Near Miss Obstetric Events and Its Correlates at a Teaching Hospital in South-South, Nigeria
Asian Journal of Medicine and Health,
Background: Maternal Near Miss refers to a woman who nearly died but survived a complication during pregnancy, delivery, or within 42 days of termination of pregnancy. It serves as a tool that allows clinicians and health facilities to assess and improve the quality of maternal health care.
Aim and Objectives: To evaluate the factors associated with maternal near-miss morbidity at the University of Port Harcourt Teaching Hospital (UPTH).
Materials and Methods: A retrospective institution-based cross-sectional study was carried out at the department of Obstetrics and Gynaecology of the University of Port Harcourt Teaching Hospital. A stratified sampling method was used to select the folders of 610 women who were managed during pregnancy, labour or postpartum period, abortion and ectopic pregnancy between January 1, 2018, and December 31, 2020. Data collection tool was used to obtain socio-demographic and obstetric characteristics from folders and SPSS 25 used for analysis. Mean and standard deviation was used to summarize descriptive data, while the test for association was done using chi-square test and logistic regression. The results are presented in tables.
Results: The majority 214 (35.1%) of the women were aged 30 - 34 years, with a mean age of 31.57 ± 5.0 years. Most 541, (88.7%) of the women were married, more than half 335 (54.9%) had tertiary education, while 273 (44.8%) were engaged in partly skilled jobs. About one-fifth 138 (22.6%) of the women were booked. Single marital status (aOR: 2.46; 95% CI: 0.99-6.13; p=0.043), unbooked status (aOR=4.74, 95% CI: 1.93-11.68, p=0.001) gravidity (aOR=3.34, 95% CI: 1.63-6.85, p=0.001) and parity (aOR=0.32, 95% CI: 0.14-0.70, p=0.005) were observed to be significant determinants of MNM.
Conclusion: There is a huge burden of maternal near-miss conditions at UPTH. Early detection and treatment of these potential causes may provide a window of opportunity to reduce maternal morbidity and mortality.
- Maternal near miss
- associated factors
How to Cite
Storeng KT, Drabo S, Ganaba R, Sundby J, Calvert C, Filippi V. Mortality after near-miss obstetric complications in Burkina Faso Medical, social, and health-care factors. Bull World Health Organ. 2012; 90:418 - 425.
Abdollahpour S, Miri HH, Khadivzadeh T. The global prevalence of maternal near miss: A systematic review and meta-analysis. Health Promot Perspect. 2019b;9 (4):255-262.
Sarma HKD, Sarma HK, Kalita AK. A prospective study of maternal near-miss and maternal mortality cases in FAAMCH, Barpeta; With special reference to its aetiology and management: First 4 months report. J Obstet Gynaecol Barpeta. 2014;1 (2):100-106.
Aduloju OP, Aduloju T, Ipinnimo OM. Profile of Maternal Near Miss and Determinant Factors in a Teaching Hospital, Southwestern Nigeria. Int J Obstet Gynaecol Res. 2018;5 (1):598-617.
Tuncalp Ö, Hindin MJ, Adu-Bonsaffoh K, Adanu RM. Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana. Int J Gynaecol Obstet. 2013; 12 3(1): 58 - 63.
Say L, Souza JP, Pattinson RC. WHO working group on Maternal Mortality and Morbidity classifications: Maternal near miss – towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol. 2009; 23:287- 296.
World Health Organization. Evaluating the quality of care for severe pregnancy complications -The WHO near- miss approach for maternal health. Geneva: World Health Organization Document Production Services. WHO: Geneva; 2011.
Abdulrazaq B, Getahun M, Mohammed A, Kedir S, Nurahmed N, Abrha Y, et al. Determinant factors of maternal near miss in selected health facilities of Berak Woreda, Oromia national regional state, Ethiopia. Int J Sci Rep 2020;6(4):131-138.
Souza JP, Cecatti JG, Haddad SM, Parpinelli MA, Costa ML, Katz L, et al. The WHO Maternal Near-miss Approach and the Maternal Severity Index model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity. on behalf of the Brazilian Network for Surveillance of Severe Maternal Morbidity Group. PLoS One. 2013; 8(11):10.1371.
Firoz T, Chou D, von Dadelszen P, Agrawal P, Vanderkruik R, Tunçalp O, et al. Maternal Morbidity Working Group. Measuring maternal health: focus on maternal morbidity. Bull World Health Organ. 2013;91(10):794–796.
Geleto A, Chojenta C, Taddele T, Loxton D. Incidence of maternal near miss among women in labour admitted to hospitals in Ethiopia. Midwifery 2020; 82, 102597. DOI:https://doi.org/10.1016/j.midw.2019.102597
Adeoye IA, Onayade AA, Fatusi, AO. Incidence, determinants, and perinatal outcomes of near miss maternal morbidity in Ile-Ife Nigeria: A prospective case-control study. BMC Pregnancy Childbirth. 2013;13(1):93-103.
Ugwu GO, Iyoke CA, Ezugwu EC, Ajah LO, Onah HE, Ozumba, BCA Comparison of the Characteristics of Maternal Near-Misses and Maternal Deaths in Enugu, Southeast Nigeria: A 3-Year Prospective Study. Int J Women's Health. 2020; 12:207–211.
Fenta SL, Nigussie AA, Bante AS, Asres EM, Goedert MH. Obstetric Near Miss in Northwest Ethiopia, Has a Pregnant Woman Still ‘One Foot in the Grave’? Clin Mother Child Health. 2020; 17:353. DOI: 10. 35248/2090-7126.96.36.1993.
Assarag B, Dujardin B, Delamou A, Meski FZ, De Brouwere V. Determinants of Maternal Near-Miss in Morocco: Too late, Too far, Too sloppy? PLoS One. 2015;10 (1): e0116675.
Nansubuga E, Ayiga N, Moyer CA. Prevalence of maternal near miss and community-based risk factors in Central Uganda. Int J Gynecol Obstet 2016; 135:214-220. DOI:http://dx.doi.org/10.1016/j.ijgo.2016.05.009
Dessalegn N, Astawesegn FH, Hankalo NC. Factors Associated with Maternal Near Miss among Women Admitted in West Arsi Zone Public Hospitals, Ethiopia: Unmatched Case-Control Study. J Pregnancy. 2020;1-10.
Lemi K, Tilahun T, Kifle, D. Determinants of Maternal Near Miss in Western Ethiopia. Ethiop J Health Sci. 2020;30(2):161-168.
Habte A, Wondimu M. Determinants of Maternal near miss among women admitted to maternity wards of Tertiary Hospitals in Southern Ethiopia: A hospital-based case-control study. PLoS One. 2021;16 (5): e0251826.
Alemu FM, Fuchs MC, Vitale TM, Salih MAM. Severe maternal morbidity (near-miss) and its correlates in the world’s newest nation: South Sudan. Int J Women’s Health. 2019; 11:177-190.
Moudi Z, Arabnezhad L, Tabatabaei SM. Severe Maternal Outcomes in a Tertiary Referral Teaching Hospital in Sistan and Baluchistan Province, Iran: A Cross Sectional Study. Med Surg Nurs J. 2018;7(3): e86309.
Kurugodiyavar MD, Andanigoudar KB, Bant DD, Nekar MS. Determinants of maternal near miss events: a facility-based case-control study. Int J Community Med Public Health. 2019; 6:3614-3620.
World Health Organization. Maternal mortality fact sheet no. 348. World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the World Bank Group, the United Nations Population Fund (UNFPA). Trends in maternal mortality: 1990 to 2015. World Health Organization; WHO /RHR/15.23. WHO: Geneva; 2015.
Wianwiset W. The incidence of maternal near miss cases (severe morbidity), their near miss events and obstetric outcomes at Sisaket Hospital, Thailand. Thai J Obstet Gynecol 2012; 20:69- 76.
Manjunatha S, Harsha TN, Damayanthi HR. A study of maternal near miss at a district Teaching hospital: A retrospective observational study. Int J Reprod Contracept Obstet Gynecol. 2018;7(4): 1421-1426.
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