scholarly journals Prevalence of Severe Maternal Morbidity and Factors Associated With Maternal Mortality in Ontario, Canada

2018 ◽  
Vol 1 (7) ◽  
pp. e184571 ◽  
Author(s):  
Joel G. Ray ◽  
Alison L. Park ◽  
Susie Dzakpasu ◽  
Natalie Dayan ◽  
Paromita Deb-Rinker ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Factors Associated

scholarly journals Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Samira Maerrawi Haddad ◽  
Jose Guilherme Cecatti ◽  
Joao Paulo Souza ◽  
Maria Helena Sousa ◽  
Mary Angela Parpinelli ◽  
...  
Keyword(s):  
Health Services ◽  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
World Health ◽  
Severe Maternal Morbidity ◽  
Factors Associated ◽  
Mortality Ratio

Objective. To assess quality of care of women with severe maternal morbidity and to identify associated factors.Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. The expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed.Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P<0.001), delays related to quality of medical care (P=0.012), absence of blood derivatives (P=0.013), difficulties of communication between health services (P=0.004), and any delay during the whole process (P=0.039).Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. In this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.

scholarly journals Factors associated with maternal mortality among patients meeting criteria of severe maternal morbidity and near miss

2016 ◽  
Vol 136 (3) ◽  
pp. 337-343 ◽  
Author(s):  
Hesly M.P. Lima ◽  
Francisco Herlânio C. Carvalho ◽  
Francisco Edson L. Feitosa ◽  
George C. Nunes
Keyword(s):  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Factors Associated

Risk of Severe Maternal Morbidity or Death in Relation to Prenatal Biochemical Screening: Population-Based Cohort Study

2019 ◽  
Vol 38 (01) ◽  
pp. 044-059 ◽  
Author(s):  
Eric J.M. Lentz ◽  
Alison L. Park ◽  
Alec W.R. Langlois ◽  
Tianhua Huang ◽  
Wendy S. Meschino ◽  
...  
Keyword(s):  
Cohort Study ◽  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Protein A ◽  
Population Based ◽  
Severe Maternal Morbidity ◽  
Adjusted Relative Risk ◽  
Biochemical Screening ◽  
High Concentration ◽  
Increased Risk

Abstract Objective This study aimed to examine whether prenatal biochemical screening analytes are associated with an increased risk of severe maternal morbidity (SMM) or maternal mortality. Study Design This population-based cohort study includes all women in Ontario, Canada, who underwent prenatal screening from 2001 to 2011. Increasing fifth percentiles of the multiple of the median (MoM) for alphafetoprotein (AFP), total human chorionic gonadotropin, unconjugated estriol (uE3), dimeric inhibin-A (DIA), and pregnancy-associated plasma protein A were evaluated. An abnormally high concentration (>95th percentile MoM) for each analyte, individually and combined, was also evaluated. The main outcome assessed was the adjusted relative risk (aRR) of SMM or maternal mortality from 20 weeks' gestation up to 26 weeks thereafter. Results Among 748,972 pregnancies, 11,177 resulted in SMM or maternal mortality (1.5%). Except for uE3, the aRR of SMM or maternal mortality increased in association with increasing fifth percentiles of the MoM for all analytes. AFP (aRR: 2.10; 95% confidence interval [CI]: 1.97–2.25) and DIA (aRR: 2.33; 95% CI: 1.98–2.74) > 95th versus ≤ 5th percentile of the MoM were especially associated with SMM or death. Conclusion Women with abnormally high concentrations of certain prenatal biochemical analytes may be at a higher risk of SMM or death in pregnancy or postpartum.

scholarly journals Frequency of and Factors Associated With Severe Maternal Morbidity

2015 ◽  
Vol 35 (1) ◽  
pp. 21-22
Author(s):  
W.A. Grobman ◽  
J.L. Bailit ◽  
M.M. Rice ◽  
R.J. Wapner ◽  
U.M. Reddy ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Factors Associated

scholarly journals A global view of severe maternal morbidity: moving beyond maternal mortality

2018 ◽  
Vol 15 (S1) ◽  
Author(s):  
Stacie E. Geller ◽  
Abigail R. Koch ◽  
Caitlin E. Garland ◽  
E. Jane MacDonald ◽  
Francesca Storey ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Global View

scholarly journals State Medicaid Coverage of Medically Necessary Abortions and Severe Maternal Morbidity and Maternal Mortality

2017 ◽  
Vol 129 (5) ◽  
pp. 786-794 ◽  
Author(s):  
Marian Jarlenski ◽  
Jennifer A. Hutcheon ◽  
Lisa M. Bodnar ◽  
Hyagriv N. Simhan
Keyword(s):  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Medicaid Coverage

scholarly journals Assessment of Incidence and Factors Associated With Severe Maternal Morbidity After Delivery Discharge Among Women in the US

2021 ◽  
Vol 4 (2) ◽  
pp. e2036148 ◽  
Author(s):  
Jiajia Chen ◽  
Shanna Cox ◽  
Elena V. Kuklina ◽  
Cynthia Ferre ◽  
Wanda Barfield ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Factors Associated ◽  
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