Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022
Background: Investigation of maternal near-misses is useful for monitoring and evaluating the quality of obstetrics care services. Despite its importance, data has been limited in Arsi Zone public hospitals. Objective: To assess the magnitude of maternal near-miss and associated factors in Arsi Zone...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024009411 |
| _version_ | 1797328573680320512 |
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| author | Wogene Morka Regassa Getu Megersa Gemeda Elias Bekele Wakwoya Bedasa Woldemichaele Gelete |
| author_facet | Wogene Morka Regassa Getu Megersa Gemeda Elias Bekele Wakwoya Bedasa Woldemichaele Gelete |
| author_sort | Wogene Morka Regassa |
| collection | DOAJ |
| description | Background: Investigation of maternal near-misses is useful for monitoring and evaluating the quality of obstetrics care services. Despite its importance, data has been limited in Arsi Zone public hospitals. Objective: To assess the magnitude of maternal near-miss and associated factors in Arsi Zone public hospitals, Ethiopia, 2022. Method: Institution-based cross-sectional study design was conducted on 327 study participants from December 2021 to June 2022. The study participants were selected through systematic random sampling. Trained data collectors used pre-tested structured questionnaires to collect data from study participants. Pertinent data were also extracted from clients’ logbook. The data were entered to Epi Data version 3.1 and exported to SPSS version 25.0 for analysis. Multivariable logistic regression were employed to control for possible confounders where a significance level was set to a P-value of 5 %. Result: A total of 326 study participants responded, resulting in a 99.7 % response rate. The magnitude of maternal near-miss was 34.4 % [95 % CI (29.2–39.8)]. Hypertensive disorders (35 %), hemorrhage (35 %), ruptured uterus (11 %), unsafe abortion (8 %), obstructed labour (7 %), and infection/sepsis (4.5 %) were the direct while anemia (20 %) was one of the indirect causes of maternal near-misses. ANC visit received (AOR = 2.5, 95 % CI: 1.04–5.84), First ANC booked trimester (AOR = 0.26, 95 % CI: 0.1–0.9), delay in seeking care (AOR = 3.1, 95 % CI: 1.2–8.1), delay two (AOR = 2.7, 95 % CI: 1.0–6.8) and mode of delivery (AOR = 2.8, 95 % CI: 1.3–6.1) were factors associated with maternal near-misses. Conclusion: The prevalence of maternal near-miss was high. To improve the identified factors and minimize their consequences, appropriate interventions are required at all levels to improve the quality of obstetrics care services aimed at improving positive pregnancy outcomes. |
| first_indexed | 2024-03-08T06:53:39Z |
| format | Article |
| id | doaj.art-13c53e2409264c7eb47581806ca7654b |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T06:53:39Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-13c53e2409264c7eb47581806ca7654b2024-02-03T06:38:42ZengElsevierHeliyon2405-84402024-01-01102e24910Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022Wogene Morka Regassa0Getu Megersa Gemeda1Elias Bekele Wakwoya2Bedasa Woldemichaele Gelete3Department of Midwifery, College of Health Sciences, Arsi University, Asella, Ethiopia; Corresponding authorDepartment of Midwifery, College of Health Sciences, Arsi University, Asella, EthiopiaDepartment of Midwifery, College of Health Sciences, Arsi University, Asella, EthiopiaDepartment of Nursing, College of Health Sciences, Arsi University, Asella, EthiopiaBackground: Investigation of maternal near-misses is useful for monitoring and evaluating the quality of obstetrics care services. Despite its importance, data has been limited in Arsi Zone public hospitals. Objective: To assess the magnitude of maternal near-miss and associated factors in Arsi Zone public hospitals, Ethiopia, 2022. Method: Institution-based cross-sectional study design was conducted on 327 study participants from December 2021 to June 2022. The study participants were selected through systematic random sampling. Trained data collectors used pre-tested structured questionnaires to collect data from study participants. Pertinent data were also extracted from clients’ logbook. The data were entered to Epi Data version 3.1 and exported to SPSS version 25.0 for analysis. Multivariable logistic regression were employed to control for possible confounders where a significance level was set to a P-value of 5 %. Result: A total of 326 study participants responded, resulting in a 99.7 % response rate. The magnitude of maternal near-miss was 34.4 % [95 % CI (29.2–39.8)]. Hypertensive disorders (35 %), hemorrhage (35 %), ruptured uterus (11 %), unsafe abortion (8 %), obstructed labour (7 %), and infection/sepsis (4.5 %) were the direct while anemia (20 %) was one of the indirect causes of maternal near-misses. ANC visit received (AOR = 2.5, 95 % CI: 1.04–5.84), First ANC booked trimester (AOR = 0.26, 95 % CI: 0.1–0.9), delay in seeking care (AOR = 3.1, 95 % CI: 1.2–8.1), delay two (AOR = 2.7, 95 % CI: 1.0–6.8) and mode of delivery (AOR = 2.8, 95 % CI: 1.3–6.1) were factors associated with maternal near-misses. Conclusion: The prevalence of maternal near-miss was high. To improve the identified factors and minimize their consequences, appropriate interventions are required at all levels to improve the quality of obstetrics care services aimed at improving positive pregnancy outcomes.http://www.sciencedirect.com/science/article/pii/S2405844024009411Maternal near-missPublic hospitalWomenMorbidityMortality, Arsi ZoneOromia |
| spellingShingle | Wogene Morka Regassa Getu Megersa Gemeda Elias Bekele Wakwoya Bedasa Woldemichaele Gelete Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 Heliyon Maternal near-miss Public hospital Women Morbidity Mortality, Arsi Zone Oromia |
| title | Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 |
| title_full | Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 |
| title_fullStr | Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 |
| title_full_unstemmed | Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 |
| title_short | Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022 |
| title_sort | magnitude of maternal near misses and associated factors in arsi zone public hospitals in oromia ethiopia 2022 |
| topic | Maternal near-miss Public hospital Women Morbidity Mortality, Arsi Zone Oromia |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024009411 |
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