Indicator | N | % | Severity index | |
---|---|---|---|---|
Points | Total | |||
In-hospital maternal death | 0 | - | 750 | 0 |
In-hospital neonatal death of >2500 grams or >37 weeks | 0 | - | 400 | 0 |
Uterine rupture in labor | 2 | 2.0 | 100 | 200 |
Unplanned maternal admission to the ICU† | 18 | 17.8 | 65 | 1170 |
Birth trauma | 0 | - | 60 | 0 |
Early return to the operating room | 5 | 4.9 | 40 | 200 |
Admission to the ICU† neonate >2500 grams or >37 weeks more than >1 day | 53 | 52.5 | 35 | 1855 |
Apgar <7 in the 5th minute | 2 | 2.0 | 25 | 50 |
Maternal blood transfusion | 21 | 20.8 | 20 | 420 |
4th degree perineal laceration | 0 | - | 5 | 0 |
Total | 101 | 100.0 | - | 3895 |
Variables | Maternal blood transfusion |
Maternal admission to the ICU* |
Return to the operating room |
Neonatal admission to the ICU* |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % | p* | n | % | p* | n | % | p* | n | % | p* | |
Age range (years) | 0.298 | 0.404 | 0.609 | <0.001 | ||||||||
<18 | 5 | 23.8 | 1 | 5.5 | 0 | - | 3 | 5.7 | ||||
19 - 34 | 15 | 71.4 | 12 | 66.7 | 4 | 80.0 | 32 | 60.3 | ||||
>35 | 1 | 4.7 | 5 | 27.8 | 1 | 20.0 | 18 | 34.0 | ||||
Years of study | 0.676 | 0.373‡ ‡ Fisher's test. | 0.79‡ ‡ Fisher's test. | 0.794 | ||||||||
Until nine | 8 | 53.3 | 9 | 75.0 | 5 | 100.0 | 23 | 60.5 | ||||
>9 | 7 | 46.7 | 3 | 25.0 | 0 | - | 15 | 39.5 | ||||
Job | 0.329 | 0.677 | 1‡ ‡ Fisher's test. | 0.01 | ||||||||
Yes | 14 | 66.7 | 11 | 61.1 | 2 | 50.0 | 38 | 73.0 | ||||
No | 7 | 33.3 | 7 | 38.9 | 2 | 50.0 | 14 | 27.0 | ||||
Ethnicity | 0.087 | 0.807 | <0.001 | 0.777 | ||||||||
White | 1 | 5.5 | 0 | - | 1 | 20.0 | 0 | - | ||||
Brown | 17 | 94.4 | 15 | 100.0 | 4 | 80.0 | 46 | 97.9 | ||||
Black | 0 | - | 0 | - | 0 | - | 1 | 2.1 | ||||
Public place | 2 | 0.649 | 0.213 | 1‡ ‡ Fisher's test. | 0.934 | |||||||
Maceió | 9 | 42.9 | 6 | 33.3 | 2 | 40.0 | 25 | 47.1 | ||||
Other | 12 | 57.1 | 12 | 66.7 | 3 | 60.0 | 28 | 52.8 | ||||
Marital status | 0.063 | 0.211‡ ‡ Fisher's test. | 1‡ ‡ Fisher's test. | 0.412 | ||||||||
With companion | 6 | 31.6 | 11 | 68.7 | 3 | 60.0 | 24 | 47.0 | ||||
No companion | 13 | 68.4 | 5 | 31.3 | 2 | 40.0 | 27 | 53.0 | ||||
Prenatal | 1 | 1‡ ‡ Fisher's test. | 1‡ ‡ Fisher's test. | 1‡ ‡ Fisher's test. | ||||||||
Yes | 8 | 100.0 | 8 | 100.0 | 3 | 100.0 | 23 | 100.0 | ||||
No | 0 | - | 0 | - | 0 | - | 0 | - | ||||
Obstetric history | 0.611 | 0.463‡ ‡ Fisher's test. | 0.369‡ ‡ Fisher's test. | 0.378 | ||||||||
Primigest | 9 | 42.9 | 5 | 27.2 | 3 | 60.0 | 17 | 31.0 | ||||
Multigest | 12 | 57.1 | 13 | 72.2 | 2 | 40.0 | 36 | 69.0 | ||||
Gestational age in admission (weeks) | 0.065 | 0.002‡ ‡ Fisher's test. | 1‡ ‡ Fisher's test. | 1 | ||||||||
<37 | 15 | 71.4 | 15 | 88.2 | 3 | 60.0 | 27 | 51.0 | ||||
>37 | 6 | 28.6 | 2 | 11.8 | 2 | 40.0 | 26 | 49.0 | ||||
Escort | 0.160† | 0.03‡ ‡ Fisher's test. | 1‡ ‡ Fisher's test. | 0.161‡ ‡ Fisher's test. | ||||||||
Yes | 9 | 81.9 | 8 | 72.7 | 4 | 100.0 | 34 | 87.1 | ||||
No | 2 | 18.1 | 3 | 27.3 | 0 | - | 5 | 12.9 |
Variables | Maternal blood | Unplanned maternal | Return to the | Neonatal admission | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
transfusion | admission to the ICU* * ICU = intensive care unit; | operating room | to the ICU* * ICU = intensive care unit; | |||||||||
n | % | p | n | % | p † † Chi-square test; | n | % | p † † Chi-square test; | n | % | p † † Chi-square test; | |
Referral from another service | 0.580† † Chi-square test; | 1‡ ‡ Fisher's test; | 0.576‡ ‡ Fisher's test; | 0.654 | ||||||||
Yes | 14 | 82.3 | 12 | 80.0 | 4 | 100.0 | 32 | 78.0 | ||||
No | 3 | 17.7 | 3 | 20.0 | 0 | - | 9 | 22.0 | ||||
Systolic blood pressure§ § In millimeters of mercury. | 0.264 | <0.001 | 0.416 | 0.784 | ||||||||
<120 | 7 | 38.9 | 4 | 23.5 | 2 | 40.0 | 10 | 24.4 | ||||
121-139 | 3 | 16.7 | 3 | 16.7 | 0 | - | 7 | 17.0 | ||||
140-159 | 3 | 16.7 | 2 | 11.8 | 3 | 60.0 | 12 | 29.3 | ||||
160-179 | 2 | 11.1 | 2 | 11.8 | 0 | - | 9 | 22.0 | ||||
>180 | 3 | 16.7 | 6 | 35.3 | 0 | - | 3 | 7.3 | ||||
Diastolic blood pressure§ § In millimeters of mercury. | 0.749 | 0.342 | 0.789 | 0.765 | ||||||||
<80 | 8 | 44.4 | 6 | 35.3 | 2 | 40.0 | 16 | 39.0 | ||||
81-89 | 0 | - | 0 | - | 0 | - | 0 | - | ||||
90-99 | 4 | 22.2 | 4 | 23.5 | 1 | 20.0 | 9 | 21.9 | ||||
100-109 | 2 | 11.1 | 2 | 11.8 | 2 | 40.0 | 11 | 26.8 | ||||
>110 | 4 | 22.2 | 5 | 29.4 | 0 | - | 5 | 12.2 | ||||
Birth-related causes of | ||||||||||||
hospitalization | 2 | 9.5 | 0.175 | 0 | - | 0.294 | 1 | 20.0 | 0.972 | 3 | 7.3 | 0.002 |
Hypertensive problems | 10 | 47.6 | 11 | 61.1 | 4 | 80.0 | 26 | 63.4 | ||||
Diabetes mellitus | 0 | - | 0 | - | 0 | - | 6 | 14.6 | ||||
Hemorrhage | 3 | 14.3 | 2 | 11.1 | 0 | - | 1 | 2.4 | ||||
Other maternal conditions | 3 | 14.3 | 3 | 16.7 | 0 | - | 5 | 12.2 | ||||
Fetal suffering | 1 | 4.8 | 0 | - | 0 | - | 3 | 7.3 | ||||
Fetal malformations | 0 | - | 0 | - | 0 | - | 3 | 7.3 | ||||
Other fetal | 0 | - | 0 | - | 0 | - | 0 | - | ||||
Hypertension and diabetes | 2 | 9.5 | 2 | 11.1 | 0 | - | 6 | 14.6 | ||||
Character of the procedure | 0.156 | 0.002 | 1‡ ‡ Fisher's test; | 0.355 | ||||||||
Urgency and emergency | 8 | 38.0 | 10 | 55.6 | 1 | 20.0 | 16 | 30.2 | ||||
Elective | 13 | 62.0 | 8 | 44.4 | 4 | 80.0 | 37 | 69.8 | ||||
Gestational age at | ||||||||||||
delivery (weeks) | 0.073 | 0.005‡ ‡ Fisher's test; | 1‡ ‡ Fisher's test; | 0.896 | ||||||||
<37 | 14 | 66.7 | 14 | 82.3 | 3 | 60.0 | 27 | 51.0 | ||||
>37 | 7 | 33.3 | 3 | 17.6 | 2 | 40.0 | 26 | 49.0 | ||||
Woman's destination | 0.001† † Chi-square test; | <0.001 | 1‡ | 0.713‡ ‡ Fisher's test; | ||||||||
Nursery | 16 | 76.2 | 7 | 38.9 | 5 | 100.0 | 52 | 98.1 | ||||
Intensive care unit | 5 | 23.8 | 11 | 61.1 | 0 | - | 1 | 1.9 | ||||
Newborn's destination | 0.577 | 0.187 | 1‡ ‡ Fisher's test; | <0.001‡ ‡ Fisher's test; | ||||||||
Nursery | 13 | 68.4 | 7 | 43.7 | 3 | 60.0 | 1 | 1,9 | ||||
Neonatal unit | 6 | 31.6 | 9 | 56.3 | 2 | 40.0 | 52.0 | 98.1 | ||||
Newborn weight (grams) | 1† † Chi-square test; | 0.020 | 0.611‡ ‡ Fisher's test; | <0.001‡ ‡ Fisher's test; | ||||||||
<2500 | 5 | 23.8 | 9 | 50.0 | 2 | 40.0 | 4 | 7.5 | ||||
>2500 | 16 | 76.2 | 9 | 50.0 | 3 | 60.0 | 49 | 92.5 |