Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.

Autor: Zhou X; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Fang J; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Wu Y; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China. 275513435@qq.com., Gao J; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Chen X; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China. 93313849@qq.com., Wang A; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Shu C; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Jun 06; Vol. 24 (1), pp. 1526. Date of Electronic Publication: 2024 Jun 06.
DOI: 10.1186/s12889-024-18970-4
Abstrakt: Objective: To explore the risk factors for maternal near-miss (MNM) using the WHO near-miss approach.
Methods: Data were obtained from the Maternal Near-Miss Surveillance System in Hunan Province, China, 2012-2022. Multivariate logistic regression analysis (method: Forward, Wald, α = 0.05) and adjusted odds ratios (aORs) were used to identify risk factors for MNM.
Results: Our study included 780,359 women with 731,185 live births, a total of 2461 (0.32%) MNMs, 777,846 (99.68%) non-MNMs, and 52 (0.006%) maternal deaths were identified. The MNM ratio was 3.37‰ (95%CI: 3.23-3.50). Coagulation/hematological dysfunction was the most common cause of MNM (75.66%). Results of multivariate logistic regression analysis showed risk factors for MNM: maternal age > = 30 years old (aOR > 1, P < 0.05), unmarried women (aOR = 2.21, 95%CI: 1.71-2.85), number of pregnancies > = 2 (aOR > 1, P < 0.05), nulliparity (aOR = 1.51, 95%CI: 1.32-1.72) or parity > = 3 (aOR = 1.95, 95%CI: 1.50-2.55), prenatal examinations < 5 times (aOR = 1.13, 95%CI: 1.01-1.27), and number of cesarean sections was 1 (aOR = 1.83, 95%CI: 1.64-2.04) or > = 2 (aOR = 2.48, 95%CI: 1.99-3.09).
Conclusion: The MNM ratio was relatively low in Hunan Province. Advanced maternal age, unmarried status, a high number of pregnancies, nulliparity or high parity, a low number of prenatal examinations, and cesarean sections were risk factors for MNM. Our study is essential for improving the quality of maternal health care and preventing MNM.
(© 2024. The Author(s).)
Databáze: MEDLINE
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