Maternal near-miss audit in the Metro West maternity service, Cape Town, South Africa: A retrospective observational study

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
I A IwuhL Schoeman

Abstract

A maternal near-miss is defined as a life-threatening pregnancy-related complication where the woman survives. The World Health Organization (WHO) has produced a tool for identifying near-misses according to criteria that include the occurrence of a severe maternal complication together with organ dysfunction and/or specified critical interventions. Maternal deaths have been audited in the public sector Metro West maternity service in Cape Town, South Africa, for many years, but there has been no monitoring of near-misses. To measure the near-miss ratio (NMR), maternal mortality ratio (MMR) and mortality index (MI), and to investigate the near-miss cases. A retrospective observational study conducted during 6 months in 2014 identified and analysed all near-miss cases and maternal deaths in Metro West, using the WHO criteria. From a total of 19 222 live births, 112 near-misses and 13 maternal deaths were identified. The MMR was 67.6 per 100 000 live births and the NMR 5.83 per 1 000 live births. The maternal near-miss/maternal death ratio was 8.6:1 and the MI 10.4%. The major causes of near-miss were hypertension (n=50, 44.6%), haemorrhage (n=38, 33.9%) and puerperal sepsis (n=13, 11.6%). The first two conditions both had very l...Continue Reading

Citations

Nov 30, 2019·Health Promotion Perspectives·Sedigheh AbdollahpourTalat Khadivzadeh
Aug 14, 2019·Scandinavian Journal of Public Health·Puvashnee NydooJagidesa Moodley
Nov 28, 2019·Iranian Journal of Nursing and Midwifery Research·Sedigheh AbdollahpourTalat Khadivzadeh
May 13, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Anke HeitkampGerhard Theron

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