<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-5830</journal-id>
<journal-title><![CDATA[Acta Obstétrica e Ginecológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Obstet Ginecol Port]]></abbrev-journal-title>
<issn>1646-5830</issn>
<publisher>
<publisher-name><![CDATA[Euromédice, Edições Médicas Lda.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-58302025000200098</article-id>
<article-id pub-id-type="doi">10.69729/aogp.v19i2a04</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Morbilidade materna grave - casuística de 12 anos de um centro hospitalar terciário]]></article-title>
<article-title xml:lang="en"><![CDATA[Severe maternal morbidity - a 12-year case study from a tertiary hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mourato]]></surname>
<given-names><![CDATA[Ana Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Vera]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ana Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Faro Unidade Local de Saúde do Algarve Serviço de Obstetrícia e Ginecologia]]></institution>
<addr-line><![CDATA[Faro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<fpage>98</fpage>
<lpage>108</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-58302025000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-58302025000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-58302025000200098&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e Objetivo:  A morbilidade materna grave (MMG) é considerada indicador de qualidade dos sistemas de saúde e da prática obstétrica, dado o risco que representa para morte materna, repercussões físicas e psicológicas para as mulheres, bem como pelo impacto negativo sobre a morbimortalidade perinatal e infantil. Este estudo tem como objetivos: analisar casos de MMG, averiguando causas, fatores de risco e complicações que motivaram internamento na Unidade de Cuidados Intensivos (UCI) durante a gravidez e/ou o puerpério.  Desenho de estudo:  Observacional, retrospetivo.  População:  Grávidas e puérperas com internamento na UCI.  Metodologia:  Análise dos processos clínicos das grávidas e puérperas internadas na UCI de um hospital terciário, provenientes e/ou ao cuidado do Serviço de Obstetrícia do respetivo hospital, de janeiro/2012 a dezembro/2023. Obtidos 104 casos, de 28.409 partos, nos quais foram analisados antecedentes maternos e obstétricos, vigilância e complicações durante a gravidez e pós-parto, idade gestacional aquando do internamento na UCI, motivos, intervenções e tempo de internamento na UCI e consequências futuras.  Resultados:  A maioria era nulípara; quase metade primigesta; mais de metade tinha pelo menos um fator de risco para MMG, incluindo cesariana em 81.2%. Os principais motivos de internamento na UCI foram complicações obstétricas peri-parto: pré-eclâmpsia, eclâmpsia, síndrome HELLP e hemorragia pós-parto. No internamento ocorreram: novas complicações em 22%; necessidade de reintervenção cirúrgica em 14%; histerectomia em 18.3%. Registou-se um óbito materno.  Conclusão:  A taxa de MMG foi semelhante à da literatura atual e foram corroboradas as principais causas de MMG. Este estudo permite reafirmar que é crucial: identificação precoce de fatores de risco para MMG; acompanhamento pré-natal individualizado; vigilância adequada no período peri-parto e pós-parto; programas de prevenção e atuação precoce perante complicações com risco de MMG; parto vaginal preferencial; equipa multidisciplinar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Overview and Aims:  Severe maternal morbidity (SMM) is considered an indicator of the quality of health systems and obstetric practice, given the risk it represents for maternal death, physical and psychological repercussions for women, as well as the negative impact on perinatal and infant morbidity and mortality. This study aims to: analyze cases of SMM, searching causes, risk factors and complications that motivate admission to the Intensive Care Unit (ICU) during pregnancy and/or postpartum.  Study design:  Observational, retrospective.  Population:  Pregnant and postpartum women admitted to the ICU.  Methods:  Analysis of the clinical records of pregnant and postpartum women admitted to the ICU of a Tertiary Hospital, from and/or under the care of the Obstetrics Department of that same Hospital, from January/2012 to December/2023. 104 cases were obtained from 28,409 deliveries, in which maternal and obstetric history, surveillance and complications during the pregnancy and postpartum, gestational age at the time of ICU admission, reasons, interventions and length of ICU stay and future consequences were analyzed.  Results:  The majority were nulliparous; almost half primiparous; more than half had at least one risk factor for SMM, including caesarean section in 81.2%; the main reasons for ICU admission were obstetric complications peri-partum: pre-eclampsia, eclampsia, HELLP syndrome and postpartum hemorrhage. During hospitalization, new complications occurred in 22%; the need for reintervention in 14%; hysterectomy was performed in 18.3%. One maternal death was recorded.  Conclusions:  The rate of MMG was similar than current literature and the main causes of MMG were corroborated. This study allows us to reaffirm that it is crucial: adequate prenatal care; early identification of risk factors for SMM; proper surveillance in the peri-partum and postpartum period; prevention programs and early action in the presence of complications that can lead to SMM; prefer vaginal delivery; experienced multidisciplinary team.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Morbilidade materna]]></kwd>
<kwd lng="pt"><![CDATA[Complicações maternas]]></kwd>
<kwd lng="pt"><![CDATA[Complicações pós-parto]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[Maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[Maternal complications]]></kwd>
<kwd lng="en"><![CDATA[Postpartum complications]]></kwd>
<kwd lng="en"><![CDATA[Intensive care unit]]></kwd>
</kwd-group>
</article-meta>
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