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Maternal near miss

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
Juan Manuel Burgos Luna, Diana Marcela Páez Rúa, Ingrid Ruiz Ordoñez, Paula Andrea Fernández, María Fernanda Escobar Vidarte
INTRODUCTION: Sickle cell disease (SCD) is one of the most common monogenic diseases worldwide, affecting approximately 30 million people across the globe. It is one of the most common hemoglobinopathies affecting pregnancy, particularly in the black population. Pregnant women with SCD, in conjunction with the physiological changes of pregnancy, have an increased risk of developing severe maternal and fetal complications. MATERIALS AND METHODS: A descriptive, observational study was conducted retrospectively to determine the maternal and neonatal disease burden of pregnant women with SCD between 2011 and 2016...
September 19, 2018: Journal of Maternal-fetal & Neonatal Medicine
Danielly Scaranello Santana, Fernanda Garanhani Surita, José Guilherme Cecatti
Twin pregnancy accounts for 2 to 4% of total births, with a prevalence ranging from 0.9 to 2.4% in Brazil. It is associated with worse maternal and perinatal outcomes. Many conditions, such as severe maternal morbidity (SMM) (potentially life-threatening conditions and maternal near-miss) and neonatal near-miss (NNM) still have not been properly investigated in the literature. The difficulty in determining the conditions associated with twin pregnancy probably lies in its relatively low occurrence and the need for larger population studies...
September 2018: Revista Brasileira de Ginecologia e Obstetrícia
Ewnetu Firdawek Liyew, Alemayehu Worku Yalew, Mesganaw Fantahun Afework, Birgitta Essén
BACKGROUND: Presence of maternal near-miss conditions in women is strongly associated with the occurrence of adverse perinatal outcomes, but not well-understood in low-income countries. The study aimed to ascertain the effect of maternal near-miss on the risk of adverse perinatal outcomes in Ethiopia. METHODS: A prospective cohort study was conducted in five public hospitals of Addis Ababa, Ethiopia. Women admitted from May 1, 2015 to April 30, 2016 were recruited for the study...
August 22, 2018: BMC Pregnancy and Childbirth
Francesca Solmi, Daniela Melamed, Glyn Lewis, James B Kirkbride
BACKGROUND: Psychotic experiences might represent non-specific markers of poor mental health in adolescence. However, only a few predominantly cross-sectional studies have tested their association with disordered eating behaviours in adolescent and adult populations. The aim of this study was to explore the association between psychotic experiences at age 13 years, and disordered eating behaviours and body-mass index (BMI) at age 18 years. METHODS: We used data from the Avon Longitudinal Study of Parents and Children, a longitudinal birth cohort based in Avon (England, UK) including mothers with an expected delivery date between April 1, 1991, and Dec 31, 1992, and their children...
August 2018: Lancet Child & Adolescent Health
Yuan-Yuan Yang, Yi-Hua Fang, Xue Wang, Ying Zhang, Xiao-Jun Liu, Zong-Zhi Yin
This study aims to investigate major complications or symptoms of pregnant women, causes of maternal near-miss, and issues that are relevant to severe maternal disease.A retrospective analysis was performed in the "maternal individual investigation form," which included all critical maternity patients admitted to the First Affiliated Hospital of Anhui Medical University from January 1, 2012 to September 31, 2015.A total of 14,014 pregnant patients who delivered at 28 to 42 weeks of gestation were included...
August 2018: Medicine (Baltimore)
Yi Mu, Xiaohong Li, Jun Zhu, Zheng Liu, Mingrong Li, Kui Deng, Changfei Deng, Qi Li, Leni Kang, Yanping Wang, Juan Liang
Objective: To examine the trends and safety of vaginal birth after caesarean section around the period of the one-child policy relaxation in China. Methods: We used data from China's National Maternal Near Miss Surveillance System between 2012 and 2016. To examine trends in vaginal birth after caesarean section, we used Poisson regression with a robust variance estimator. We also assessed the association between vaginal birth after caesarean section and maternal and perinatal outcomes...
August 1, 2018: Bulletin of the World Health Organization
Tao Xiong, Yi Mu, Juan Liang, Jun Zhu, Xiaohong Li, Jinke Li, Zheng Liu, Yi Qu, Yanping Wang, Dezhi Mu
Objective: To assess the association between hypertensive disorders in pregnancy and the stillbirth rate. Methods: We obtained all data from China's National Maternal Near Miss Surveillance System for 2012 to 2016. Associations between hypertensive disorders in pregnancy and stillbirths, stratified by fetus number and gestational age, were assessed using Poisson regression analysis with a robust variance estimator. Findings: For the period, 6 970 032 births, including 66 494 stillbirths, were reported to the surveillance system...
August 1, 2018: Bulletin of the World Health Organization
Cynara Maria Pereira, Rodolfo Carvalho Pacagnella, Mary Angela Parpinelli, Carla Betina Andreucci, Dulce Maria Zanardi, Renato Souza, Carina Robles Angelini, Carla Silveira, José Guilherme Cecatti
OBJECTIVE:  To assess the relationship between the use of psychoactive substances during pregnancy and the occurrence of severe maternal morbidity (SMM), perinatal outcomes and repercussions on the neuropsychomotor development of exposed children. METHODS:  A case-control study nested within a cohort of severe maternal morbidity (COMMAG) was performed. Women with SMM were considered cases. Controls were those with low-risk pregnancy, without SMM and admitted during the same time period as the cases...
September 2018: Revista Brasileira de Ginecologia e Obstetrícia
Nasrin Javid, Jon A Hyett, Caroline S E Homer
BACKGROUND: Vasa praevia can cause stillbirth or early neonatal death if it is not diagnosed antenatally and managed appropriately. Experiencing undiagnosed vasa praevia during labour is challenging and traumatic for women and their care providers. Little is known about the experiences of midwives who care for these women. AIM: To investigate the experience of Australian midwives caring for women with undiagnosed vasa praevia during labour and birth. METHODS: A qualitative descriptive study was conducted with midwives in Australia who had cared for at least one woman with vasa praevia during 2010-2016...
July 18, 2018: Women and Birth: Journal of the Australian College of Midwives
I A Iwuh, S Fawcus, L Schoeman
BACKGROUND: 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...
February 27, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Ana Carolina B Pordeus, Leila Katz, Mariana C Soares, Sabina B Maia, Melania M R Amorim
Acute pulmonary edema (PE) affects 0.08% to 1.5% of women during pregnancy and in the postpartum. At the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), acute PE accounts for 1.5% of admissions to the obstetric intensive care unit (ICU) and occurs in 9.3% of the patients admitted with near miss criteria. This study was conducted to describe the clinical/epidemiological profile of patients with acute PE in IMIP's obstetric ICU.A case series of 50 patients with acute PE in an obstetric ICU in northeastern Brazil between August 2012 and March 2015...
July 2018: Medicine (Baltimore)
Marzia Lazzerini, Margherita Ciuch, Silvia Rusconi, Benedetta Covi
BACKGROUND: The maternal near-miss cases review (NMCR), a type of clinical audit, proved to be effective in improving quality of care and decreasing maternal mortality in low/middle-income countries (LMICs). However, challenges in its implementation have been described. OBJECTIVES: Synthesising the evidence on facilitators and barriers to the effective implementation of NMCR in LMICs. DESIGN: Systematic review of qualitative studies. DATA SOURCES: MEDLINE, LILACS, Global Health Library, SCI-EXPANDED, SSCI, Cochrane library and Embase were searched in December 2017...
June 30, 2018: BMJ Open
Kathleen Rice Simpson
No abstract text is available yet for this article.
July 2018: MCN. the American Journal of Maternal Child Nursing
Robert L Goldenberg, Elizabeth M McClure, José M Belizán
The Jawaharlal Nehru Medical College (JNMC) Women's and Children's Health Research Unit (WCHRU) of the Karnataka Lingayat Education (KLE) Academy of Higher Education and Research Deemed-to-be-University and its collaborators convened the '2nd International Conference on Maternal and Newborn Health -Translating Research Evidence to Practice' to address the common theme of improving maternal and newborn health in low- and middle- income countries (LMIC). This supplement, including 16 manuscripts, reflects much of the research presented at the conference, including analyses of the state of knowledge, as well as completed, ongoing and planned research in these areas conducted by the WCHRU in India together with many collaborators across high-income and LMIC...
June 22, 2018: Reproductive Health
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