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DC Field | Value | Language |
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dc.contributor.author | Margo, Harrison S. | - |
dc.date.accessioned | 2020-08-05T08:28:00Z | - |
dc.date.available | 2020-08-05T08:28:00Z | - |
dc.date.issued | 2017 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/3336 | - |
dc.description.abstract | Objective—To describe the Global Network Near-Miss Maternal Mortality System and its application in seven sites.Methods—In a population-based study, pregnant women eligible for enrollment in the Maternal and Newborn Health Registry at seven sites (Democratic Republic of the Congo; Guatemala; Belagavi and Nagpur, India; Kenya; Pakistan; and Zambia) between January 2014 and April 2016 were screened to identify those likely to have a near-miss event. The WHO maternal near-miss criteria were modified for low-resource settings. The ratio of near-miss events to maternal deaths was calculated.Results—Among 122 707 women screened, 18 307 (15.0%) had a potential near-miss event, of whom 4866 (26.6%; 4.0% of all women) had a near-miss maternal event. The overall maternal mortality ratio was 155 per 100 000 live births. The ratio of near-miss events to maternal deaths was 26 to 1. The most common factors involved in near-miss cases were the hematologic/coagulation system, infection, and cardiovascular system.Conclusion—By using the Global Network Near-Miss Maternal Mortality System, large numbers of women were screened for near-miss events, including those delivering at home or a low-level maternity clinic. The 4.0% incidence of near-miss maternal mortality is similar to previously reported data. The ratio of 26 near-miss cases to 1 maternal death suggests that near miss might evaluate the impact of interventions more efficiently than maternal mortality. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Int J Gynaecol Obstet. | en_US |
dc.subject | Maternal | en_US |
dc.subject | Mortality | en_US |
dc.title | Maternal near miss in low-resource areas | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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File | Description | Size | Format | |
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nihms877362.pdf | 212.53 kB | Adobe PDF | View/Open |
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