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Maternal mortality and morbidity, near misses

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https://www.readbyqxmd.com/read/27842633/barriers-to-obstetric-care-among-maternal-near-misses
#1
P Soma-Pillay, R C Pattinson
BACKGROUND: There are several factors in the healthcare system that may influence a woman's ability to access appropriate obstetric care. OBJECTIVE: To determine the delays/barriers in providing obstetric care to women who classified as a maternal near-miss. METHODS: This was a descriptive observational study at Steve Biko Academic Hospital, a tertiary referral hospital in Pretoria, South Africa. One hundred maternal near-misses were prospectively identified using the World Health Organization criteria...
November 2, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27651623/incidence-of-maternal-near-miss-events-in-a-tertiary-care-hospital-of-central-gujarat-india
#2
Niyati T Parmar, Ajay G Parmar, Vihang S Mazumdar
BACKGROUND: Constant decline in maternal mortality ratio has given rise to the need of a new indicator. This search has motivated investigation of severe maternal morbidity-"maternal near-miss" (MNM) event. World Health Organization (WHO) defines MNM as "a woman who, being close to death, survives a complication that occurred during pregnancy, delivery or up to 42 days after the end of her pregnancy". METHODOLOGY: A hospital-based cross-sectional study was carried out at Sir Sayajirao General Hospital (SSGH), a tertiary care referral hospital in Vadodara, Central Gujarat, from May to September 2012...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27651620/analysis-of-near-miss-and-maternal-mortality-at-tertiary-referral-centre-of-rural-india
#3
Archana D Rathod, Rohidas P Chavan, Vijay Bhagat, Sandhya Pajai, Atul Padmawar, Prachi Thool
OBJECTIVE: (1) To determine the incidence of near-miss, maternal death and mortality index; (2) to compare near-miss cases as per WHO criteria with that of maternal mortality; and (3) to study the causes of near-miss and maternal deaths. STUDY DESIGN: Retrospective cohort study. SETTING: Shri Vasantrao Naik Govt. Medical College, Yavatmal, India. STUDY POPULATION: All cases of near-miss as per newer WHO criteria and maternal deaths...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27651607/maternal-near-miss-a-valuable-contribution-in-maternal-care
#4
Singh Abha, Shrivastava Chandrashekhar, Dube Sonal
BACKGROUND: MMR has always been recognized as an important indicator of quality of health services. The MMR in India has so far not reached up to the required MDG 2015. If we look into this matter with the eagle's eye view, then there are certain gray areas which need attention. For this, it is not the maternal mortality but the maternal near miss which has to be focused. OBJECTIVES: To audit the maternal near miss in our institution and to review the pathways that lead to severe maternal morbidity and death...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27593334/incidence-of-abortion-related-near-miss-complications-in-zambia-cross-sectional-study-in-central-copperbelt-and-lusaka-provinces
#5
Onikepe O Owolabi, Jenny A Cresswell, Bellington Vwalika, David Osrin, Veronique Filippi
OBJECTIVES: To describe the magnitude and severity of abortion-related complications in health facilities and calculate the incidence of abortion-related near-miss complications at the population level in three provinces in Zambia, a country where abortion is legal but stigmatized. STUDY DESIGN: We conducted a cross-sectional study in 35 district, provincial, and tertiary hospitals over 5-months. All women hospitalized for abortion-related complications were eligible for inclusion...
September 1, 2016: Contraception
https://www.readbyqxmd.com/read/27590589/beyond-the-numbers-of-maternal-near-miss-in-rwanda-a-qualitative-study-on-women-s-perspectives-on-access-and-experiences-of-care-in-early-and-late-stage-of-pregnancy
#6
Jessica Påfs, Aimable Musafili, Pauline Binder-Finnema, Marie Klingberg-Allvin, Stephen Rulisa, Birgitta Essén
BACKGROUND: Rwanda has made remarkable progress in decreasing the number of maternal deaths, yet women still face morbidities and mortalities during pregnancy. We explored care-seeking and experiences of maternity care among women who suffered a near-miss event during either the early or late stage of pregnancy, and identified potential health system limitations or barriers to maternal survival in this setting. METHODS: A framework of Naturalistic Inquiry guided the study design and analysis, and the 'three delays' model facilitated data sorting...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27560600/severe-maternal-morbidity-screening-and%C3%A2-review
#7
Sarah K Kilpatrick, Jeffrey L Ecker
This document builds upon recommendations from peer organizations and outlines a process for identifying maternal cases that should be reviewed. Severe maternal morbidity is associated with a high rate of preventability, similar to that of maternal mortality. It also can be considered a near miss for maternal mortality because without identification and treatment, in some cases, these conditions would lead to maternal death. Identifying severe morbidity is, therefore, important for preventing such injuries that lead to mortality and for highlighting opportunities to avoid repeat injuries...
September 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27553504/prevalence-of-maternal-near-miss-and-community-based-risk-factors-in-central-uganda
#8
Elizabeth Nansubuga, Natal Ayiga, Cheryl A Moyer
OBJECTIVE: To examine the prevalence of maternal near-miss (MNM) and its associated risk factors in a community setting in Central Uganda. METHODS: A cross-sectional research design employing multi-stage sampling collected data from women aged 15-49 years in Rakai, Uganda, who had been pregnant in the 3years preceding the survey, conducted between August 10 and December 31, 2013. Additionally, in-depth interviews were conducted. WHO-based disease and management criteria were used to identify MNM...
November 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27548555/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
#9
(no author information available yet)
This document builds upon recommendations from peer organizations and outlines a process for identifying maternal cases that should be reviewed. Severe maternal morbidity is associated with a high rate of preventability, similar to that of maternal mortality. It also can be considered a near miss for maternal mortality because without identification and treatment, in some cases, these conditions would lead to maternal death. Identifying severe morbidity is, therefore, important for preventing such injuries that lead to mortality and for highlighting opportunities to avoid repeat injuries...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27548549/obstetric-care-consensus-no-5-summary-severe-maternal-morbidity-screening-and-review
#10
(no author information available yet)
This document builds upon recommendations from peer organizations and outlines a process for identifying maternal cases that should be reviewed. Severe maternal morbidity is associated with a high rate of preventability, similar to that of maternal mortality. It also can be considered a near miss for maternal mortality because without identification and treatment, in some cases, these conditions would lead to maternal death. Identifying severe morbidity is, therefore, important for preventing such injuries that lead to mortality and for highlighting opportunities to avoid repeat injuries...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27531012/national-initiatives-to-improve-systems-for-postpartum-care
#11
Lisa Kleppel, Patricia D Suplee, Alison M Stuebe, Debra Bingham
Purpose To showcase several current national initiatives that focus on reducing maternal mortality and severe maternal morbidity and promote postpartum health and wellness for all women. Description Maternal injuries and deaths are a serious public health concern with tremendous impact on families, communities, and healthcare providers. Over the past two decades, it has become apparent that the timing of serious maternal complications has shifted, with more than half of deaths occurring in the immediate postpartum period up to 1 year following birth...
August 16, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27492552/the-burden-of-maternal-morbidity-and-mortality-attributable-to-hypertensive-disorders-in-pregnancy-a-prospective-cohort-study-from-uganda
#12
Annettee Nakimuli, Sarah Nakubulwa, Othman Kakaire, Michael Odongo Osinde, Scovia Nalugo Mbalinda, Nelson Kakande, Rose Chalo Nabirye, Dan Kabonge Kaye
BACKGROUND: Hypertensive disorders of pregnancy are a major cause of morbidity and mortality. The objective was to estimate the disease burden attributable to hypertensive disorders of pregnancy in two referral hospitals in Uganda. METHODS: Through a prospective cohort study conducted in Jinja and Mulago hospitals in Uganda from March 1, 2013 and February 28, 2014, hypertension-related cases were analyzed. Maternal near miss cases were defined according to the WHO criteria...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27439909/maternal-near-miss-and-mortality-due-to-postpartum-infection-a-cross-sectional-analysis-from-rwanda
#13
Denis Rwabizi, Stephen Rulisa, Findlater Aidan, Maria Small
BACKGROUND: The objective of this study is to evaluate 'near miss' and mortality in women with postpartum infections. METHODS: We performed a retrospective review of all patients referred to the University Teaching Hospital of Kigali (CHUK) between January 2012 and December 2013. We identified 117 patients with postpartum infections. Demographic data, length of admission, location of referral, initial surgery and subsequent treatment modalities including antibiotic administration and secondary surgery were recorded...
July 20, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27424615/peripartum-hysterectomy-in-a-nigerian-university-hospital-an-assessment-of-severe-maternal-outcomes-with-the-maternal-severity-index-model
#14
Babasola O Okusanya, Adekunle E Sajo, Gbemi E Osanyin, Osemen E Okojie, Olusola N Abodunrin
BACKGROUND: Peripartum hysterectomy is life-saving and a life-threatening criterion of the World Health Organization (WHO) maternal near-miss concept. The maternal severity index (MSI) model was developed to assess the outcome of severe maternal morbidities. This study assessed severe maternal outcomes of peripartum hysterectomy using the MSI model and related maternal severity score with mortality. SUBJECTS AND METHODS: Records of women with peripartum hysterectomy over a 20-year period were retrieved and the documented WHO life-threatening conditions (severity markers) extracted...
April 2016: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27382220/implementation-of-who-near-miss-approach-for-maternal-health-at-a-tertiary-care-hospital-an-audit
#15
Shilpa Venkatesh, Chinmayi, Vani Ramkumar, C N Sheela, Annamma Thomas
OBJECTIVE: The objective of this study was to evaluate severe maternal outcomes (including maternal deaths and maternal near-miss cases). MATERIALS & METHODS: A prospective study of severe maternal outcomes (including maternal deaths and maternal near-miss cases) from May 2012 to April 2013 was performed. For each woman, data were collected on the occurrence of selected severe pregnancy-related complications, the use of critical interventions, and admissions to intensive care unit...
August 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27207244/severe-maternal-morbidity-due-to-respiratory-disease-and-impact-of-2009-h1n1-influenza-a-pandemic-in-brazil-results-from-a-national-multicenter-cross-sectional-study
#16
L C Pfitscher, J G Cecatti, R C Pacagnella, S M Haddad, M A Parpinelli, J P Souza, S M Quintana, F G Surita, M H Sousa, M L Costa
BACKGROUND: The aim of this study was to assess the burden of respiratory disease, considering the influenza A pandemic season (H1N1pdm09), within the Brazilian Network for Surveillance of Severe Maternal Morbidity, and factors associated with worse maternal outcome. METHODS: A multicenter cross-sectional study, involving 27 referral maternity hospitals in five Brazilian regions. Cases were identified in a prospective surveillance by using the WHO standardized criteria for potentially life-threatening conditions (PLTC) and maternal near miss (MNM)...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27075436/feto-maternal-outcomes-in-obstetric-patients-with-near-miss-morbidity-an-audit-of-obstetric-high-dependency-unit
#17
Anuradha Murki, Sheetal Dhope, Vasundhara Kamineni
AIM: To evaluate and compare the feto-maternal outcomes of pregnant women with potentially life-threatening complications (PLTC) and near miss events admitted to the obstetric high dependency units (OHDU). METHODS: Pregnant women with PLTC admitted to the OHDU were enrolled. Feto-maternal outcomes, need for NICU admission and neonatal mortality, were compared between women without near miss events (controls) and those with near miss events. RESULTS: Of the 1505 admissions to the obstetric department during the study period, 1127 delivered at our hospital...
May 10, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26944047/severe-maternal-morbidity-and-near-misses-in-tertiary-hospitals-kelantan-malaysia-a-cross-sectional-study
#18
Mohd Noor Norhayati, Nik Hussain Nik Hazlina, Zaharah Sulaiman, Mohd Yacob Azman
BACKGROUND: Severe maternal conditions have increasingly been used as alternative measurements of the quality of maternal care and as alternative strategies to reduce maternal mortality. We aimed to study severe maternal morbidity and maternal near miss among women in two tertiary hospitals in Kota Bharu, Kelantan, Malaysia. METHODS: A cross-sectional study with record review was conducted in 2014. Severe maternal morbidity and maternal near miss were classified using the new World Health Organization criteria...
2016: BMC Public Health
https://www.readbyqxmd.com/read/26892610/criteria-based-audit-of-caesarean-section-in-a-referral-hospital-in-rural-tanzania
#19
S Heemelaar, E Nelissen, P Mdoe, H Kidanto, J van Roosmalen, J Stekelenburg
OBJECTIVE: WHO uses the Caesarean section (CS) rate to monitor implementation of emergency obstetric care (EmOC). Although CS rates are rising in sub-Saharan Africa, maternal outcome has not improved. We audited indications for CS and related complications among women with severe maternal morbidity and mortality in a referral hospital in rural Tanzania. METHODS: Cross-sectional study was from November 2009 to November 2011. Women with severe maternal morbidity and mortality were identified and those with CS were included in this audit...
April 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/26847161/maternal-near-miss-at-royal-darwin-hospital-an-analysis-of-severe-maternal-morbidity-at-an-australian-regional-tertiary-maternity-unit
#20
Skandarupan Jayaratnam, Alice Burton, Kirsten Fiona Connan, Caroline de Costa
BACKGROUND: Assessment of severe maternal morbidity using World Health Organization (WHO) 'near-miss' criteria is gaining in importance as a valuable tool in the assessment of maternity care of women. Identification of cases allows an understanding of aetiology of severe morbidity and factors contributing to poor maternal outcomes. AIM: The aim of this study is to determine the rate of maternal 'near miss' at Royal Darwin Hospital (RDH) and the utility of the WHO near-miss criteria as a tool for data collection in a regional Australian context...
August 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
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