Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia
A case-control study
Bibliographic Data
| ID | 22085567 |
|---|---|
| Authors | Hana Nigussie Teshome (Debre Berhan University), Esubalew Tesfahun Ayele (Debre Berhan University), Solomon Hailemeskel (Debre Berhan University), Osman Yimer (Debre Berhan University), Getaneh Baye Mulu (0000-0001-8669-6587, Debre Berhan University), Mesfin Tadese (0000-0001-6288-9771, Debre Berhan University, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 996885-996885 |
| Publication date | 2022-08-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.996885 |
| PMID | 36091552 |
| OpenAlex | W4293224409 |
| Language | EN |
| Citations received | 3 |
| References cited | 20 |
Background A maternal near-miss (MNM) refers to a woman who presents with life-threatening complications during pregnancy, childbirth, or within 42 days of termination of pregnancy but survived by chance or due to the standard care she received. It is recognized as a valuable indicator to examine the quality of obstetrics care as it follows similar predictors with maternal death. Ethiopia is one of the sub-Saharan African countries with the highest rate of maternal mortality and morbidity. Thus, studying the cause and predictors of maternal near-miss is vital to improving the quality of obstetric care, particularly in low-income countries. Objective To identify determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia, 2020. Methods A facility-based unmatched case-control study was conducted on 264 women (88 cases and 176 controls) from February to April 2020. Data were collected using pretested interviewer-administered questionnaires and a review of medical records. Data were entered into Epi-data version 4.2.2 and exported to SPSS version 25 for analysis. Variables with a p -value <0.25 in the bivariable analysis were further analyzed using multivariable logistic regression analysis. Finally, variables with a p -value <0.05 were considered statistically significant. Result Severe pre-eclampsia (49.5%) and postpartum hemorrhage (28.3%) were the main reasons for admission of cases. Educational level of women (AOR = 4.80, 95% CI: 1.78–12.90), education level of husbands (AOR = 5.26; 95% CI: 1.46–18.90), being referred from other health facilities (AOR = 4.73, 95% CI: 1.78–12.55), antenatal care visit (AOR = 2.75, 95% CI: 1.13–6.72), cesarean section (AOR = 3.70, 95% CI: 1.42-9.60), and medical disorder during pregnancy (AOR = 12.06, 95% CI: 2.82–51.55) were found to significantly increase the risk of maternal near-miss. Whereas, the younger age of women significantly decreased the risk of maternal near miss (AOR = 0.26, 95% CI: 0.09–0.75). Conclusion Age, educational level, antenatal care follow-ups, medical disorder during pregnancy, mode of admission, and mode of delivery were significant predictors of maternal near-miss. Socio-demographic development, use of ANC services, early detection and management of medical diseases, reducing cesarean section, and improving the referral systems are crucial to minimizing the maternal near-miss
Childbirth · Eclampsia · Environmental health · Family medicine · Logistic regression · Maternal death · Medical record · Obstetrics · Population · Pregnancy · Public health · Demography · Maternal and fetal healthcare · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing · Pediatrics
| Unique citing works | 3 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |