scholarly journals Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Francisco Oliveira Neto ◽  
Mary Angela Parpinelli ◽  
Maria Laura Costa ◽  
Renato Teixeira Souza ◽  
Carolina Ribeiro do Valle ◽  
...  
Keyword(s):  
Organ Dysfunction ◽  
Cross Sectional Study ◽  
Maternal Outcome ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Sectional Study ◽  
Cross Sectional ◽  
Who Criteria ◽  
Severe Maternal Outcome ◽  
Organic Dysfunction

Objective. To explore the epidemiological aspects, to describe the frequency and distribution of WHO maternal near miss (MNM) criteria and the presence of organ dysfunction and failure measured by the maximum SOFA (Sequential Organ Failure Assessment) score (SOFA max) in cases of severe maternal outcome (SMO). Methods. In an observational cross-sectional study performed between January 2013 and December 2015, 279 pregnant or postpartum women were admitted to an obstetric ICU (intensive care unit) in Brazil. MNM, maternal death (grouped as SMO), and potentially life-threatening conditions (PLTC) were defined according to WHO criteria. For categorical variables, a descriptive analysis was carried out. Frequency and distribution of WHO criteria, organ dysfunction, or failure defined by SOFA max were performed. Results. WHO criteria identified 65 SMO and 214 PLTC. Management criteria were present in 58/65 (89.2%) while 61/65 (93.8%) of SMO cases had dysfunction or failure by SOFA. Conclusions. The systematic evaluation of the organic function by SOFA max score identified the presence of organic dysfunction or failure in almost all SMO cases. Management criteria were present in all MD cases. Our results indicate the need for new studies evaluating the parameterization of the WHO laboratory criteria for values compatible with the definition of organic dysfunction by the SOFA to identify MNM.

scholarly journals Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study

2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Early Marriage ◽  
Maternal Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

scholarly journals Proportion of Maternal Near-Miss and Its Determinants among Northwest Ethiopian Women: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Mengstu Melkamu Asaye
Keyword(s):  
Cross Sectional Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Sectional Study ◽  
Monthly Income ◽  
Cross Sectional ◽  
Factors Associated ◽  
Induced Hypertension ◽  
Life Threatening ◽  
The University

Background. Life-threatening situations might arise unexpectedly during pregnancy. Maternal near-miss can be a proxy for maternal death and explained as women who nearly died due to obstetric-related complications. It is recognized as the predictor of level of care and maternal death. Maternal near-miss evaluates life-threatening pregnancy-related complications, and it directs the assessment of the quality of obstetric care. Objective. To determine the proportion and factors associated with maternal near-miss at maternity wards at the University of Gondar Referral Hospital, Northwest Ethiopia, 2019. Methods. A cross-sectional study design was carried out from March 1 to June 20, 2019, using WHO criteria for maternal near-miss at the University of Gondar Referral Hospital. The data are from the interviews and review of 303 systematically selected participants’ medical files at maternity wards. Bivariate and multivariable logistic regression analyses were performed to analyze factors associated with maternal near-miss, including estimation of crude and adjusted odds ratios and their respective 95% confidence intervals and p value less than 0.05 through SPSS version 20. Result. The study revealed that the proportion of maternal near-miss was found to be 15.8% (95%CI=11.9%-20.1%). In the adjusted analyses, maternal near-miss was significantly associated with low (≤1000 ETB) monthly income (AOR=399; 95%CI=1.65, 9.65), seven or more days of hospital stay (AOR=5.43; 95%CI=2.49, 11.83), vaginal bleeding (AOR=2.75, 95%CI=1.17, 6.47), and pregnancy-induced hypertension (AOR=5.13; 95%CI=2.08, 12.6). Conclusion and Recommendation. The near-miss proportion was comparable to that in the region. Associated factors were low monthly income, seven or more days of hospital stay, vaginal bleeding, and pregnancy-induced hypertension. Thus, giving attention on early identification and treatment of these potential factors can be the opportunity in the reduction of maternal morbidity and mortality.

scholarly journals A cross sectional study of maternal ‘near-miss’ cases in major public hospitals in Egypt, Lebanon, Palestine and Syria

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Hyam Bashour ◽  
Ghada Saad-Haddad ◽  
Jocelyn DeJong ◽  
Mohammed Cherine Ramadan ◽  
Sahar Hassan ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Maternal near miss and mortality in a rural referral hospital in northern Tanzania: a cross-sectional study

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Ellen JT Nelissen ◽  
Estomih Mduma ◽  
Hege L Ersdal ◽  
Bjørg Evjen-Olsen ◽  
Jos JM van Roosmalen ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Referral Hospital ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Sectional Study ◽  
Cross Sectional ◽  
Northern Tanzania

scholarly journals Factors associated with maternal near-miss at Public hospitals of South-East Ethiopia: An institutional based cross-sectional study

2020 ◽  
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Early Marriage ◽  
Maternal Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Near Misses

Abstract Background Maternal near-miss precedes maternal mortality and women are still alive indicating that the numbers of near misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia.Methods Facility-based cross-sectional study design was carried out from October 1, 2018, to February 28, 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value <0.05 were used to examine the association between the independent and dependent variables.Result The prevalence of maternal near-miss in our study area was 28.7%. Being age less than 20 years, age of first marriage less than 20 years, having husband with primary school complete and being from rural residence are factors significantly associated with maternal near miss. The zonal health department in collaboration with the education department and Justice Office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

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 A cross sectional study of maternal near miss and mortality at a rural tertiary centre in southern nigeria

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Ikechukwu Innocent Mbachu ◽  
Chukwuemeka Ezeama ◽  
Kelechi Osuagwu ◽  
Osita Samuel Umeononihu ◽  
Chibuzor Obiannika ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Centre ◽  
Southern Nigeria
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