Maternal near miss hospitalizations in the Borana Zone, Ethiopia: A facility-based longitudinal cross-sectional study.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Public Health Research Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI:10.1177/22799036241238665

Boboh Kamangira, Gudeta Ayele, Polite Dube, Kaleb Melaku, Eubert Vushoma

{"title":"Maternal near miss hospitalizations in the Borana Zone, Ethiopia: A facility-based longitudinal cross-sectional study.","authors":"Boboh Kamangira, Gudeta Ayele, Polite Dube, Kaleb Melaku, Eubert Vushoma","doi":"10.1177/22799036241238665","DOIUrl":null,"url":null,"abstract":"Background: Maternal near miss refers to a woman who nearly died but survived a complication that occurred during pregnancy, childbirth, or within 42 days of pregnancy termination. While there has been considerable progress in reducing maternal mortality rates, maternal near miss cases can provide valuable insights into the quality of maternal healthcare and help identify areas for improvement. However, there is limited evidence on the factors contributing to maternal near miss cases, including health system failures, delays in care, and provider-related factors. Therefore, this study aimed to assess the incidence, causes, and factors associated with maternal near misses in public Hospitals of Borena Zone.Methods: A facility-based longitudinal cross-sectional study design was employed at four Public Hospitals in Borena Zone from August 15, 2022, to November 15, 2022, using the WHO criteria for maternal near miss event. In total, 117 participants were included in the study. Eligibility was determined using key clinical, organ dysfunction, laboratory, and management criteria, as per the WHO guidelines for near-miss events. Underlying and contributing causes of maternal near misses were documented from each participant's records.Result: There were 1421 deliveries during the study period and 117 eligible women developed potentially life-threatening conditions. Only 61 women experienced severe maternal outcomes (55 near misses and six maternal deaths). The maternal near miss incidence ratio was 38.7 per 1000 live births, with a mortality index of 9.8%. Hypertensive disorders and obstetric hemorrhage are the leading underlying causes of maternal near misses.Conclusion: The incidence of maternal near miss was remarkably high when compared to previous studies. Giving special emphasis to life-saving interventions, critical care, reducing delays and improving the referral system are critical to improve quality of care.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960350/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/22799036241238665","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Maternal near miss refers to a woman who nearly died but survived a complication that occurred during pregnancy, childbirth, or within 42 days of pregnancy termination. While there has been considerable progress in reducing maternal mortality rates, maternal near miss cases can provide valuable insights into the quality of maternal healthcare and help identify areas for improvement. However, there is limited evidence on the factors contributing to maternal near miss cases, including health system failures, delays in care, and provider-related factors. Therefore, this study aimed to assess the incidence, causes, and factors associated with maternal near misses in public Hospitals of Borena Zone.

Methods: A facility-based longitudinal cross-sectional study design was employed at four Public Hospitals in Borena Zone from August 15, 2022, to November 15, 2022, using the WHO criteria for maternal near miss event. In total, 117 participants were included in the study. Eligibility was determined using key clinical, organ dysfunction, laboratory, and management criteria, as per the WHO guidelines for near-miss events. Underlying and contributing causes of maternal near misses were documented from each participant's records.

Result: There were 1421 deliveries during the study period and 117 eligible women developed potentially life-threatening conditions. Only 61 women experienced severe maternal outcomes (55 near misses and six maternal deaths). The maternal near miss incidence ratio was 38.7 per 1000 live births, with a mortality index of 9.8%. Hypertensive disorders and obstetric hemorrhage are the leading underlying causes of maternal near misses.

Conclusion: The incidence of maternal near miss was remarkably high when compared to previous studies. Giving special emphasis to life-saving interventions, critical care, reducing delays and improving the referral system are critical to improve quality of care.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

埃塞俄比亚博拉纳区孕产妇住院险情：一项基于设施的纵向横断面研究。

背景：孕产妇险情指的是妇女在怀孕、分娩或终止妊娠后 42 天内发生并发症，险些丧命但幸免于难。尽管在降低孕产妇死亡率方面已经取得了相当大的进展，但孕产妇险些死亡病例可以为了解孕产妇医疗保健质量提供有价值的信息，并有助于确定需要改进的方面。然而，关于导致孕产妇险些死亡病例的因素，包括医疗系统失灵、护理延误以及与提供者相关的因素，目前证据有限。因此，本研究旨在评估博雷纳区公立医院孕产妇险情的发生率、原因和相关因素：方法：从 2022 年 8 月 15 日至 2022 年 11 月 15 日，在博雷纳区的四家公立医院采用基于设施的纵向横断面研究设计，并采用世界卫生组织的孕产妇险情事件标准。共有 117 人参与了这项研究。根据世界卫生组织的险情事件指南，采用关键的临床、器官功能障碍、实验室和管理标准来确定资格。从每位参与者的记录中记录了孕产妇险情的根本原因和诱因：研究期间共有 1421 例分娩，117 名符合条件的产妇出现了可能危及生命的情况。只有 61 名产妇出现了严重的孕产后果（55 例险情和 6 例产妇死亡）。产妇险情发生率为每 1000 例活产 38.7 例，死亡率为 9.8%。高血压疾病和产科出血是孕产妇险情的主要潜在原因：结论：与之前的研究相比，产妇险情的发生率明显偏高。特别强调挽救生命的干预措施、重症护理、减少延误和改善转诊系统对于提高护理质量至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.70

自引率

4.30%

发文量

116

审稿时长

10 weeks

期刊介绍： The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.