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Maternal near miss

Kui Deng, Yan Huang, Yanping Wang, Jun Zhu, Yi Mu, Xiaohong Li, Aiyun Xing, Zheng Liu, Mingrong Li, Xiaodong Wang, Juan Liang
Postterm births are associated with an increased risk of adverse perinatal outcomes, but few studies have investigated the epidemiological characteristics of postterm births. We aimed to estimate the prevalence of postterm births and examine the potential association between maternal sociodemographic and obstetric characteristics and postterm births. Data were collected from China's National Maternal Near Miss Surveillance System, 2012-2016. A logistic regression was used to assess the association between sociodemographic and obstetric characteristics and postterm births...
January 22, 2019: Scientific Reports
Skandarupan Jayaratnam, Maria Lucia de Fatima Godinho Soares, Belinda Jennings, Amitha Pradan Thapa, Cindy Woods
BACKGROUND: Assessment of severe maternal morbidity is increasingly being undertaken to understand the aetiology and factors which lead to adverse maternal outcomes. Their use in conjunction with maternal deaths may allow a comprehensive assessment of care provided, highlight areas for improvement within the health system and allow benchmarking of care against other institutions. Timor-Leste has one of the highest rates of maternal mortality in the Asia-Pacific region; however, there has been limited research into the level of severe obstetric morbidity in the country...
January 20, 2019: Australian & New Zealand Journal of Obstetrics & Gynaecology
Friday Okonofua
The article by Samuel Oppong et al in this issue of the BJOG makes interesting reading (Oppong et al. BJOG xxxx). It describes a study carried out in three tertiary referral hospitals in Southern Ghana that investigated the incidence and factors associated with maternal near miss morbidity. The study used the WHO Maternal Near Miss Screening tool to identify maternal near-misses among 8,433 live births and reported a maternal near miss rate of 34.2 per 1000 live births compared to a maternal mortality ratio of 740 per 100,000 live births...
January 18, 2019: BJOG: An International Journal of Obstetrics and Gynaecology
Izabel Dayana de Lemos Santos, Fabiana Fontana Medeiros, Rosângela Aparecida Pimenta Ferrari, Deise Serafim, Sandra Mara Maciel, Alexandrina Aparecida Maciel Cardelli
OBJECTIVE: To know maternal near-miss situations during labor and delivery according to technologies in health. METHOD: A quantitative study conducted with puerperal women in a public institution in which the maternity department is a reference for high risk care. Data collection was performed from October 2016 to August 2017, and data were processed in SPSS 20.0. Technologies in health were used for discussing the results. RESULTS: Participation of 319 puerperal women...
January 7, 2019: Revista da Escola de Enfermagem da U S P
Hari Bahadur Rana, Megha Raj Banjara, Mahesh Prasad Joshi, Ann E Kurth, Theresa P Castillo
AIM: To understand how maternal and neonatal near-miss reviews could be implemented and scaled-up in rural communities through the existing district health system in Nepal. METHODS: Mixed methods with a modified time series evaluation design were used. The World Health Organization maternal and neonatal near-miss criteria used in multicountry surveys were adapted and used to define maternal and neonatal near-miss cases. RESULTS: The World Health Organization near-miss criteria were mainly applicable at the district hospital setting, but further adaptations were needed for community-level birthing centres, as organ dysfunction and critical intervention criteria were not found appropriate...
December 2018: Acta Paediatrica
Samuel A Oppong, Ashura Bakari, April J Bell, Yemah Bockarie, Joseph A Adu, Cornelius A Turpin, Samuel A Obed, Richard M Adanu, Cheryl A Moyer
OBJECTIVE: To explore the incidence and factors associated with maternal near-miss. DESIGN: Cross-sectional study with an embedded case-control study. SETTING: Three tertiary referral hospitals in southern Ghana. POPULATION: All women admitted to study facilities with pregnancy-related complications or for birth. METHODS: An adapted version of the WHO Maternal Near Miss Screening Tool was used to identify maternal near-miss cases...
December 12, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Dulce M Zanardi, Mary A Parpinelli, Samira M Haddad, Maria L Costa, Maria H Sousa, Debora F B Leite, Jose G Cecatti
PURPOSE: To assess the association between maternal potentially life-threatening conditions (PLTC), maternal near miss (MNM), and maternal death (MD) with perinatal outcomes. METHODS: Cross-sectional study in 27 Brazilian referral centers from July, 2009 to June, 2010. All women presenting any criteria for PLTC and MNM, or MD, were included. Sociodemographic and obstetric characteristics were evaluated in each group of maternal outcomes. Childbirth and maternal morbidity data were related to perinatal adverse outcomes (5th min Apgar score < 7, fetal death, neonatal death, or any of these)...
December 11, 2018: Archives of Gynecology and Obstetrics
Antonio Francisco Oliveira Neto, Mary Angela Parpinelli, Maria Laura Costa, Renato Teixeira Souza, Carolina Ribeiro do Valle, José Guilherme Cecatti
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...
2018: BioMed Research International
Alana Santos Monte, Liana Mara Rocha Teles, Mônica Oliveira Batista Oriá, Francisco Herlânio Costa Carvalho, Helen Brown, Ana Kelve de Castro Damasceno
OBJECTIVE: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity. METHOD: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used...
November 29, 2018: Revista da Escola de Enfermagem da U S P
Hannah Moore, Wendy Solomons, Lisa Hinton
OBJECTIVES: To explore the discursive construction and social actions achieved by accounts given by men following a birth in which the mother developed life-threatening complications. BACKGROUND: Existing qualitative research employing interpretative thematic analysis of men's accounts of births in which the mother developed life-threatening complications highlights men's expressions of distress and marginalisation. This paper extends this, adopting different epistemological and analytic approaches to those accounts...
November 30, 2018: Journal of Reproductive and Infant Psychology
Henry Chikadaya, Mugove Gerald Madziyire, Stephen P Munjanja
BACKGROUND: Maternal 'near miss' can be a proxy for maternal death and it describes women who nearly died due to obstetric complications. It measures life threatening pregnancy related complications and allows the assessment of the quality of obstetric care. METHODS: A prospective descriptive study was carried out from October 1 2016 to 31 December 2016, using the WHO criteria for maternal 'near miss' at the two tertiary public hospitals which receive referrals of all obstetric complications in Harare city, Zimbabwe...
November 26, 2018: BMC Pregnancy and Childbirth
Danielly S Santana, Carla Silveira, Maria L Costa, Renato T Souza, Fernanda G Surita, João P Souza, Syeda Batool Mazhar, Kapila Jayaratne, Zahida Qureshi, Maria H Sousa, Joshua P Vogel, José G Cecatti
BACKGROUND: Twin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes, especially for the second twin. In addition, the maternal complications (potentially life-threatening conditions-PLTC, maternal near miss-MNM, and maternal mortality-MM) are directly related to twin pregnancy and independently associated with adverse perinatal outcome. The objective of the preset study is to evaluate perinatal outcomes associated with twin pregnancies, stratified by severe maternal morbidity and order of birth...
November 20, 2018: BMC Pregnancy and Childbirth
Abera Kenay Tura, Joost Zwart, Jos van Roosmalen, Jelle Stekelenburg, Thomas van den Akker, Sicco Scherjon
BACKGROUND: With the reduction of maternal mortality, maternal near miss (MNM) has been used as a complementary indicator of maternal health. The objective of this study was to assess the frequency of MNM in eastern Ethiopia using an adapted sub-Saharan Africa MNM tool and compare its applicability with the original WHO MNM tool. METHODS: We applied the sub-Saharan Africa and WHO MNM criteria to 1054 women admitted with potentially life-threatening conditions (including 28 deaths) in Hiwot Fana Specialized University Hospital and Jugel Hospital between January 2016 and April 2017...
2018: PloS One
Soraya Saleh Gargari, Birgitta Essén, Masoumeh Fallahian, Ajlana Mulic-Lutvica, Soheila Mohammadi
OBJECTIVE: To evaluate appropriateness of cesarean delivery and cesarean delivery-related morbidity among maternal near misses (MNMs) using the Robson ten-group classification system. METHODS: In the present audit study, medical records were assessed for women who experienced MNM and underwent cesarean delivery at three university hospitals in Tehran, Iran, between March 1, 2012, and May 1, 2014. Local auditors assessed cesarean delivery indications and morbidity experienced...
January 2019: International Journal of Gynaecology and Obstetrics
Telmo Henrique Barbosa de Lima, Leila Katz, Samir Buainain Kassar, Melania Maria Amorim
BACKGROUND: To investigate the associations of maternal variables - sociodemographic, obstetrical and maternal near miss (MNM) variables - with neonatal near miss (NNM) using the new concept of NNM formulated by the Centro Latino-Americano de Perinatologia (CLAP) and the corresponding health indicators for NNM. METHODS: An analytical prospective cohort study was performed at maternity hospital for high-risk pregnancy in Northeastern Brazil. Puerperal women whose newborn infants met the selection criteria were subjected to interviews involving pretested questionnaires...
October 12, 2018: BMC Pregnancy and Childbirth
Atsumi Hirose, Fadhlun Alwy, Susan Atuhairwe, Jessica L Morris, Andrea B Pembe, Frank Kaharuza, Gaetano Marrone, Claudia Hanson
OBJECTIVE: To estimate the stillbirth risk associated with intrapartum adverse events, controlling for fetal and maternal factors. METHODS: The present study was an analysis of cross-sectional patient-record and facility-file data from women with viable fetuses who experienced obstetric adverse events at 23 hospitals and 38 health centers in Tanzania (between December 2015 and October 2016), and 22 hospitals, 16 level-4 health centers, and five level-3 health centers in Uganda (between May 2016 and September 2017)...
October 5, 2018: International Journal of Gynaecology and Obstetrics
A N Adamu, B O Okusanya, J Tukur, A O Ashimi, O A Oguntayo, K A Tunau, B A Ekele, O T Oladapo
OBJECTIVE: To investigate life-threatening maternal complications related to hypertensive disorders of pregnancy (HDP) in Nigerian public tertiary hospitals. DESIGN: Secondary analysis of a nationwide cross-sectional study. SETTING: Forty-two tertiary hospitals. POPULATION: Women admitted for pregnancy, childbirth or puerperal complications. METHOD: All cases of severe maternal outcome (SMO: maternal near-miss or maternal death) due to HDP were prospectively identified using the WHO criteria over a 1-year period...
September 30, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Moti Tolera, Alula M Teklu, Abdurahman Ahmed, Abdiwahab Hashi, Lemessa Oljira, Zerihun Abebe, Wondimagegn Gezahegn, Kahasse Gebre Kidan
BACKGROUND: Maternal mortality is a critical indicator in assessing the quality of services provided by a health care system. Approximately 99% of all maternal deaths occur in developing countries; where a majority of the causes of these deaths are preventable. CASE PRESENTATION: A 25-year-old, married, multigravida, black woman who has had six live births presented to a health center with the chief compliant of abnormal body swelling of 2 days' duration and loss of consciousness...
September 26, 2018: Journal of Medical Case Reports
Mehmet Ozgur Akkurt, Bora Coşkun, Tuğberk Güçlü, Tayfur Çift, Engin Korkmazer
AIM: To define the risk factors for relaparotomy after cesarean delivery (RLACD) and related maternal near-miss event due to bleeding. METHODS: In this retrospective descriptive case-control study, women who underwent RLACD (n = 46) only for bleeding between 2012 and 2017 were reviewed. Factors that could predict relaparotomy and related near-miss event were evaluated. Maternal characteristics, laboratory findings and surgical features were compared with a control group (n = 230) that included noncomplicated cesarean deliveries (CD)...
September 20, 2018: Journal of Maternal-fetal & Neonatal Medicine
Rakesh Kumar, Aparna Tewari
Near-miss obstetric events (NMEs) refers to the situations where women experience severe, life-threatening obstetric complications during pregnancy, delivery, or postpregnancy (up to 42 days) which they survive either by chance or because they receive good care at a facility. A cross-sectional study was conducted from May to June 2016 at the subdivisional hospital of West Bengal. The WHO near-miss criteria were followed for case identification. Data were collected by interview and record review. No maternal deaths were reported during data collection period; however, the frequency of NMEs was quite high (38%)...
July 2018: Indian Journal of Public Health
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