Evidence map›Paper›PMID 37886828›Full record

ArticleGlobal health action2023

Neonatal outcomes according to different degrees of maternal morbidity: cross-sectional evidence from the Perinatal Information System (SIP) of the CLAP network.

Mercedes Colomar, Bremen de Mucio, Claudio Sosa, Rodolfo Gomez, Luis Mainero, Renato T Souza, Maria L Costa, Adriana G Luz, Maria H Sousa, Carmen M Cruz and 14 more

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

24 authors at 6 institutions in 4 countries.

Mercedes ColomarDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0001-7424-5551
Bremen de MucioDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0003-0662-9742
Claudio SosaDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0002-2539-0848
Rodolfo GomezDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0001-9914-7130
Luis MaineroDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0002-2815-6504
Renato T SouzaDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil.ORCID 0000-0002-9075-9269
Maria L CostaDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil.ORCID 0000-0001-8280-3234
Adriana G LuzDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil.ORCID 0000-0001-9863-9993
Maria H SousaDepartment of Statistics, Jundiaí School of Medicine - HU/FMJ, Jundiaí, Brazil.ORCID 0000-0002-2600-2157
Carmen M CruzDepartment of Obstetrics, Hospital Berta Calderon Roque, Managua, Nicaragua.
Luz M ChevezDepartment of Obstetrics, Hospital Berta Calderon Roque, Managua, Nicaragua.
Rita LopezDepartment of Obstetrics, Hospital Berta Calderon Roque, Managua, Nicaragua.
Gema CarrilloDepartment of Obstetrics, Hospital España, Chinandega, Nicaragua.
Ulises RizoDepartment of Obstetrics, Hospital España, Chinandega, Nicaragua.
Erika E Saint HillaireDepartment of Obstetrics, Hospital San Lorenzo de Los Mina, Santo Domingo, Dominican Republic.
William E ArriagaDepartment of Obstetrics, Hospital Regional de Ocidente, Quetzaltenango, Guatemala.ORCID 0000-0001-6783-9036
Rosa M GuadalupeDepartment of Obstetrics, Hospital Regional de Ocidente, Quetzaltenango, Guatemala.
Carlos OchoaHospital San Felipe, Tegucigalpa, Honduras.
Freddy GonzalezDepartment of Obstetrics, Hospital Roberto Suazo Cordova, La Paz, Honduras.
Rigoberto CastroDepartment of Obstetrics, Hospital Roberto Suazo Cordova, La Paz, Honduras.
Allan StefanDepartment of Obstetrics, Hospital Leonardo Martinez Valenzuela, San Pedro Sula, Honduras.
Amanda MorenoDepartment of Obstetrics, Hospital Boliviano Japones, La Paz, Bolivia.
Suzanne J SerruyaDepartment of Research, Latin American Center for Perinatology (CLP-PAHO), Montevideo, Uruguay.ORCID 0000-0003-1371-4558
José G CecattiDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil.ORCID 0000-0003-1285-8445
Universidade Estadual de Campinas (UNICAMP) · BRCentro Universitario de Occidente · GTFaculdade de Medicina de Jundiaí · BRHonduras Foundation for Agricultural Research · HNInstituto Boliviano de Ciencia y Tecnología Nuclear · BOUniversidad Metropolitana de Honduras · HN

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe burden of maternal morbidity in neonatal outcomes can vary with the adequacy of healthcare provision and tool implementation to improve monitoring. Such information is lacking in Latin American countries, where the decrease in severe maternal morbidity and maternal death remains challenging.

objectivesTo determine neonatal outcomes according to maternal characteristics, including different degrees of maternal morbidity in Latin American health facilities.

methodsThis is a secondary cross-sectional analysis of the Perinatal Information System (SIP) database from eight health facilities in five Latin American and Caribbean countries. Participants were all women delivering from August 2018 to June 2021, excluding cases of abortion, multiple pregnancies and missing information on perinatal outcomes. As primary and secondary outcome measures, neonatal near miss and neonatal death were measured according to maternal/pregnancy characteristics and degrees of maternal morbidity. Estimated adjusted prevalence ratios (PRadj) with their respective 95% CIs were reported.

resultsIn total 85,863 live births were included, with 1,250 neonatal near miss (NNM) cases and 695 identified neonatal deaths. NNM and neonatal mortality ratios were 14.6 and 8.1 per 1,000 live births, respectively. Conditions independently associated with a NNM or neonatal death were the need for neonatal resuscitation (PR

conclusionMaternal morbidity leads to worse neonatal outcomes, especially in women suffering maternal near miss or death. Based on SIP/PAHO database all these indicators may be helpful for routine situation monitoring in Latin America with the purpose of policy changes and improvement of maternal and neonatal health.

Indexed as

Perinatal DeathPregnancy ComplicationsCross-Sectional StudiesFemaleHumansInfant MortalityInfant, NewbornInformation SystemsMaternal MortalityPregnancyResuscitationLatin Americamaternal morbiditymaternal near missNeonatal morbidityneonatal mortality

Identifiers

PMID37886828
PMCPMC10795600
OpenAlexW4387964961

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.