Evidence map›Paper›PMID 31467877›Full record

ArticleBioMed research international2019

Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity.

K G Fernandes, M L Costa, S M Haddad, M A Parpinelli, M H Sousa, J G Cecatti, The Brazilian Network For Surveillance Of Severe Maternal Morbidity Study Group

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

K G FernandesDepartment of Obstetrics and Gynaecology, University of de Campinas (UNICAMP), School of Medicine, Campinas, São Paulo, Brazil.
M L CostaDepartment of Obstetrics and Gynaecology, University of de Campinas (UNICAMP), School of Medicine, Campinas, São Paulo, Brazil.
S M HaddadDepartment of Obstetrics and Gynaecology, University of de Campinas (UNICAMP), School of Medicine, Campinas, São Paulo, Brazil.
M A ParpinelliDepartment of Obstetrics and Gynaecology, University of de Campinas (UNICAMP), School of Medicine, Campinas, São Paulo, Brazil.ORCID 0000-0002-6000-9707
M H SousaJundiai School of Medicine, Jundiaí, São Paulo, Brazil.
J G CecattiDepartment of Obstetrics and Gynaecology, University of de Campinas (UNICAMP), School of Medicine, Campinas, São Paulo, Brazil.ORCID 0000-0003-1285-8445
The Brazilian Network For Surveillance Of Severe Maternal Morbidity Study GroupThe Coordinating Institution, The Obstetric Unit from the School of Medical Sciences, University of Campinas, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BRFaculdade de Medicina de Jundiaí · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Taking into account the probable role that race/skin color may have for determining outcomes in maternal health, the objective of this study was to assess whether maternal race/skin color is a predictor of severe maternal morbidity. Methods: This is a secondary analysis of the Brazilian Network for Surveillance of Severe Maternal Morbidity, a national multicenter cross-sectional study of 27 Brazilian referral maternity hospitals. A prospective surveillance was performed to identify cases of maternal death (MD), maternal near miss (MNM) events, and potentially life-threatening conditions (PLTC), according to standard WHO definition and criteria. Among 9,555 women with severe maternal morbidity, data on race/skin color was available for 7,139 women, who were further divided into two groups: 4,108 nonwhite women (2,253 black and 1,855 from other races/skin color) and 3,031 white women. Indicators of severe maternal morbidity according to WHO definition are shown by skin color group. Adjusted Prevalence Ratios (PR Results: Among 7,139 women with severe maternal morbidity evaluated, 90.5% were classified as PLTC, 8.5% as MNM, and 1.6% as MD. There was a significantly higher prevalence of MNM and MD among white women. MNMR (maternal near miss ratio) was 9.37 per thousand live births (LB). SMOR (severe maternal outcome ratio) was 11.08 per 1000 LB, and MMR (maternal mortality ratio) was 170.4 per 100,000 LB. Maternal mortality to maternal near miss ratio was 1 to 5.2, irrespective of maternal skin color. Hypertension, the main cause of maternal complications, affected mostly nonwhite women. Hemorrhage, the second more common cause of maternal complication, predominated among white women. Nonwhite skin color was associated with a reduced risk of SMO in multivariate analysis. Conclusion: Nonwhite skin color was associated with a lower risk for severe maternal outcomes. This result could be due to confounding factors linked to a high rate of Brazilian miscegenation.

Indexed as

Maternal MortalitySkin PigmentationAdolescentAdultBrazilFemaleHumansLive BirthPregnancyPregnancy ComplicationsPregnancy OutcomeWhite PeopleYoung Adult

Identifiers

PMID31467877
PMCPMC6699272
OpenAlexW2965833255

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.