Multiple pregnancy: epidemiology and association with maternal and perinatal morbidity

sem informaçãoTwin pregnancy accounts for 2 to 4% of total births, with a prevalence ranging from 0.9 to 2.4% in Brazil. It is associated with worse maternal and perinatal outcomes. Many conditions, such as severe maternal morbidity (SMM) (potentially life-threatening409554562sem informaçãosem informaçãosem informaçã

A novel body mass index reference range: an observational study

FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPTo generate a new body mass index curve of reference values and ranges for body mass index and weight gain during pregnancy and to compare the new curve and weight gain ranges with the currently used references. METHODS: A prospective observational study7211698707FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPsem informaçã

Twin pregnancy in brazil: a profile analysis exploring population information from the national birth e-registry on live births

sem informaçãoBirth records as SINASC (Brazilian Live Birth Information System) are highlighted in uncommon conditions such as twin pregnancy whose prevalence rarely exceeds 2 to 3% of the total number of births. The objective of this study was to assess the prevalence110sem informaçãosem informaçãosem informaçã

Potential drug interactions and drug risk during pregnancy and breastfeeding: an observational study in a women's health intensive care unit

FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPCONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQIntroduction In the pregnancy-puerperal cycle, women may develop complications that require admission to the Intensive Care Unit (ICU). Thus, special attention to pharmacotherapy is necessary, particularly to potential drug interactions (PDIs) and to the396258264FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPCONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESPCONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQsem informaçãosem informaçãoThe researchers would like to thank the multidisciplin ary team of the ICU, the pharmacy staff of the hospital, and the authors, for their support and collaboration during the research. Financial support from student fellowships was provided by Fundaçã

Maternal Age: Perinatal Outcomes And Mode Of Delivery [iaidade Materna: Resultados Perinatais E Via De Parto]

[No abstract available]317321325Callaghan, W.M., Berg, C.J., Pregnancy-related mortality among women aged 35 years and older, United States, 1991-1997 (2003) Obstet Gynecol, 102 (5 PART 1), pp. 1015-21Chang, J., Elam-Evans, L.D., Berg, C.J., Herndon, J., Flowers, L., Seed, K.A., Pregnancy-related mortality surveillance-United States 1991-1999 (2003) MMWR Surveill Summ, 52 (2), pp. 1-8(2009), http://www.who.int/making_pregnancy_safer/topics/adolescent_pregnancy, World Health Organization (WHO). Adolescent pregnancy [Internet]. Geneva: WHO, [cited 2009 Jan 20]. Available from(2005), http://www.ibge.gov.br/home/estatistica/populacao, Instituto Brasileiro de Geografia e Estatística (IBGE), Estimativas de população [Internet]. Rio de Janeiro: IBGE, [citado 2009 Fev 11]. Disponível emPinto e Silva, J.L., Bahamondes, L., Reprodução assistida como causa de morbidade materna e perinatal (2005) Rev Bras Ginecol Obstet, 27 (12), pp. 759-67Fretts, R.C., (2009) Effect of advanced age on fertility and pregnancy in women, , uptodate.com/patients/content/topic.do?topicKey=~kEI9dCJoVmsomVg#1, [Internet], [cited 2009 Jan 18]. Available fromBelo, M.A.V., Pinto e Silva, J.L., Conhecimento, atitude e prática sobre métodos anticoncepcionais entre adolescentes gestantes (2004) Rev Saúde Pública, 38 (4), pp. 479-87Pinto e Silva, J.L., Pregnancy during adolescence: Wanted vs. unwanted (1998) Int Gynaecol Obstet., 63 (SUPPL. 1), pp. S151-6Hassold, T., Chiu, D., Maternal age-specific rates of numerical chromosome abnormalities with special reference to trisomy (1985) Hum Genet, 70 (1), pp. 11-7Nybo Andersen, A., Wohlfahrt, J., Christens, P., Olsen, J., Melbye, M., Maternal age and fetal loss: Population based register linkage study (2000) BMJ, 320 (7251), pp. 1708-12Cleary-Goldman, J., Malone, F.D., Vidaver, J., Ball, R.H., Nyberg, D.A., Comstock, C.H., Impact of patient age on obstetric outcome (2005) Obstet Gynecol, 105 (5 PART 1), pp. 983-90Metropolitan Atlanta Congenital Defects Program, , http://www.cdc.gov/ncbddd/factsheets/macdp.pdf, Centers for Disease Control and Prevention (CDCC), [Internet], [cited 2009 Mar 7]. Available fromLuke, B., Brown, M.B., Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age (2007) Hum Reprod, 22 (5), pp. 1264-72Laurenti, R., Buchalla, C.M., Lólio, C.A., Santo, A.H., Mello Jorge, M.H.P., Mortalidade de mulheres em idade fértil no Município de São Paulo, 1986. II- Mortes por causas maternas (1990) Rev Saúde Pública, 24 (6), pp. 468-72Gilbert, W.M., Nesbitt, T.S., Danielsen, B., Childbearing beyond age 40: Pregnancy outcome in 24,032 cases (1999) Obstet Gynecol, 93 (1), pp. 9-14Chacko, M.R., (2009) Pregnancy in adolescents, , http://www.uptodate.com, [Internet], [cited 2009 Jan 20], Available fromBateman, B.T., Simpson, L.L., Higher rate of stillbirth at the extremes of reproductive age: A large nationwide sample of deliveries in the United States (2006) Am J Obstet Gynecol, 194 (3), pp. 840-5Reddy, U.M., Ko, C.W., Willinger, M., Maternal age and the risk of stillbirth throughout pregnancy in the United States (2006) Am J Obstet Gynecol, 195 (3), pp. 764-70Lin, H.C., Sheen, T.C., Tang, C.H., Kao, S., Association between maternal age and the likelihood of a cesarean section: A population-based multivariate logistic regression analysis (2004) Acta Obstet Gynecol Scand, 83 (12), pp. 1178-83Gareen, I.F., Morgenstern, H., Greenland, S., Gifford, D.S., Explaining the association of maternal age with Cesarean delivery for nulliparous and parous women (2003) J Clin Epidemiol, 56 (11), pp. 1100-10Santos, G.L.N., Martins, M.G., Sousa, M.S., Batalha, S.J.C., Impacto da idade materna sobre os resultados perinatais e via de parto (2009) Rev Bras Ginecol Obstet, 31 (7), pp. 326-34(2003) The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, , http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.pdf, National High Blood Pressure Education Program, [Internet]. Bethesda, [cited 2009 Feb 11]. Available from(2004) Diagnosis and classification of diabetes mellitus, 27 (SUPPL. 1), pp. S5-10. , American Diabetes Association, Diabetes CareCarvacho, I.E., Pinto e Silva, J.L., Mello, M.B., Conhecimento de adolescentes grávidas sobre anatomia e fisiologia da reprodução (2008) Rev Assoc Med Bras, 54 (1), pp. 29-35Carvacho, I.E., Mello, M.B., Morais, S.S., Pinto e Silva, J.L., Fatores associados ao acesso anterior à gestação a serviços de saúde por adolescents gestantes (2008) Rev Saúde Pública, 42 (5), pp. 886-9

The impact of proteinuria on maternal and perinatal outcomes among women with pre-eclampsia

sem informaçãoTo assess the impact of proteinuria on pregnancy outcomes among women with pre-eclampsia. Methods: The present retrospective cohort study included patients with pre-eclampsia who delivered at a referral maternity hospital in Brazil between January 1, 20091431101107sem informaçãosem informaçãosem informaçã

Physical Exercise, Weight Gain, And Perinatal Outcomes In Overweight And Obese Pregnant Women: A Systematic Review Of Clinical Trials [exercício Físico No Ganho De Peso E Resultados Perinatais Em Gestantes Com Sobrepeso E Obesidade: Uma Revisão Sistemática De Ensaios Clínicos]

This study aimed to evaluate the effects of exercise on weight gain and perinatal outcomes among overweight and obese pregnant women, through a systematic review in MEDLINE/ PubMed, EMBASE, LILACS, and SciELO. We included ten clinical trials that evaluated the effectiveness of exercise with or without combined diet in the control of gestational weight gain. Three studies were randomized, and methodological quality was assessed using the CONSORT 2010 Checklist, but none met all the criteria. Four studies showed weight gain differences between groups. The majority (60%) of studies showed no differences in perinatal outcomes (mode of delivery, gestational age at birth, birth weight). In conclusion, few studies confirmed the positive effect of exercise in controlling weight gain during pregnancy, thus requiring more research in this direction. Regarding perinatal outcomes, mild to moderate exercise does not appear to be decisive for perinatal outcomes, and is safe for pregnant women with overweight and obesity.273407416(2002) Diet Nutrition and Prevention Diseases, , World Health Organization, Report of Joint WHO/FAO Expert Consultation. Geneva: World Health Organization, WHO Technical Report Series, 916Guelinckx, I., Devlieger, R., Beckers, K., Vansant, G., Maternal obesity: Pregnancy complications, gestational weight gain and nutrition (2008) Obes Rev, 9, pp. 140-150Nucci, L.B., Schmidt, M.I., Duncan, B.B., Fuchs, S.C., Fleck, E.T., Britto, M.M., Nutritional status of pregnant women: Prevalence and associated pregnancy outcomes (2001) Rev Saúde Pública, 35, pp. 502-507(1990) Nutrition During Pregnancy, , Institute of Medicine, Washington DC: National Academic PressHall, L.F., Neubert, A.G., Obesity and pregnancy (2005) Obstet Gynecol Surv, 60, pp. 253-260Rouse, D.J., Nuthalapaty, F.S., (2007) The Impact of Obesity On Fertility and Pregnancy, , http://www.uptodate.com, UpToDate, acessado em 20/Mar/2010Li, R., Jewell, S., Grummer-Strawn, L., Maternal obesity and breast-feeding practices (2003) Am J Clin Nutr, 77, pp. 931-936Catalano, P.M., Obesity and pregnancy: The propagation a vicious cicle? (2003) J Clin Endocrinol Metab, 88, pp. 3505-3506Catalano, P.M., Ehrenberg, H.M., The short- and long-term implications of maternal obesity on the mother and her offspring (2006) BJOG, 113, pp. 1126-1133Stothard, K.J., Tennant, P.W., Bell, R., Rankin, J., Maternal overweight and obesity and the risk of congenital anomalies: A systematic review and meta-analysis (2009) JAMA, 301, pp. 636-650Lacoursiere, D.Y., Bloebaum, L., Duncam, J.D., Vaner, M.W., Population-based trends and correlation of maternal overweight and obesity, Utah 1991-2001 (2005) Am J Obstet Gynecol, 192, pp. 832-839(1996) Physical Activity and Health: A Report of the Surgeon General Executive Summary, , United States Department of Health and Human Services/Centers for Disease Control and Prevention/ National Center for Chronic Disease Prevention and Health Promotion/President's Council on Physical Fitness and Sports, Atlanta: National Center for Chronic Disease Prevention and Health PromotionCaspersen, C.J., Powell, K.E., Christenson, G.M., Physical active, exercise and physical fitness: Definition and distinction for health-related research (1985) Public Health Rep, 100, pp. 126-131Weissgerber, T.L., Wolfe, L.A., Davies, G.A., Mottola, M.F., Exercise in the prevention and treatment of maternal- fetal disease: A review of the literature (2007) Appl Physiol Nutr Metab, 31, pp. 661-6674O'Toole, M.L., Sawicki, M.A., Artal, R., Structured diet and physical activity prevent postpartum weight retention (2003) J Women's Health, 12, pp. 991-998Polley, B.A., Wing, R.R., Sims, C.J., Randomized controlled trial to prevent excessive weight gain in pregnant women (2002) Int J Obesity, 26, pp. 1494-1502Schulz, K.F., Altman, D.G., Moher, D., CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials (2010) Ann Int Med, 152, pp. 726-732. , CONSORT GroupMoher, D., Liberati, A., Tetzlaff, J., Altman, D.G., Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement (2009) BMJ, 339, pp. b2535. , PRISMA GroupClaesson, I.-M., Sydsjo, G., Brynhildsen, J., Cedergren, M., Jeppsson, A., Nistron, F., Weight gain restriction for obese pregnant women: A case-control intervention study (2008) BJOG, 115, pp. 11-50Artral, R., Catazaro, R.B., Gavard, J.A., Mostello, D.J., Friganza, J.C., A lifestyle intervention of weight-gain restriction: Diet and exercise in obese women with gestational diabetes mellitus (2007) Appl Physiol Nutr Metab, 32, pp. 596-601Mottola, M.F., Giroux, I., Gratton, R., Hammond, J., Hanley, A., Harris, S., Nutrition and exercise prevent excess weight gain in overweight pregnant women (2010) Med Sci Sports Exerc, 42, pp. 265-272Asbee, S.M., Jenkins, T.R., Butler, J.R., White, J., Elliot, M., Rutledge, A., Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: A randomized controlled trial (2009) Obstet Gynecol, 113 (1-2 PART 1), pp. 305-312Kinnunen, T.I., Pasanen, M., Fogelholm, M., Hilakivi-Clarke, L., Weiderpass, E., Luoto, R., Preventing excessive weight gain during pregnancy: A controlled trial in primary health care (2007) Eur J Clin Nutr, 61, pp. 884-891Olson, C.M., Strawderman, M.S., Reed, R.G., Efficacy of an intervention to prevent excessive gestational weight gain (2004) Am J Obstet Gynecol, 191, pp. 530-536Gray-Donald, K., Robinson, E., Collier, A., David, K., Renaud, L., Rodrigues, S., Intervening to reduce weight gain in pregnancy and gestational diabetes mellitus in Cree communities: An evaluation (2000) CMAJ, 163, pp. 1247-1251Santos, I.A., Stein, R., Fuchs, S.C., Duncan, B.B., Ribeiro, J., Koeff, L.R., Aerobic exercise and submaximal functional capacity in overweight pregnant women: A randomized trial (2005) Obstet Gynecol, 106, pp. 243-249Davenport, M.H., Mottola, M.F., McManus, R., Gratton, R., A walking intervention improes capillary glucose control in women with gestational diabetes mellitus: A pilot study (2008) Appl Physiol Nutr Metab, 33, pp. 511-517ACOG Committee opinion. Number 267, January 2002: Exercise during pregnancy and the postpartum period (2002) Obstet Gynecol, 99, pp. 171-173. , ACOG Committee Obstetric PracticeWolfe, A.L., Davies, L.A.G., Canadian guidelines for exercise in pregnancy (2003) Clin Obstet Gynecol, 46, pp. 488-493Dempsey, C.J., Butler, L.C., Williams, A.M., No need for a pregnant pause: Physical activity may reduce the occurrence of gestational diabetes mellitus and pre-eclampsia (2005) Exerc Sport Sci Rev, 33, pp. 141-149Clapp, J.F., Exercise and pregnancy: A clinical update (2000) Clin Sports Med, 19, pp. 273-286Arena, B., Maffulli, N., Exercise in pregnancy: How safe is it? (2002) Sports Medicine & Arthroscopy Review, 10, pp. 15-22Domingues, M.R., Barros, A.J.D., Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study (2007) Rev Saúde Pública, 41, pp. 173-180Devenport, M.H., Steinback, C.D., Mottola, M.F., Impact of pregnancy and obesity on cardiorespiratory responses during weight-bearing exercise (2009) Respir Physiol Neurobiol, 167, pp. 341-347Hulens, M., Vansanst, G., Claessens, A.L., Lysens, R., Muls, E., Rezewinick, R., Health-related quality of life in physically active and sedentary obese women (2002) Am J Hum Biol, 14, pp. 777-785Mogren, I., Pohjanen, A., Low back pain and pelvic pain during pregnancy: Prevalence and risk factors (2005) Spine (Phila Pa 1976), (30), pp. 983-991Mogren, I.M., BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy (2006) Eur Spine J, 15, pp. 1093-1102Cedergren, M.I., Effects of gestacional weight gain and body mass index on obstetric outcomes in Sweden (2006) Int J Gynecol Obstet, 93, pp. 269-274Rae, A., Bond, D., Evans, S.F., North, F., Roberman, B., Walters, B., A randomized controlled trial of dietary energy restrictionin management of obese women with gestacional diabetes (2000) Aust N Z J Obstet Gynaecol, 40, pp. 416-422Crowther, C.A., Hiller, J.E., Moss, J.R., McPhee, A.J., Jeffries, W.S., Robinson, J.S., Effect of treatment of gestacional diabets mellitus on pregnancy outcomes (2005) N Eng J Med, 352, pp. 2477-2486Brawarsky, P., Stoland, N.E., Jackson, R.A., Fuentes-Afflick, E., Escobar, G.J., Rubashkin, N., Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain (2005) Int J Gynaecol Obstet, 91, pp. 125-131Weight Gain During Pregnancy: Reexamining the Guidelines, , http://www.iom.edu/pregnancyweightgain, Institute of Medicine, acessado em 10/Mai/2010Galtier-Dereure, F., Boegner, C., Bringer, J., Obesity and pregnancy: Complications and cost (2000) Am J Clin Nutr, 71 (5 SUPPL.), pp. 1242S-1248SSeligman, L.C., Duncan, B.B., Branchtein, L., Gaio, D.S.M., Mengue, S.S., Schmidt, M.I., Obesity and gestational weight gain: Cesarean delivery and labor complications (2006) Rev Saúde Pública, 40, pp. 457-465Bianco, A.T., Smilen, S.W., Davis, Y., Lopez, S., Lapinski, R., Lockwood, C.J., Pregnancy outcome and weight gain recommendations for the morbidly obese woman (1998) Obstet Gynecol, 91, pp. 97-10

Comparison Of Two Methods For The Investigation Of Maternal Mortality In A Municipality Of The Brazilian Southeast [comparação Entre Dois Métodos Para Investigação Da Mortalidade Materna Em Município Do Sudeste Brasileiro]

Purpose: To compare maternal death data from the National Death Information System (DIS), with a death survey of 10 to 49 year-old women at reproductive age (RAMOS), in order to identify sub-notification and to search for causes of maternal death (MD) from 1999 to 2006. Methods: Population based temporal series taken from death certificate (DC) information from Fundação Sistema Estadual de Análise de Dados (SEADE) database, with the death causes codified by the International Classification of Diseases (ICD), tenth revision, and the number of born alive babies (BA). Death was categorized into declared, presumptive MD and non-maternal. The identification of cases was done from a list with both the birth and death dates in the municipal morgues, and further information was obtained in the epidemiological sector of the Municipal Committee of Surveillance of Maternal Death (MCSMD). Information on MD was raised in the DIS. Sub-notification rates in cases of declared and non-declared MD were identified, maternal official death rates (MDR) and the adjusted factor for the period were calculated and corrected, and MD cases were reviewed and classified. Results: Twelve MD were identified, six of them declared and six non-declared. Sub-notification rate was 50%, giving an adjusting factor equal to 2. The official MDR was 14.7 and the corrected one was 29.4 deaths by 100,000 born alive. In most of the cases, the basic causes of death were mistaken. Direct obstetric causes were more prevalent, among them eclampsia and HELLP syndrome, followed by infections. Conclusions: Political and administrative measures are needed for the effective action of MD survey committees. The prevalence of direct obstetric causes indicates failures in maternal and perinatal care.3111559565(2009) The World Bank Group. Millenium Development Goals, , http://ddp-ext.worldbank.org/ext/ddpreports/ViewSharedReport?REPORT_ID=1336&REQUEST_TYPE=VIEWADVANCED, [document on the Internet], [cited 2009 Jul 17], Available fromHill, K., Thomas, K., Abouzahr, C., Walker, N., Say, L., Inoue, M., Estimates of maternal mortality worldwide between 1990 and 2005: An assessment of available data (2007) Lancet, 370 (9595), pp. 1311-1319Laurenti, R., de Mello Jorge, M.H., Gotlieb, S.L.D., A mortalidade maternal nas capitais brasileiras: Algumas características e estimativa de um fator de ajuste (2004) Rev Bras Epidemiol., 7 (4), pp. 449-460Parpinelli, M.A., Faúndes, A., Surita, F.G.C., Pereira, B.G., Cecatti, J.G., Mortalidade materna na cidade de Campinas, no período de 1992 a 1994 (1999) Rev Bras Ginecol Obstet., 21 (4), pp. 227-232Vega, C.E., Kahhale, S., Zugaib, M., Maternal mortality due to arterial hypertension in São Paulo City (1995-1999) (2007) Clinics, 62 (6), pp. 679-684Bouvier-Colle, M.H., Varnoux, N., Costes, P., Hatton, F., Reasons for the underreporting of maternal mortality in France, as indicated by a survey of all deaths of women of childbearing age (1991) Int J Epidemiol., 20 (3), pp. 717-721(2007), Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Manual dos Comitês de mortalidade materna. 3a ed. Brasília, DF: Ministério da SaúdeKhan, K.S., Wojdyla, D., Say, L., Gülmezoglu, A.M., van Look, P.F., WHO analysis of causes of maternal death: A systematic review (2006) Lancet, 367 (9516), pp. 1066-1074(2006) Relatório Final, , Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Estudo da mortalidade de mulheres de 10 a 49 anos, com ênfase na mortalidade materna, Brasília: Ministério da Saúdehttp://ibge.gov.br/home/estatistica/populacao/contagem2007, Instituto Brasileiro de Geografia e Estatística. Contagem da população, [documento da Internet]. 2007 [citado 12 out 2009]. Disponível emAmorim Filho, O., Serra, R.V., (2001) Evolução E Perspectivas Do Papel Das Cidades Médias No Planejamento Urbano E Regional, pp. 1-34. , In: Andrade TA, Serra RV, organizadores. Cidades médias brasileiras. Rio de Janeiro: IPEAMaia, P.B., Campanário, P.A., Mortalidade por causas no Estado de São Paulo no período 1980-1992 (1994) Fundação Sistema Estadual De Análise De Dados, pp. 3-40. , Mortalidade e sobrevivência no Estado de São Paulo [Informe Demográfico, 26]. São Paulo: Fundação SEADEClassificação Estatística Internacional De Doenças E Problemas Relacionados À Saúde: Cid:10. 10a Revisão, , Organização Mundial de Saúde (OMS), São Paulo: Centro Colaborador da OMS para a Classificação de Doenças em Português/EDUSP;1995(2007) Sistema De Informação Sobre Mortalidade (sim) [base De Dados Da Internet], , http://www.datasus.gov.br/catalogo/sim.htm, Ministério da Saúde. DATASUS, [citado 1 out 2007]. Disponível em:Mello Jorge, M.H.P., Laurenti, R., Gotlieb, S.L.D., Análise da qualidade das estatísticas vitais brasileiras: A experiência de implantação do SIM e do SINASC (2007) Cienc Saúde Coletiva, 12 (3), pp. 643-654Pattinson, R.C., Bergh, A.M., Implementing recommendations arising from confidential enquiries into maternal deaths (2008) Best Pract Res Clin Obstet Gynaecol., 22 (3), pp. 477-487Drife, J., Maternal mortality in well-resourced countries: Is there still a need for confidential enquiries? (2008) Best Pract Res Clin Obstet Gynaecol., 22 (3), pp. 501-515Laurenti, R., Mello Jorge, M.H.P., Gotlieb, S.L.D., Informação em mortalidade: O uso das regras internacionais para a seleção da causa básica (2009) Rev Bras Epidemiol., 12 (2), pp. 195-203Alencar Júnior, C.A., Os elevados índices de mortalidade maternal no Brasil: Razões para sua permanência (2006) Rev Bras Ginecol Obstet., 28 (7), pp. 377-379de Souza, J.P.D., Cecatti, J.G., Parpinelli, M.A., Fatores associados à gravidade da morbidade maternal na caracterização do near miss (2005) Rev Bras Ginecol Obstet., 27 (4), pp. 197-203McClure, E.M., Goldenberg, R.L., Bann, C.M., Maternal mortality, stillbirth and measures of obstetric care in developing and developed countries (2007) Int J Gynaecol Obstet., 96 (2), pp. 139-146Chang, J., Elam-Evans, L.D., Berg, C.J., Herndon, J., Flowers, L., Seed, K.A., Pregnancy related mortality surveillance: United States, 1991-1999 (2003) Mmwr Surveill Summ., 52 (2), pp. 1-8Oliveira Neto, A.F., Parpinelli, M.A., Cecatti, J.G., Souza, J.P., Sousa, M.H., Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity (2009) Int J Gynaecol Obstet., 105 (3), pp. 252-256Say, L., Souza, J.P., Pattinson, R.C., WHO working group on Maternal Mortality and Morbidity classifications. Maternal near miss - towards a standard tool for monitoring quality of maternal health care (2009) Best Pract Res Clin Obstet Gynaecol., 23 (3), pp. 287-29