scholarly journals Quality of life 1 year after a maternal near-miss event

2018 ◽  
Vol 141 (1) ◽  
pp. 133-138 ◽  
Author(s):  
Priya Soma-Pillay ◽  
Jennifer D. Makin ◽  
Robert C. Pattinson
Keyword(s):  
Quality Of Life ◽  
Near Miss ◽  
Maternal Near Miss

Quality of life after maternal near miss: A systematic review

2021 ◽  
Author(s):  
Ida Erika Wieborg Von Rosen ◽  
Rayan Mohamud Shiekh ◽  
Bariki Mchome ◽  
Chunsen Wu ◽  
Khalid S. Khan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Near Miss ◽  
Maternal Near Miss

scholarly journals Mental Health and Quality of Life of Women One Year after Maternal Near-Miss in Low and Middle-Income Countries: The Case of Zanzibar, Tanzania

2020 ◽  
Vol 17 (23) ◽  
pp. 9034
Author(s):  
Sisay Alemu ◽  
Tanneke Herklots ◽  
Josue Almansa ◽  
Shadya Mbarouk ◽  
Esther Sulkers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Post Traumatic Stress ◽  
Post Traumatic

Women who experienced a maternal near-miss are at risk of mental health complications and lower quality of life, but long-term consequences are largely unknown. The aim of this study is to assess whether mental health symptoms and quality of life change over time and to examine associations with risk factors among post-partum women. In this cohort study, women with maternal near-miss were matched to women without or with mild complications at Mnazi Mmoja Hospital in Zanzibar. Depressive and post-traumatic stress disorder symptoms, and quality of life were measured at three, six, and twelve-months follow-up. A linear mixed-effects model was used for data analysis. Postpartum women in Zanzibar reported low levels of depressive and post-traumatic stress disorder symptoms. While depressive symptoms and quality of life trajectories were similar among women with and without maternal near-miss, differences for trajectories of post-traumatic stress disorder symptoms and physical quality of life were found. Social support, perinatal loss, and intercurrent illness were strongly associated with both depressive symptoms and quality of life in this group of Islamic women. These findings suggest that social support, embedded in the cultural context, should be considered in helping women cope with mental health issues in the aftermath of severe maternal complications.

Critical cases of maternal mortality - a severe obstetrical complication, reflecting the quality of medical services provided

2017 ◽  
pp. 27-30
Author(s):  
Yu.V. Dondyuk ◽  
Keyword(s):  
Maternal Death ◽  
Maternal Morbidity ◽  
Obstetric Care ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Maternal Deaths ◽  
Republic Of Moldova ◽  
Mortality Index ◽  
The Republic

Maternal near miss and maternal death audit has become an esssential process in the context of obstetric care in both developed and developing countries. The objective: of the present study was to assess the quality of medical services provided within the multilevel regionalized Perinatal Health System in the Republic of Moldova, by identifying the inconsistencies with existing standards of medical care, in cases of severe obstetric complications and maternal deaths. Materials and methods. All cases of maternal near miss cases and maternal deaths recorded in the Secondary and Tertiary Perinatal Centers of the Republic of Moldova during the period 2009–2014 were analyzed retrospectively. To assess the quality of obstetric care, the following indices have been calculated: maternal near miss/ maternal deaths ratio; the mortality index for each obstetric condition/ complication. Results. During a period of 6 years, in 11 Secondary and Tertiary Perinatal Centers of the Republic of Moldova there were registered 154 651 births, 2881 cases of maternal near miss and 21 maternal deaths. The General Mortality index was 0.72%, and the Mortality Index by direct obstetric morbidity was 0.48%. 92.86% of maternal deaths through direct obstetric causes were avoidable, and the proportion of near miss cases with substandard care was 81.85%. The most frequent gaps (82.48%) were caused by human factors, such as insufficient team work, communication deficiency, lack of knowledge and clinical skills necessary to properly recognize and treat critical obstetric patients, delay and errors in diagnosis and treatment, non-compliance with clinical protocols. Conclusions. The excessively high proportion of avoidable factors highlighted in the study is alarming and implies the need for more extensive activities and the development of strategies focused on ensuring the presence of qualified medical workers in medical institutions, which will allow the provision of qualitative care and safety for patients in the Republic of Moldova, reducing maternal morbidity and mortality. Key words: severe maternal morbidity, maternal near miss, maternal death, maternal mortality.

scholarly journals The global prevalence of maternal near miss: a systematic review and meta-analysis

2019 ◽  
Vol 9 (4) ◽  
pp. 255-262
Author(s):  
Sedigheh Abdollahpour ◽  
Hamid Heidarian Miri ◽  
Talat Khadivzadeh
Keyword(s):  
Systematic Review ◽  
Maternal Health ◽  
Meta Analysis ◽  
Near Miss ◽  
World Health ◽  
Maternal Near Miss ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Organization

Background: Improving the maternal health is one of the world’s most challenging problems. Despite significant movements over the past decades, maternal health has been still considered as a central goal for sustainable development. Maternal near miss (MNM) cases experience long-term physical and psychological effects. To present a clear portrait of the current situation, we performed a systematic review and meta-analysis with the purpose to assess the worldwide prevalence of MNM. Methods: We conducted a systematic review on PubMed, Scopus and Web of Science electronic databases to find published papers in English, before March 2019 and regardless of the type of study. We, then, assessed the prevalence of MNM according to the World Health Organization(WHO) criteria. Finally, 49 papers were included in the study. Random effects meta-analysis was used to pool the available prevalence. The quality of studies was also evaluated. Results: The weighted pooled worldwide prevalence of MNM, was 18.67/1000 (95% CI: 16.28-21.06). Heterogeneity was explored using subgroup analyses based on the continent and the country. We used meta-regression of MNM on MD which resulted in adjusted R-squared as78.88%. Conclusion: The prevalence of MNM was considerable. Low- and middle-income countries should develop systematic approaches to improve quality of care in the facilities and to reducethe risk of MNM events, with the hope to women’s health.

Maternal Near Miss and Quality of Obstetric Care in a Tunisian Tertiary Level Maternity

2016 ◽  
Vol 20 (4) ◽  
pp. 44-50 ◽  
Author(s):  
Meriam El Ghardallou ◽  
Thouraya Nabli Ajmi ◽  
Afef Mkhazni ◽  
Chekib Zedini ◽  
Sawssen Meddeb ◽  
...  
Keyword(s):  
Obstetric Care ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Tertiary Level ◽  
Quality Of Obstetric Care

scholarly journals Comparison of Fatigue, Quality of Life, Turnover Intention, and Safety Incident Frequency between 2-Shift and 3-Shift Korean Nurses

2021 ◽  
Vol 18 (15) ◽  
pp. 7953
Author(s):  
Jeonghee Hong ◽  
Misoon Kim ◽  
Eunyoung E. Suh ◽  
Sangwoon Cho ◽  
Soyoung Jang
Keyword(s):  
Quality Of Life ◽  
Medication Errors ◽  
Turnover Intention ◽  
Chronic Fatigue ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Safety Incident ◽  
Quality Of Life Scale ◽  
Incident Frequency

This study aimed to compare the fatigue, quality of life, turnover intention, and safety incident frequency between 2- and 3-shift nurses, and analyze their perceptions of the 2-shift system. Participants were 227 nurses working for one year or more in a tertiary hospital in Seoul, South Korea (113 were 2-shift nurses for two months or longer, and 114 were 3-shift nurses with no experience of 2-shift work). The Occupational Fatigue Exhaustion Recovery Scale (OFER) and Quality of Life Scale were used. Turnover intention, safety incident frequency, and perceptions of the 2-shift system were surveyed by questionnaires developed by the researchers. Results showed that 2-shift nurses had lower chronic fatigue (t = −2.38, p = 0.018) and higher recovery between shifts (t = 3.90, p < 0.001) and quality of life scores than 3-shift nurses (t = 3.69, p < 0.001). There were no significant differences for turnover intention (t = −1.48, p = 0.140), frequency of needlestick accidents (t = 0.30, p = 0.763), medication errors (t = −1.46, p = 0.146), or near-miss medication errors (t = 0.78, p = 0.437). Two-shift nurses found it easier to secure rest and personal leisure time, and their shift system was shown to improve work satisfaction by increasing the continuity of care. Additional research is necessary to examine how nurses’ health status and emotional satisfaction vary by shift type.

scholarly journals What is the quality of the maternal near-miss case reviews in WHO European Region? Cross-sectional study in Armenia, Georgia, Latvia, Republic of Moldova and Uzbekistan

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e017696 ◽  
Author(s):  
Alberta Bacci ◽  
Stelian Hodorogea ◽  
Henrik Khachatryan ◽  
Shohida Babojonova ◽  
Signe Irsa ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
European Region ◽  
Sectional Study ◽  
Cross Sectional ◽  
Republic Of Moldova

scholarly journals The influence of the using “near-miss” on some obstetric bleeging indicators

2018 ◽  
Vol 67 (1) ◽  
pp. 13-19
Author(s):  
Guldzhahon K. Davlyatova ◽  
Marhabo Ya Kamilova ◽  
Dilnoza M. Rakhmatulloeva
Keyword(s):  
Maternal Mortality ◽  
Medical Care ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Case Review ◽  
Maternity Hospitals ◽  
Implementation Of Standards

The article reviews the use of maternal near-miss in maternity hospitals of Tajikistan and its effect on selected indicatior of maternal bleedings. The implementation of standards and the use of near miss case review in 20 maternity hospitals was shown to decrease the rate of maternal bleedings, especially hypotonic bleedings, the rate of critical hypotonic bleedings, the rate of hysterectomy, and the ratio between deaths due to maternal bleeding in these maternity hospitals and overall maternal bleeding mortality. Our results confirm, that the use of “near-miss” strategy improves the quality of maternal medical care and allows to decrease overall maternal mortality.

scholarly journals How communication can help women who experience a maternal near-miss: a qualitative study from Tanzania

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e045514
Author(s):  
Hilda Alinda Kwezi ◽  
Lilian T Mselle ◽  
Sebalda Leshabari ◽  
Claudia Hanson ◽  
Andrea Barnabas Pembe
Keyword(s):  
Qualitative Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Positive Finding ◽  
Good Communication ◽  
Semistructured Interviews ◽  
Negative Feelings ◽  
Provision Of Care ◽  
Depth Interviews

ObjectivesThis study aimed to explore experiences of communication as an element of quality of care, among women surviving a maternal near-miss event, thus women who nearly died but survived haemorrhage, or pre-eclampsia complication during pregnancy, childbirth or within 42 days of termination of pregnancy.DesignA descriptive, phenomenological, qualitative study using semistructured interviews with women who survived a maternal near-miss in Southern Tanzania.SettingThe participants were recruited from two selected hospitals in Mtwara Region, where women sought child birth care and developed near-miss condition.ParticipantsParticipants for this study were women who experienced and survived a maternal near-miss event and who had lived in the study area for at least 1 year. Women were recruited using an adapted version of the WHO criteria for maternal near-miss.Data collectionWe identified 16 women and were able to conduct 10 in-depth interviews with women at their homes, 4 weeks after they were discharged. The interviews were audiorecorded and transcribed and translated word for word from Kiswahili. Thematic analysis was used to identify emerging themes.ResultsThree major themes evolved: (1) Being informed about the care and interaction, (2) Being engaged and encouraged and (3) Being afraid to ask questions. The study highlighted that good communication with women during the provision of care helped women feel grateful, supported and cared for. Women who were unconscious during care were often not informed later of what happened. This created some negative feelings and anxiety.ConclusionThis study highlights the importance of communication, and of being informed of what happened and why. Empathetic communication with sufficient explanation on what happened and why created trust among women—a positive finding which should encourage the development of consistent approaches to strengthen healthcare provider communication skills.

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