 2 researchers, one named principal investigator and the other is the coordinator. They do daily review of all reports of discharged women, searching for near miss criteria or potencially life-threatening conditions. If woman fit the criteria, then data collection is done on a manual form. Afterward, data is entered in the electronic database. This database is web-based, and we use a free source platform named OpenClinica.
At this first step, we haven't focused on reduce maternal mortality, but the surveillence itself is generating this change of practice, by improving atention on health assistence and adequating procedures and management of health care.
We think we will be able to know wich are the main problems on maternal health in our country and then propose strategies to face of maternal mortality, mainly improving obstetrics emergency care.
In Brazil, north and northeast are the poorest, less developed regions, but we don't have official information of maternal death in these regions, due to poor coverage of the national information system in these places. Probably, the network results will give a better awareness of these numbers.
Could you give us some examples of the specific life-threatening conditions or criteria that would qualify a case for entering the database? Also, what are the current medical practices for women who fit these criteria?
Thanks for a great entry! We’re interested in learning more about what work has already been done on this kind of a database and how you plan on collaborating with other programs. Who are your specialists? Would you mind providing some more information on how you’re collecting this data? Also, could you provide a more in-depth discussion of how having this kind of a database could help develop specific strategies to reduce maternal health? It sounds like a great idea and we encourage you to filter your additional comments back into your entry form so that our team can better evaluate your submission. Thanks!
Severe Preeclampsia
Eclampsia
Severe hypertension
Hypertensive encephalopathy
HELLP syndrome
Blood transfusion
Central venous access
Hysterectomy
ICU admission
Intubation not related to anaesthetic procedure
Return to operating room
Major surgical intervention
Lactate > 5
PaO2/FiO2 < 200
pH < 7.1
Use of continuous vasoactive drug
Dialysis for treatment of acute kidney failure
Puerperal hysterectomy due to infection or hemorrhage
Cardiopulmonary resuscitation (CPR)
All of these conditions indicate danger or situations that can lead a women to death if appropriate care are missing. Identifying women with these conditions make possible the evaluation of health care process to avoid death.
This is a good idea but where exactly is this surveillance located? (Like in the hospitals or clinics or streets?) I am just a little confused on the specifics of how this works.
Thanks and good luck!
Comentários
I like this idea, but I'm having a hard time fully understanding how it works. Would you mind providing a bit more detail?
Is the network an online network, or a network of individuals that are located throughout the country (or both)? How does the network itself prevent maternal mortality? What are the key areas that need to be addressed in Brazil around maternal mortality?
In each center, we have 2 researchers, one named principal investigator and the other is the coordinator. They do daily review of all reports of discharged women, searching for near miss criteria or potencially life-threatening conditions. If woman fit the criteria, then data collection is done on a manual form. Afterward, data is entered in the electronic database. This database is web-based, and we use a free source platform named OpenClinica.
At this first step, we haven't focused on reduce maternal mortality, but the surveillence itself is generating this change of practice, by improving atention on health assistence and adequating procedures and management of health care.
We think we will be able to know wich are the main problems on maternal health in our country and then propose strategies to face of maternal mortality, mainly improving obstetrics emergency care.
In Brazil, north and northeast are the poorest, less developed regions, but we don't have official information of maternal death in these regions, due to poor coverage of the national information system in these places. Probably, the network results will give a better awareness of these numbers.
Could you give us some examples of the specific life-threatening conditions or criteria that would qualify a case for entering the database? Also, what are the current medical practices for women who fit these criteria?
Thanks for a great entry! We’re interested in learning more about what work has already been done on this kind of a database and how you plan on collaborating with other programs. Who are your specialists? Would you mind providing some more information on how you’re collecting this data? Also, could you provide a more in-depth discussion of how having this kind of a database could help develop specific strategies to reduce maternal health? It sounds like a great idea and we encourage you to filter your additional comments back into your entry form so that our team can better evaluate your submission. Thanks!
- Naveen Shakir, Ashoka’s Changemakers
Severe Preeclampsia
Eclampsia
Severe hypertension
Hypertensive encephalopathy
HELLP syndrome
Blood transfusion
Central venous access
Hysterectomy
ICU admission
Intubation not related to anaesthetic procedure
Return to operating room
Major surgical intervention
Lactate > 5
PaO2/FiO2 < 200
pH < 7.1
Use of continuous vasoactive drug
Dialysis for treatment of acute kidney failure
Puerperal hysterectomy due to infection or hemorrhage
Cardiopulmonary resuscitation (CPR)
All of these conditions indicate danger or situations that can lead a women to death if appropriate care are missing. Identifying women with these conditions make possible the evaluation of health care process to avoid death.
This is a good idea but where exactly is this surveillance located? (Like in the hospitals or clinics or streets?) I am just a little confused on the specifics of how this works.
Thanks and good luck!
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