Maternal ‘near miss’ at Royal Darwin Hospital: An analysis of severe maternal morbidity at an Australian regional tertiary maternity unit

2016 ◽  
Vol 56 (4) ◽  
pp. 381-386 ◽  
Author(s):  
Skandarupan Jayaratnam ◽  
Alice Burton ◽  
Kirsten Fiona Connan ◽  
Caroline de Costa
Keyword(s):  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Maternity Unit

Monitoring Maternal Near Miss/Severe Maternal Morbidity: A Systematic Review

2019 ◽  
Author(s):  
Natalie England ◽  
Julia Madill ◽  
Amy Metcalfe ◽  
Laura Magee ◽  
Stephanie Cooper ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e44129 ◽  
Author(s):  
Joao Paulo Souza ◽  
Jose Guilherme Cecatti ◽  
Samira M. Haddad ◽  
Mary Angela Parpinelli ◽  
Maria Laura Costa ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severity Index ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Index Model

scholarly journals Correction: The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
Author(s):  
Joao Paulo Souza ◽  
Jose Guilherme Cecatti ◽  
Samira M. Haddad ◽  
Mary Angela Parpinelli ◽  
Maria Laura Costa ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severity Index ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Index Model

scholarly journals Monitoring maternal near miss/severe maternal morbidity: A systematic review of global practices

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233697 ◽  
Author(s):  
Natalie England ◽  
Julia Madill ◽  
Amy Metcalfe ◽  
Laura Magee ◽  
Stephanie Cooper ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

Severe maternal morbidity and maternal near miss in a tertiary hospital of Delhi

2019 ◽  
Vol 32 (5) ◽  
pp. 270
Author(s):  
Pragti Chhabra ◽  
Kiran Guleria ◽  
SanjivKumar Bhasin ◽  
Komal Kumari ◽  
Shalini Singh ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals Severe maternal morbidity and maternal near miss in the extremes of reproductive age: results from a national cross- sectional multicenter study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Fernando César Oliveira ◽  
◽  
Fernanda Garanhani Surita ◽  
João Luiz Pinto e Silva ◽  
José Guilherme Cecatti ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Reproductive Age ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Cross Sectional

scholarly journals Characteristics and preventability of Obstetric ICU admissions in Far North Queensland

2019 ◽  
Author(s):  
Skandarupan Jayaratnam ◽  
Sebastian Jacob-Rodgers ◽  
Caroline deCosta
Keyword(s):  
Maternal Morbidity ◽  
Post Partum ◽  
Clinical Status ◽  
Developed Countries ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Near Misses ◽  
Icu Admission ◽  
Far North

Abstract Background The rarity of maternal deaths in developed countries has increased interest in reviewing cases of severe maternal morbidity or maternal ‘near miss’. Assessment and determining preventability among near misses is therefore important in improving the provision of maternity care. The aims of this study were to (i) describe the epidemiology of intensive care unit (ICU) admission in Far North Queensland (ii) determine the validity of the WHO near miss criteria in determining cases of severe maternal morbidity and (iii) determining preventability of severe maternal outcomes of pregnant and post-partum patients requiring admission to the ICU. Methods Retrospective observational study included all patients pregnant or within 42 days of termination of pregnancy admitted to the Cairns Hospital ICU between 1st January 2013 and 31 December 2017. Cases were reviewed by a team of Obstetricians using the modified Geller model of preventability to determine reasons for admission to ICU and to determine whether the ‘near miss’ was preventable or not.Results Sixty-nine out of 12081 (0.6%) women admitted for Obstetric care were transferred to the ICU with a total of 31 cases fulfilled WHO near miss criteria. The most common primary obstetric related diagnosis for ICU admission were hypertensive disease of pregnancy and obstetric haemorrhage. Indirect obstetric causes contributed to approximately 40% of ICU admissions. Among the 31 cases of WHO near miss, 10 cases were deemed preventable with the most common reason for preventability related to lack of recognition of high-risk clinical status. Conclusion Maternal ‘near miss’ and rates of Obstetric admission to the ICU at Cairns Hospital are reassuringly low. An audit of near miss cases describing preventability is feasible and informs areas for improvement in the management of ‘near miss’ cases.

scholarly journals Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
K. G. Fernandes ◽  
M. L. Costa ◽  
S. M. Haddad ◽  
M. A. Parpinelli ◽  
M. H. Sousa ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Skin Color ◽  
Maternal Morbidity ◽  
White Women ◽  
Maternal Outcome ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Maternal Outcomes ◽  
Severe Maternal Outcome

Background. Taking into account the probable role that race/skin color may have for determining outcomes in maternal health, the objective of this study was to assess whether maternal race/skin color is a predictor of severe maternal morbidity. Methods. This is a secondary analysis of the Brazilian Network for Surveillance of Severe Maternal Morbidity, a national multicenter cross-sectional study of 27 Brazilian referral maternity hospitals. A prospective surveillance was performed to identify cases of maternal death (MD), maternal near miss (MNM) events, and potentially life-threatening conditions (PLTC), according to standard WHO definition and criteria. Among 9,555 women with severe maternal morbidity, data on race/skin color was available for 7,139 women, who were further divided into two groups: 4,108 nonwhite women (2,253 black and 1,855 from other races/skin color) and 3,031 white women. Indicators of severe maternal morbidity according to WHO definition are shown by skin color group. Adjusted Prevalence Ratios (PRadj - 95%CI) for Severe Maternal Outcome (SMO=MNM+MD) were estimated according to sociodemographic/obstetric characteristics, pregnancy outcomes, and perinatal results considering race. Results. Among 7,139 women with severe maternal morbidity evaluated, 90.5% were classified as PLTC, 8.5% as MNM, and 1.6% as MD. There was a significantly higher prevalence of MNM and MD among white women. MNMR (maternal near miss ratio) was 9.37 per thousand live births (LB). SMOR (severe maternal outcome ratio) was 11.08 per 1000 LB, and MMR (maternal mortality ratio) was 170.4 per 100,000 LB. Maternal mortality to maternal near miss ratio was 1 to 5.2, irrespective of maternal skin color. Hypertension, the main cause of maternal complications, affected mostly nonwhite women. Hemorrhage, the second more common cause of maternal complication, predominated among white women. Nonwhite skin color was associated with a reduced risk of SMO in multivariate analysis. Conclusion. Nonwhite skin color was associated with a lower risk for severe maternal outcomes. This result could be due to confounding factors linked to a high rate of Brazilian miscegenation.

scholarly journals Incidence and Correlates of Maternal Near Miss in Southeast Iran

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Tayebeh Naderi ◽  
Shohreh Foroodnia ◽  
Samaneh Omidi ◽  
Faezeh Samadani ◽  
Nouzar Nakhaee
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Care ◽  
Termination Of Pregnancy ◽  
Near Miss ◽  
High Rate ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Live Births ◽  
Referral Hospitals ◽  
Set Up

This prospective study aimed to estimate the incidence and associated factors of severe maternal morbidity in southeast Iran. During a 9-month period in 2013, all women referring to eight hospitals for termination of pregnancy as well as women admitted during 42 days after the termination of pregnancy were enrolled into the study. Maternal near miss conditions were defined based on Say et al.’s recommendations. Five hundred and one cases of maternal near miss and 19,908 live births occurred in the study period, yielding a maternal near miss ratio of 25.2 per 1000 live births. This rate was 7.5 and 105 per 1000 in private and tertiary care settings, respectively. The rate of maternal death in near miss cases was 0.40% with a case:fatality ratio of 250 : 1. The most prevalent causes of near miss were severe preeclampsia (27.3%), ectopic pregnancy (18.4%), and abruptio placentae (16.2%). Higher age, higher education, and being primiparous were associated with a higher risk of near miss. Considering the high rate of maternal near miss in referral hospitals, maternal near miss surveillance system should be set up in these hospitals to identify cases of severe maternal morbidity as soon as possible.

Sign in / Sign up

Export Citation Format

Share Document