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Maternal near miss

Alana Santos Monte, Liana Mara Rocha Teles, Mônica Oliveira Batista Oriá, Francisco Herlânio Costa Carvalho, Helen Brown, Ana Kelve de Castro Damasceno
OBJECTIVE: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity. METHOD: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used...
November 29, 2018: Revista da Escola de Enfermagem da U S P
Hannah Moore, Wendy Solomons, Lisa Hinton
OBJECTIVES: To explore the discursive construction and social actions achieved by accounts given by men following a birth in which the mother developed life-threatening complications. BACKGROUND: Existing qualitative research employing interpretative thematic analysis of men's accounts of births in which the mother developed life-threatening complications highlights men's expressions of distress and marginalisation. This paper extends this, adopting different epistemological and analytic approaches to those accounts...
November 30, 2018: Journal of Reproductive and Infant Psychology
Henry Chikadaya, Mugove Gerald Madziyire, Stephen P Munjanja
BACKGROUND: Maternal 'near miss' can be a proxy for maternal death and it describes women who nearly died due to obstetric complications. It measures life threatening pregnancy related complications and allows the assessment of the quality of obstetric care. METHODS: A prospective descriptive study was carried out from October 1 2016 to 31 December 2016, using the WHO criteria for maternal 'near miss' at the two tertiary public hospitals which receive referrals of all obstetric complications in Harare city, Zimbabwe...
November 26, 2018: BMC Pregnancy and Childbirth
Danielly S Santana, Carla Silveira, Maria L Costa, Renato T Souza, Fernanda G Surita, João P Souza, Syeda Batool Mazhar, Kapila Jayaratne, Zahida Qureshi, Maria H Sousa, Joshua P Vogel, José G Cecatti
BACKGROUND: Twin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes, especially for the second twin. In addition, the maternal complications (potentially life-threatening conditions-PLTC, maternal near miss-MNM, and maternal mortality-MM) are directly related to twin pregnancy and independently associated with adverse perinatal outcome. The objective of the preset study is to evaluate perinatal outcomes associated with twin pregnancies, stratified by severe maternal morbidity and order of birth...
November 20, 2018: BMC Pregnancy and Childbirth
Abera Kenay Tura, Joost Zwart, Jos van Roosmalen, Jelle Stekelenburg, Thomas van den Akker, Sicco Scherjon
BACKGROUND: With the reduction of maternal mortality, maternal near miss (MNM) has been used as a complementary indicator of maternal health. The objective of this study was to assess the frequency of MNM in eastern Ethiopia using an adapted sub-Saharan Africa MNM tool and compare its applicability with the original WHO MNM tool. METHODS: We applied the sub-Saharan Africa and WHO MNM criteria to 1054 women admitted with potentially life-threatening conditions (including 28 deaths) in Hiwot Fana Specialized University Hospital and Jugel Hospital between January 2016 and April 2017...
2018: PloS One
Soraya Saleh Gargari, Birgitta Essén, Masoumeh Fallahian, Ajlana Mulic-Lutvica, Soheila Mohammadi
OBJECTIVE: To evaluate appropriateness of cesarean delivery and cesarean delivery-related morbidity among maternal near misses (MNMs) using the Robson ten-group classification system. METHODS: In the present audit study, medical records were assessed for women who experienced MNM and underwent cesarean delivery at three university hospitals in Tehran, Iran, between March 1, 2012, and May 1, 2014. Local auditors assessed cesarean delivery indications and morbidity experienced...
October 24, 2018: International Journal of Gynaecology and Obstetrics
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
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