Year: 2025
Type: article
Study design: Systematic Review
Abstract: High‑risk delivery encompasses clinical situations that substantially increase the likelihood of adverse maternal and neonatal outcomes, requiring appropriate infrastructure, a trained multidisciplinary team, and evidence‑based protocols. This review aims to synthesize the principal obstetric complications that threaten perinatal safety and discuss updated prevention and management strategies. To that end, a systematic search was conducted in the PubMed, SciELO, LILACS, and Cochrane Library databases, covering publications from 2015 to 2024. Original studies, systematic reviews, and guidelines addressing postpartum hemorrhage, shoulder dystocia, eclampsia, umbilical cord prolapse, and acute fetal distress were selected. Findings confirm that standardized protocols, pharmacological prophylaxis, and training in realistic simulations can reduce maternal mortality from postpartum hemorrhage by up to 60%, decrease neonatal neurological sequelae, and improve safety indicators. Incorporation of artificial intelligence into cardiotocography enhances diagnostic accuracy for fetal distress, while WHO‑based obstetric checklists reduce adverse events by 23%. It is concluded that the integration of scientific evidence, technological innovation, and humanization of care is crucial to mitigate risks and optimize outcomes in high‑risk deliveries, in alignment with global maternal mortality reduction goals.
Authors: Ian Caldeira Ruppen, Emily Eduarda Hellmann, Renam Arthur de Sousa, Lesley Sharon Kelline Iwasaki, André Cesar Leandro, Larissa da Rosa Piccoli, Tauane Cano Barreto, Ana Paula Mendes, Priscila De Oliveira Barros, Camilla Antunes Zanini, Sarila Hali Kloster Lopes, Lara Beatriz Dallaqua Bitiati, Ana Carolina Langendyk Rodrigues, Maria Clara Costa Calvo
Institution: Uningá - Centro Universitário Ingá
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4411283941