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Maternal near miss

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...
July 31, 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
Christophe Benimana, Maria Small, Stephen Rulisa
OBJECTIVE: Assess the primary causes and preventability of maternal near misses (MNM) and mortalities (MM) at the largest tertiary referral hospital in Rwanda, Kigali University Teaching Hospital (CHUK). METHODS: We reviewed records for all women admitted to CHUK with pregnancy-related complications between January 1st, 2015 and December 31st, 2015. All maternal deaths and near misses, based on WHO near miss criteria were reviewed (Appendix A). A committee of physicians actively involved in the care of pregnant women in the obstetric-gynecology department reviewed all maternal near misses/ pregnancy-related deaths to determine the preventability of these outcomes...
2018: PloS One
Abebaw Wasie Kasahun, Wako Golicha Wako
BACKGROUND: Maternal mortality and morbidity remain unacceptably high in developing countries. Behind every maternal death, many other women suffered from acute and chronic obstetric complications. Women who survive severe acute maternal morbidities/near miss have many characteristics in common with maternal death events particularly on risk factors. Ethiopia is among countries with high maternal mortality and morbidities in sub-Saharan Africa. However there is scarce evidence on risk factors of severe acute maternal morbidities in Ethiopia...
June 26, 2018: BMC Pregnancy and Childbirth
Eric Courchesne, Tiziano Pramparo, Vahid H Gazestani, Michael V Lombardo, Karen Pierce, Nathan E Lewis
Autism spectrum disorder (ASD) has captured the attention of scientists, clinicians and the lay public because of its uncertain origins and striking and unexplained clinical heterogeneity. Here we review genetic, genomic, cellular, postmortem, animal model, and cell model evidence that shows ASD begins in the womb. This evidence leads to a new theory that ASD is a multistage, progressive disorder of brain development, spanning nearly all of prenatal life. ASD can begin as early as the 1st and 2nd trimester with disruption of cell proliferation and differentiation...
June 22, 2018: Molecular Psychiatry
Wondimagegnehu Sisay Woldeyes, Dejene Asefa, Geremew Muleta
BACKGROUND: Investigating cases of severe maternal morbidity (SMM) and severe maternal outcome (SMO) and the quality of maternal health care using near-miss approach has become popular over recent years. The aim of this study was to determine facility based incidence and the determinants of severe maternal outcome (SMO) using this approach. METHODS: Prospective cross-sectional study among all mothers who presented to study facility while pregnant, during child birth and/or within 42 days after termination of pregnancy seeking care and found to have SMM and SMO during the study period was carried out...
June 20, 2018: BMC Pregnancy and Childbirth
Tonya MacDonald, Suzanne Jackson, Marie-Carmèle Charles, Marius Periel, Marie-Véna Jean-Baptiste, Alex Salomon, Éveillard Premilus
BACKGROUND: In Haiti, the number of women dying in pregnancy, during childbirth and the weeks after giving birth remains unacceptably high. The objective of this research was to explore determinants of maternal mortality in rural Haiti through Community-Based Action Research (CBAR), guided by the delays that lead to maternal death. This paper focuses on socioecological determinants of maternal mortality from the perspectives of women of near-miss maternal experiences and community members, and their solutions to reduce maternal mortality in their community...
June 20, 2018: BMC Pregnancy and Childbirth
Skandarupan Jayaratnam, Sonia Kua, Caroline deCosta, Richard Franklin
BACKGROUND: Australia has a maternal mortality ratio of 6.8/100000 live births, a rate akin to other developed countries and consistent with the high level care provided within the Australian health care system. With maternal mortality at very low levels assessment of severe maternal morbidity is increasingly being used as an indicator of quality of care and to identify areas for improvement in maternity services. The WHO maternal 'near miss' criteria is a standardised tool has been increasingly used worldwide to assess maternal morbidity and standards of maternity care...
June 11, 2018: BMC Pregnancy and Childbirth
A Cromi, N Marconi, J Casarin, S Cominotti, C Pinelli, M Riccardi, F Ghezzi
OBJECTIVE: To assess whether risk of severe maternal morbidity at delivery differs for women who conceived using assisted reproductive technology (ART), compared with those with a spontaneous conception. DESIGN: A cohort study using a prospectively maintained institutional database. SETTING: A tertiary university maternity hospital. POPULATION: All women delivering at Del Ponte Hospital, Italy, between 2005 and 2016...
June 5, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
R L Goldenberg, R O Nathan, D Swanson, S Saleem, W Mirza, F Esamai, D Muyodi, A L Garces, L Figueroa, E Chomba, M Chiwala, M Mwenechanya, A Tshefu, A Lokangako, V L Bolamba, J L Moore, H Franklin, J Swanson, E A Liechty, C L Bose, N F Krebs, K Michael Hambidge, W A Carlo, N Kanaiza, F Naqvi, I S Pineda, W López-Gomez, D Hamsumonde, M S Harrison, M Koso-Thomas, M Miodovnik, D D Wallace, E M McClure
OBJECTIVE: Ultrasound is widely regarded as an important adjunct to antenatal care (ANC) to guide practice and reduce perinatal mortality. We assessed the impact of ANC ultrasound use at health centres in resource-limited countries. DESIGN: Cluster randomised trial. SETTING: Clusters within five countries (Democratic Republic of Congo, Guatemala, Kenya, Pakistan, and Zambia) METHODS: Clusters were randomised to standard ANC or standard care plus two ultrasounds and referral for complications...
May 21, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Ibraheem O Awowole, Oluseyi S Omitinde, Fatiu A Arogundade, Sekinah B Bola-Oyebamiji, Olumide A Adeniyi
OBJECTIVE: Despite being a Critical Intervention in the WHO Near-miss concept, the indications and clinical outcomes of patients with Pregnancy-Related Acute Kidney Injury (PRAKI) requiring dialysis at the Obafemi Awolowo University Teaching Hospitals Complex, Nigeria remain unknown. This retrospective review was conducted to facilitate counselling, prognostication and introduction of preventative measures by providing contemporary data on the aetiology and clinical outcomes of women with PRAKI...
June 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Marzia Lazzerini, Sonia Richardson, Valentina Ciardelli, Anna Erenbourg
OBJECTIVES: The maternal near-miss case review (NMCR) has been promoted by WHO as an approach to improve quality of care (QoC) at facility level. This systematic review synthesises evidence on the effectiveness of the NMCR on QoC and maternal and perinatal health outcomes in low-income and middle-income countries (LMICs). METHODS: Studies were searched for in six electronic databases (MEDLINE, Index Medicus, Web of Science, the Cochrane library, Embase, LILACS), with no language restrictions...
April 19, 2018: BMJ Open
Ali H Mokdad, Erin B Palmisano, Paola Zúñiga-Brenes, Diego Ríos-Zertuche, Casey K Johanns, Alexandra Schaefer, Sima S Desai, Annie Haakenstad, Marielle C Gagnier, Claire R McNellan, Danny V Colombara, Sonia López Romero, Leolin Castillo, Benito Salvatierra, Bernardo Hernandez, Miguel Betancourt-Cravioto, Ricardo Mujica-Rosales, Ferdinando Regalia, Roberto Tapia-Conyer, Emma Iriarte
BACKGROUND: Results-based aid (RBA) is increasingly used to incentivize action in health. In Mesoamerica, the region consisting of southern Mexico and Central America, the RBA project known as the Salud Mesoamérica Initiative (SMI) was designed to target disparities in maternal and child health, focusing on the poorest 20% of the population across the region. METHODS AND FINDINGS: Data were first collected in 365 intervention health facilities to establish a baseline of indicators...
2018: PloS One
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