PDF(Pubmed)
Abstract：
UNASSIGNED: Maternal near miss refers to a woman who nearly died but survived a complication that occurred during pregnancy, childbirth, or within 42 days of pregnancy termination. While there has been considerable progress in reducing maternal mortality rates, maternal near miss cases can provide valuable insights into the quality of maternal healthcare and help identify areas for improvement. However, there is limited evidence on the factors contributing to maternal near miss cases, including health system failures, delays in care, and provider-related factors. Therefore, this study aimed to assess the incidence, causes, and factors associated with maternal near misses in public Hospitals of Borena Zone.
UNASSIGNED: A facility-based longitudinal cross-sectional study design was employed at four Public Hospitals in Borena Zone from August 15, 2022, to November 15, 2022, using the WHO criteria for maternal near miss event. In total, 117 participants were included in the study. Eligibility was determined using key clinical, organ dysfunction, laboratory, and management criteria, as per the WHO guidelines for near-miss events. Underlying and contributing causes of maternal near misses were documented from each participant\'s records.
UNASSIGNED: There were 1421 deliveries during the study period and 117 eligible women developed potentially life-threatening conditions. Only 61 women experienced severe maternal outcomes (55 near misses and six maternal deaths). The maternal near miss incidence ratio was 38.7 per 1000 live births, with a mortality index of 9.8%. Hypertensive disorders and obstetric hemorrhage are the leading underlying causes of maternal near misses.
UNASSIGNED: The incidence of maternal near miss was remarkably high when compared to previous studies. Giving special emphasis to life-saving interventions, critical care, reducing delays and improving the referral system are critical to improve quality of care.
UNASSIGNED: A facility-based longitudinal cross-sectional study design was employed at four Public Hospitals in Borena Zone from August 15, 2022, to November 15, 2022, using the WHO criteria for maternal near miss event. In total, 117 participants were included in the study. Eligibility was determined using key clinical, organ dysfunction, laboratory, and management criteria, as per the WHO guidelines for near-miss events. Underlying and contributing causes of maternal near misses were documented from each participant\'s records.
UNASSIGNED: There were 1421 deliveries during the study period and 117 eligible women developed potentially life-threatening conditions. Only 61 women experienced severe maternal outcomes (55 near misses and six maternal deaths). The maternal near miss incidence ratio was 38.7 per 1000 live births, with a mortality index of 9.8%. Hypertensive disorders and obstetric hemorrhage are the leading underlying causes of maternal near misses.
UNASSIGNED: The incidence of maternal near miss was remarkably high when compared to previous studies. Giving special emphasis to life-saving interventions, critical care, reducing delays and improving the referral system are critical to improve quality of care.
摘要：
■产妇近失踪是指在怀孕期间发生的并发症几乎死亡但幸存下来的妇女，分娩,或终止妊娠后42天内。虽然在降低孕产妇死亡率方面取得了相当大的进展，孕产妇近错过病例可以为孕产妇保健质量提供有价值的见解，并帮助确定需要改进的地方。然而,关于导致产妇接近错过病例的因素的证据有限，包括卫生系统故障，延迟护理，和提供者相关的因素。因此,这项研究旨在评估发病率，原因,以及与博雷纳地区公立医院产妇险些失踪相关的因素。
从2022年8月15日至2022年11月15日，在博雷纳地区的四家公立医院采用了基于设施的纵向横断面研究设计，使用WHO孕产妇近错过事件标准。总的来说,117名参与者被纳入研究。合格性使用关键的临床，器官功能障碍,实验室,和管理标准，根据世卫组织关于未遂事件的指南。从每个参与者的记录中记录了产妇险些失手的潜在原因和促成原因。
在研究期间有1421例分娩，117名符合条件的妇女出现了可能危及生命的疾病。只有61名妇女经历了严重的孕产妇结局（55次险些失踪和6次孕产妇死亡）。产妇近流产发生率为38.7/1000活产，死亡率指数为9.8%。高血压疾病和产科出血是导致产妇差点错过的主要根本原因。
■与以前的研究相比，产妇近错过的发生率非常高。特别强调拯救生命的干预措施，重症监护,减少延误和改善转诊系统对于提高护理质量至关重要。
从2022年8月15日至2022年11月15日，在博雷纳地区的四家公立医院采用了基于设施的纵向横断面研究设计，使用WHO孕产妇近错过事件标准。总的来说,117名参与者被纳入研究。合格性使用关键的临床，器官功能障碍,实验室,和管理标准，根据世卫组织关于未遂事件的指南。从每个参与者的记录中记录了产妇险些失手的潜在原因和促成原因。
在研究期间有1421例分娩，117名符合条件的妇女出现了可能危及生命的疾病。只有61名妇女经历了严重的孕产妇结局（55次险些失踪和6次孕产妇死亡）。产妇近流产发生率为38.7/1000活产，死亡率指数为9.8%。高血压疾病和产科出血是导致产妇差点错过的主要根本原因。
■与以前的研究相比，产妇近错过的发生率非常高。特别强调拯救生命的干预措施，重症监护,减少延误和改善转诊系统对于提高护理质量至关重要。
