Maternal near miss in low-resource areas.

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Robert L GoldenbergElizabeth M McClure

Abstract

To describe the Global Network Near-Miss Maternal Mortality System and its application in seven sites. In a population-based study, pregnant women eligible for enrollment in the Maternal and Newborn Health Registry at seven sites (Democratic Republic of the Congo; Guatemala; Belagavi and Nagpur, India; Kenya; Pakistan; and Zambia) between January 2014 and April 2016 were screened to identify those likely to have a near-miss event. The WHO maternal near-miss criteria were modified for low-resource settings. The ratio of near-miss events to maternal deaths was calculated. Among 122 707 women screened, 18 307 (15.0%) had a potential near-miss event, of whom 4866 (26.6%; 4.0% of all women) had a near-miss maternal event. The overall maternal mortality ratio was 155 per 100 000 live births. The ratio of near-miss events to maternal deaths was 26 to 1. The most common factors involved in near-miss cases were the hematologic/coagulation system, infection, and cardiovascular system. By using the Global Network Near-Miss Maternal Mortality System, large numbers of women were screened for near-miss events, including those delivering at home or a low-level maternity clinic. The 4.0% incidence of near-miss maternal mortality is similar to ...Continue Reading

Associated Clinical Trials

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Citations

Apr 12, 2018·Clinical Obstetrics and Gynecology·Elena V Kuklina, David A Goodman
Nov 30, 2019·Health Promotion Perspectives·Sedigheh AbdollahpourTalat Khadivzadeh
Jun 28, 2018·Reproductive Health·Stacie E GellerBeverley Lawton
Jun 27, 2018·BMC Pregnancy and Childbirth·Abebaw Wasie Kasahun, Wako Golicha Wako
Dec 3, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mohan Kumar M, Gitismita Naik
Nov 21, 2020·Journal of Global Health·Kim Jc VerschuerenKitty Wm Bloemenkamp
Mar 27, 2021·Indian Journal of Anaesthesia·Sunil T PandyaAnjan Trikha

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