Mendes Lise Maria Carvalho, Barbosa Nayara Gonçalves, Pinheiro Ana Karina Bezerra, de Oliveira Gozzo Thais, Gomes-Sponholz Flávia Azevedo
University of São Paulo at Ribeirão Preto College of Nursing, Campus Monte Alegre. Avenida dos Bandeirantes 3900, Ribeirão Preto - São Paulo, 14040-902, Brazil.
School of Nursing, University of São Paulo, Avenida Dr. Enéas Carvalho de Aguiar, 419 - Cerqueira César, São Paulo - São Paulo, 05403-000, Brazil.
BMC Pregnancy Childbirth. 2025 Apr 9;25(1):414. doi: 10.1186/s12884-025-07232-9.
a maternal near miss experience can lead to clinical and psychosocial consequences for the woman and her family.
To synthesize qualitative studies on the perception of women survivors of maternal near miss episodes and their trust in maternal health services.
a qualitative systematic review was performed in five electronic databases using the Guidelines for Enhancing Transparency in Reporting the Synthesis of Qualitative Research. The methodological quality of the included studies was assessed using the Critical Appraisal Skills Program. This review contains the International Prospective Register of Systematic Reviews.
a total of 18 studies were chosen based on the eligibility criteria. Three themes emerged from the studies: Factors associated with delays in seeking health care Repercussions of maternal near miss; and Structural and organizational factors of the health care network.
There is a need to create strategies directed not only to improve the quality of care during pregnancy and childbirth, but also to support families after hospital discharge. The development and implementation of support programs for survivors of maternal near miss is recommended, including follow-up visits and psychological support for mothers and families.
孕产妇险些死亡经历会给女性及其家庭带来临床和心理社会后果。
综合关于孕产妇险些死亡事件女性幸存者的认知及其对孕产妇保健服务信任度的定性研究。
按照《提高定性研究综合报告透明度指南》在五个电子数据库中进行定性系统评价。使用批判性评估技能计划评估纳入研究的方法学质量。本综述已纳入国际系统评价前瞻性注册库。
根据纳入标准共选取18项研究。这些研究出现了三个主题：与寻求医疗保健延迟相关的因素；孕产妇险些死亡的影响；以及医疗保健网络的结构和组织因素。
有必要制定策略，不仅要提高孕期和分娩期间的护理质量，还要在出院后为家庭提供支持。建议为孕产妇险些死亡幸存者制定和实施支持计划，包括对母亲及其家庭的随访和心理支持。
