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What are the factors that interplay from normal pregnancy to near miss maternal morbidity in a Nigerian tertiary health care facility?

Adeoye IA, Ijarotimi OO, Fatusi AO - Health Care Women Int (2014)

Bottom Line: Researchers in Nigeria examined the epidemiological characteristics and factors associated with maternal outcomes using a mixed method approach: a prospective case control study design involving 375 pregnant women who received maternal care from a tertiary facility and in-depth interviews reporting the experience of near-miss survivors.A generalized ordered logit model was used to generate the estimates of partial proportional odds ratios (and 95% confidence intervals) across categories of the outcome variable.The challenge of such diagnoses in resource-constrained settings raises questions about the appropriateness of using organ dysfunction criteria in developing countries.

View Article: PubMed Central - PubMed

Affiliation: a Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.

ABSTRACT
Researchers in Nigeria examined the epidemiological characteristics and factors associated with maternal outcomes using a mixed method approach: a prospective case control study design involving 375 pregnant women who received maternal care from a tertiary facility and in-depth interviews reporting the experience of near-miss survivors. A generalized ordered logit model was used to generate the estimates of partial proportional odds ratios (and 95% confidence intervals) across categories of the outcome variable. Factors strongly associated with maternal morbidity were late referral of women, presence of complications at booking antenatal visits, low birth weight, and severe birth asphyxia. The nearmiss women were further characterized, and a low proportion (25%) had organ dysfunction or failure. The challenge of such diagnoses in resource-constrained settings raises questions about the appropriateness of using organ dysfunction criteria in developing countries.

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Related in: MedlinePlus

Distribution of acute maternal morbidities by specific causes.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4308809&req=5

f0001: Distribution of acute maternal morbidities by specific causes.

Mentions: FigureĀ 1 shows the rate of occurrence of various complications experienced by the women who had acute maternal morbidities. Prolonged labor was the most common cause of maternal morbidity, accounting for about a third (32.4%) of all the morbidities. The other leading causes were abnormal presentation (14.6%), fetal distress (11.6%), and hemorrhage (11.0%).FIGURE 1 Distribution of acute maternal morbidities by specific causes.


What are the factors that interplay from normal pregnancy to near miss maternal morbidity in a Nigerian tertiary health care facility?

Adeoye IA, Ijarotimi OO, Fatusi AO - Health Care Women Int (2014)

Distribution of acute maternal morbidities by specific causes.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4308809&req=5

f0001: Distribution of acute maternal morbidities by specific causes.
Mentions: FigureĀ 1 shows the rate of occurrence of various complications experienced by the women who had acute maternal morbidities. Prolonged labor was the most common cause of maternal morbidity, accounting for about a third (32.4%) of all the morbidities. The other leading causes were abnormal presentation (14.6%), fetal distress (11.6%), and hemorrhage (11.0%).FIGURE 1 Distribution of acute maternal morbidities by specific causes.

Bottom Line: Researchers in Nigeria examined the epidemiological characteristics and factors associated with maternal outcomes using a mixed method approach: a prospective case control study design involving 375 pregnant women who received maternal care from a tertiary facility and in-depth interviews reporting the experience of near-miss survivors.A generalized ordered logit model was used to generate the estimates of partial proportional odds ratios (and 95% confidence intervals) across categories of the outcome variable.The challenge of such diagnoses in resource-constrained settings raises questions about the appropriateness of using organ dysfunction criteria in developing countries.

View Article: PubMed Central - PubMed

Affiliation: a Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.

ABSTRACT
Researchers in Nigeria examined the epidemiological characteristics and factors associated with maternal outcomes using a mixed method approach: a prospective case control study design involving 375 pregnant women who received maternal care from a tertiary facility and in-depth interviews reporting the experience of near-miss survivors. A generalized ordered logit model was used to generate the estimates of partial proportional odds ratios (and 95% confidence intervals) across categories of the outcome variable. Factors strongly associated with maternal morbidity were late referral of women, presence of complications at booking antenatal visits, low birth weight, and severe birth asphyxia. The nearmiss women were further characterized, and a low proportion (25%) had organ dysfunction or failure. The challenge of such diagnoses in resource-constrained settings raises questions about the appropriateness of using organ dysfunction criteria in developing countries.

Show MeSH
Related in: MedlinePlus