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

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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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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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 prevalence of neonatal near miss and associated factors in Nepal: A cross-sectional study

10.21203/rs.3.rs-42794/v1 ◽

2020 ◽

Author(s):

Sushma Rajbanshi ◽

Norhayati Mohd Noor ◽

Nik Hazlina Nik Hussain

Keyword(s):

Caesarean Section ◽

Maternal Morbidity ◽

Newborn Infants ◽

Cross Sectional Study ◽

Near Miss ◽

Infant Mortality Rate ◽

Severe Maternal Morbidity ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Near Miss

Abstract Background: Unlike the infant mortality rate, the rate of neonatal mortality has not declined and remains a major health challenge in low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 hours of birth and the early neonatal period. Determining which factors contribute to neonatal near miss (NNM) can be used to assess health care quality and identify factors capable of correction in the healthcare system to improve neonatal care. Thus, the objective of the current study was to establish the prevalence of NNM and identify its associated factors.Methods: A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal. Neonates and their mothers (unspecified maternal age and number of gestational weeks) were enrolled. The key inclusion criterion was the admission of newborn infants to the neonatal intensive care unit at Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size (i.e., 1,000 newborn infants) was reached. Simple and multiple logistic regression analysis was performed using SPSS ® version 24.0.Results: One thousand respondents were recruited. The prevalence of NNM was 79 per 1,000 live births. Maternal secondary (adjusted odds ratio (AOR]: 0.46, 95% confidence interval (CI]: 0.24–0.88) and tertiary education (AOR: 0.18, 95% CI: 0.05–0.56), multiparity (AOR: 0.52, 95% CI: 0.39–0.86), Caesarean section (AOR: 0.48, 95% CI: 0.19–0.99), and severe maternal morbidity (AOR: 4.51, 95% CI: 2.07–9.84) were significantly associated with NNM.Conclusions: Parity, severe maternal morbidity, mode of delivery, and maternal education were significantly associated with NNM. Healthcare workers should be aware of the impact of obstetric factors so that earlier interventions, especially the Caesarean section, can be exercised.

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

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-13-141 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 55

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

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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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