Incidence and causes of severe maternal outcomes in Somaliland using the sub-Saharan Africa maternal near-miss criteria : A prospective cross-sectional study in a national referral hospital
| Autor: | Jama Ali Egal, Jonah Kiruja, Helena Litorp, Fatumo Osman, Kerstin Erlandsson, Marie Klingberg‐Allvin |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Incidence
Near Miss Healthcare Obstetrics and Gynecology sub-Saharan Africa criteria Public Health Global Health Social Medicine and Epidemiology General Medicine Hospitals Pregnancy Complications WHO maternal near-miss low-income country Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Maternal Mortality Cross-Sectional Studies maternal death Pregnancy Humans Female Prospective Studies Pregnancy Complications Infectious Referral and Consultation |
| Popis: | OBJECTIVE: To describe the incidence and causes of severe maternal outcomes and the unmet need for life-saving obstetric interventions among women admitted for delivery in a referral hospital in Somaliland. METHODS: A prospective cross-sectional study was conducted from April 15, 2019, to March 31, 2020, with women admitted during pregnancy or childbirth or within 42 days after delivery. Data was collected using the World Health Organization (WHO) and sub-Saharan Africa (SSA) maternal near-miss (MNM) tools. Descriptive analysis was performed by computing frequencies, proportions and ratios. RESULTS: The MNM ratio were 56 (SSA criteria) and 13 (WHO criteria) per 1,000 live births. The mortality index was highest among women with medical complications (63%), followed by obstetric haemorrhage (13%), pregnancy-related infection (10%) and hypertensive disorders (7.9%) according to the SSA MNM criteria. Most women giving birth received prophylactic oxytocin for postpartum haemorrhage prevention (97%), and most laparotomies (60%) for ruptured uterus were conducted after three hours. CONCLUSION: There is a need to improve the quality of maternal health services through implementation of evidence-based obstetric interventions and continuous in-service training for health care providers. Using the SSA MNM criteria could facilitate such preventive measures in this setting as well as similar low-resource contexts. |
| Databáze: | OpenAIRE |
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