Applicability of the WHO maternal near-miss tool: A nationwide surveillance study in Suriname.

Journal of Global Health
Kim Jc VerschuerenKitty Wm Bloemenkamp

Abstract

Maternal near-miss (MNM) is an important maternal health quality-of-care indicator. To facilitate comparison between countries, the World Health Organization (WHO) developed the "MNM-tool". However, several low- and middle-income countries have proposed adaptations to prevent underreporting, ie, Namibian and Sub-Sahara African (SSA)-criteria. This study aims to assess MNM and associated factors in middle-income country Suriname by applying the three different MNM tools. A nationwide prospective population-based cohort study was conducted using the Suriname Obstetric Surveillance System (SurOSS). We included women with MNM-criteria defined by WHO-, Namibian- and SSA-tools during one year (March 2017-February 2018) and used hospital births (86% of total) as a reference group. There were 9114 hospital live births in Suriname in the one-year study period. SurOSS identified 71 women with WHO-MNM (8/1000 live births, mortality-index 12%), 118 with Namibian-MNM (13/1000 live births, mortality-index 8%), and 242 with SSA-MNM (27/1000 live births, mortality-index 4%). Namibian- and SSA-tools identified all women with WHO-criteria. Blood transfusion thresholds and eclampsia explained the majority of differences in MNM prevalence. Eclamps...Continue Reading

References

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Citations

Mar 18, 2021·BMC Pregnancy and Childbirth·Tayue Tateke KebedeYemisirach Berhanu Sebsibe
Jul 9, 2021·Global Health, Science and Practice·Lachmi R KodanKitty W M Bloemenkamp

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Methods Mentioned

BETA
cesarean section

Software Mentioned

SPSS
MNM
WHO
INOSS
Kobotoolbox
SSA
SurOSS
SSA MNM - tool

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