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Table 5 Main interventions proposed for the prevention of fetal death and early neonatal death, and potential preventability score (PPS) assigned by the maternal death committees

From: A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project

 

Frequency (n)

Mean Score (± SD)

Total Score

To avoid fetal death

Educate pregnant women about prenatal warning signs

2

4.0 (± 1.4)

8

Improve prenatal clinical practice (adhesion to protocols)

3

3.7 (± 1.1)

11

Promote the use of folic acid if previous neural tube closure defect

2

3.5 (± 0.7)

7

Qualify anatomopathological report in perinatology

3

3.3 (± 0.6)

10

Promote investigation into neonatal and intrauterine death

2

3.0 (± 2.8)

6

Promote postpartum counseling with genetic evaluation

3

2.0 (± 2.6)

6

Promote the importance of prenatal care and its early initiation

5

1.8 (± 1.3)

9

Promote postpartum counseling

4

1.5 (± 1.0)

6

Register information on prenatal care to the patient's medical records

2

1.5 (± 0.7)

3

Promote family planning

3

1.0 (± 1.0)

3

To avoid early neonatal death

Prepare a team for neonatal heart surgery

2

5.0 (± 0.0)

10

Promote the prophylaxis of neonatal disease by group B streptococcus

3

4.0 (± 1.0)

12

Promote protocol for the induction of fetal lung maturity

3

3.5 (± 0.7)

11

Improve prenatal clinical care (adhesion to protocols)

6

2.8 (± 1.5)

17

Improve clinical care for newborn infants (protocols)

2

2.5 (± 0.7)

5

Promote intrauterine diagnosis of malformations

2

2.5 (± 3.5)

5

Promote postpartum counseling

4

2.2 (± 1.3)

9

Promote the importance of prenatal care and its early initiation

7

2.0 (± 1.4)

14

Prevent adolescent pregnancies

2

2.0 (± 0.0)

4

Qualify medical records

2

1.0 (± 0.0)

2

  1. SD: Standard deviation/Total score: sum of the scores attributed to the mean