Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health: a descriptive analysis
| Autor: | Zahida Qureshi, M Dragoman, Bela Ganatra, Beverly Winikoff, W.R. Sheldon, Jennifer Blum |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Asia Adolescent Population Maternal-Child Health Centers Psychological intervention Abortion World Health Organization Middle East Young Adult Pregnancy Maternal near miss Medicine Humans Pregnancy Complications Infectious education education.field_of_study business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Abortion Induced medicine.disease Abortion law Abortion Criminal Cross-Sectional Studies Latin America Maternal Mortality Family planning Family Planning Services Africa Gestation Maternal death Female Uterine Hemorrhage business |
| Zdroj: | BJOG : an international journal of obstetrics and gynaecology. 121 |
| ISSN: | 1471-0528 |
| Popis: | Objective To summarize individual and institutional characteristics of abortion-related severe maternal outcomes reported at health facilities. Design Secondary analysis of data from the WHO Multicountry Survey on Maternal and Newborn Health. Setting 85 health facilities in 23 countries. Sample 322 women with abortion-related severe maternal outcomes. Methods Frequency distributions and comparisons of differences in characteristics between cases of maternal near miss and death using Fisher’s exact tests of association. Main outcome measures Individual and institutional characteristics and frequencies of potentially life-threatening conditions and interventions provided to women with severe maternal outcomes maternal near miss and maternal death. Results Most women with abortion-related severe maternal outcomes (SMOs) were 20-34 years old (65.2%) married or cohabitating (92.3%) parous (84.2%) and presented with abortions resulting from pregnancies at less than 14 weeks of gestation (67.1%). The women who died were younger more frequently without a partner and had abortions at =14 weeks of gestation compared with women with maternal near miss (MNM). Curettage was the most common mode of uterine evacuation. The provision of blood products and therapeutic antibiotics were the most common other interventions recorded for all women with abortion-related SMOs; those who died more frequently had antibiotics laparotomy and hysterectomy compared with women with MNM. Although haemorrhage was the most common cause of abortion-related SMO infection (alone and in combination with haemorrhage) was the most common cause of death. Conclusion This analysis affirms a number of previously observed characteristics of women with abortion-related severe morbidity and mortality despite the fact that facility-based data on abortion-related SMO suffers a number of limitations. |
| Databáze: | OpenAIRE |
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