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

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.

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

10.21203/rs.2.21116/v1 ◽

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.

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

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0733-7 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 11

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

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The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0251609 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251609

Author(s):

Merertu Wondimu ◽

Fikadu Balcha ◽

Girma Bacha ◽

Aklilu Habte

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Public Hospitals ◽

Near Miss ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Jimma Zone ◽

Neonatal Near Miss

Background Neonates with severe complications at birth or during the neonatal period who nearly died but survived constitute neonatal near miss (NNM) cases. Identifying NNM cases and correcting contributing factors are of the utmost importance to get relevant controls for neonatal deaths. However, limited studies are assessing the prevalence of NNM and associated factors with NNM cases in Ethiopia. So, this study is aimed at assessing the magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma zone, southwest Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 260 neonates from April 1–30 / 2020. Face to face interviewer-administered structured questionnaire was used to collect data from the mothers and a standard checklist was used for their neonates. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. Independent variables with marginal associations (p-value <0.25) in the bivariable analysis were eligible for multivariable logistic regression analysis to detect an association with outcome variables. Finally, adjusted odds ratios (AOR) with 95% CI were used to estimate the strength of associations, and statistical significance was declared at a p-value < 0.05. Result The magnitude of NNM was 26.7% with [95%CI: 21.6–32.5]. Hypertension during pregnancy [AOR: 3.4; 95%CI: 1.32–8.88], mode of delivery [AOR: 3.32; 95%CI: 1.48–7.45], Obstructed labor [AOR: 2.95; 95%CI: 1.32–6.45] and non-vertex fetal presentation during delivery [AOR: 4.61; 95%CI: 2.16–9.84] were identified as significantly predictors of NNM. Conclusion and recommendation Over a quarter of the neonates were with NNM cases, which is relatively higher than the report of studies done in other countries. Hypertension during pregnancy, cesarean delivery, prolonged labor, and non-vertex fetal presentation were all found to increase the likelihood of NNM. Therefore, concerted efforts are needed from local health planners and health care providers to improve maternal health care services especially in early identification of the complications and taking appropriate management.

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Maternal near-miss and death and their association with caesarean section complications: a cross-sectional study at a university hospital and a regional hospital in Tanzania

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-14-244 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 41

Author(s):

Helena Litorp ◽

Hussein L Kidanto ◽

Mattias Rööst ◽

Muzdalifat Abeid ◽

Lennarth Nyström ◽

...

Keyword(s):

Caesarean Section ◽

Cross Sectional Study ◽

Regional Hospital ◽

Near Miss ◽

University Hospital ◽

Maternal Near Miss ◽

Sectional Study ◽

Cross Sectional

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Maternal Near Miss Cases of a Tertiary Care Hospital of Central India: A Record Based Cross Sectional Study

Indian Journal of Obstetrics and Gynecology ◽

10.21088/ijog.2321.1636.6318.21 ◽

2018 ◽

Vol 6 (3) ◽

pp. 321-326

Author(s):

Thakre S.S. ◽

◽

Patil C.R. ◽

Thakre S.B. ◽

Petkar P.B. ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Central India ◽

Cross Sectional Study ◽

Near Miss ◽

Maternal Near Miss ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

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

International Journal of Reproductive Medicine ◽

10.1155/2020/5257431 ◽

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.

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Factors associated with health facility delivery in Kitui County: a cross sectional study

F1000Research ◽

10.12688/f1000research.23419.1 ◽

2020 ◽

Vol 9 ◽

pp. 522

Author(s):

Mathew Munyamaara Mutiiria ◽

Gabriel Gatimu Mbugua ◽

Doris Marwanga

Keyword(s):

Multivariate Analysis ◽

Maternal Mortality ◽

Health Facility ◽

Cross Sectional Study ◽

Facility Delivery ◽

P Value ◽

Sectional Study ◽

Health Facility Delivery ◽

Cross Sectional ◽

Factors Associated

Background: High maternal mortality rate is a major public health concern in developing countries. Skilled birth delivery is central to reducing maternal mortality, yet health facility delivery remains low in Kitui County, Kenya. Our study estimated prevalence of unskilled delivery and identified factors associated with health facility delivery in Kitui County. Methods: A cross-sectional study was conducted December 2017-February 2018. 245 women from five administrative wards were interviewed. A structured questionnaire was used to collect data. Variables that had p value ≤0.05 in bivariate analysis were included in multivariable regression model to assess for confounders. Variables with a p value of ≤0.05 in multivariate analysis were considered statistically significant at 95% CI. Results: We interviewed 245 (240 analyzed) women from the five wards; the majority were 16-25 years age group (45.5%; 110/240). Mean age was 27±6.6 years. Prevalence of health facility delivery was 50.4%. Distance from a health facility, number of children in a household, occupation of the respondent’s partner, number of antenatal clinic (ANC) visits and means of transport were significant factors for not delivering in a health facility. On multivariate analysis, women who lived >5km from health facility were less likely to deliver in a health facility (AOR =0.36; 95% CI 0.15- 0.86). Women who attended ≥ 4 ANC visits were 4 times more likely to deliver in a health facility (95% CI 2.01-8.79). Conclusions: More than half of the respondents delivered in a health facility. A long distance from the health facility is a hindrance to accessing ANC services. Inadequate ANC visits was associated with home delivery. Improving accessibility of health care services and health education on family planning would increase delivery at a health facility. We recommend Kitui County introduce five satellite clinics/ambulatory services for expectant women to access ANC and maternal services.

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Preference of place of delivery and its determinants: a cross-sectional study in Chukha district, Bhutan

Bhutan Health Journal ◽

10.47811/bhj.05 ◽

2015 ◽

Vol 1 (1) ◽

pp. 23-29

Author(s):

Kencho Wangdi ◽

Mongal S. Gurung ◽

Dorji Pelzom ◽

Tashi Dema ◽

Sonam Wangdi

Keyword(s):

Maternal Mortality ◽

Health Facility ◽

Rural Areas ◽

Maternal Mortality Ratio ◽

Cross Sectional Study ◽

World Health ◽

Sectional Study ◽

Cross Sectional ◽

Mortality Ratio ◽

At Home

Introduction: The estimated global maternal deaths in 2013 was 289000. In Bhutan, Maternal Mortality Ratio has remarkably declined from 770 deaths per 100,000 live births in 1984 to 86 in 2012. However, the maternal mortality ratio still remains high and a high proportion of delivery still take place at homes (26%) despite of adopting 100%institutional delivery policy ever since 2005. This study was carried out to determine the important factors that prevent women from coming to the health facilities for safe delivery. Methods: A cross-sectional study among the women who delivered in Chukha District in 2013 was carried out after seeking ethical approval from Research Ethics Board of Health and World Health Organization. Chukha is a district with the second highest number of population in Bhutan where 55.7% of the people live in rural villages. Results: Out of 899 eligible listed women, 78.1% participated in the study and among the participants 11.5% had delivered at home. The number of home deliveries was higher in rural areas, 17.3%, as compared to urban places, 6.4%. Women who were delivering for third or more times are 2.42 times more likely to give birth at home compared to women who were delivering for the first time. Women residing at places more than three hours away from the health facility were 2.58 times more likely to give birth at home compared to women residing less than three hours away. During their last pregnancy, 99.4% of the participants have sought at least one ANC. Conclusions: This study suggests that the two most important factors associated with home delivery are the distance to health facility from their residences and the parity.

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