Proportion of Maternal Near-Miss and Its Determinants among Northwest Ethiopian Women: A Cross-Sectional Study
Author
Source
International Journal of Reproductive Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-18
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Life-threatening situations might arise unexpectedly during pregnancy.
Maternal near-miss can be a proxy for maternal death and explained as women who nearly died due to obstetric-related complications.
It is recognized as the predictor of level of care and maternal death.
Maternal near-miss evaluates life-threatening pregnancy-related complications, and it directs the assessment of the quality of obstetric care.
Objective.
To determine the proportion and factors associated with maternal near-miss at maternity wards at the University of Gondar Referral Hospital, Northwest Ethiopia, 2019.
Methods.
A cross-sectional study design was carried out from March 1 to June 20, 2019, using WHO criteria for maternal near-miss at the University of Gondar Referral Hospital.
The data are from the interviews and review of 303 systematically selected participants’ medical files at maternity wards.
Bivariate and multivariable logistic regression analyses were performed to analyze factors associated with maternal near-miss, including estimation of crude and adjusted odds ratios and their respective 95% confidence intervals and p value less than 0.05 through SPSS version 20.
Result.
The study revealed that the proportion of maternal near-miss was found to be 15.8% (95%CI=11.9%-20.1%).
In the adjusted analyses, maternal near-miss was significantly associated with low (≤1000 ETB) monthly income (AOR=399; 95%CI=1.65, 9.65), seven or more days of hospital stay (AOR=5.43; 95%CI=2.49, 11.83), vaginal bleeding (AOR=2.75, 95%CI=1.17, 6.47), and pregnancy-induced hypertension (AOR=5.13; 95%CI=2.08, 12.6).
Conclusion and Recommendation.
The near-miss proportion was comparable to that in the region.
Associated factors were low monthly income, seven or more days of hospital stay, vaginal bleeding, and pregnancy-induced hypertension.
Thus, giving attention on early identification and treatment of these potential factors can be the opportunity in the reduction of maternal morbidity and mortality.
American Psychological Association (APA)
Asaye, Mengstu Melkamu. 2020. Proportion of Maternal Near-Miss and Its Determinants among Northwest Ethiopian Women: A Cross-Sectional Study. International Journal of Reproductive Medicine،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1174120
Modern Language Association (MLA)
Asaye, Mengstu Melkamu. Proportion of Maternal Near-Miss and Its Determinants among Northwest Ethiopian Women: A Cross-Sectional Study. International Journal of Reproductive Medicine No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1174120
American Medical Association (AMA)
Asaye, Mengstu Melkamu. Proportion of Maternal Near-Miss and Its Determinants among Northwest Ethiopian Women: A Cross-Sectional Study. International Journal of Reproductive Medicine. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1174120
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1174120