Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study
BackgroundA maternal near-miss (MNM) refers to a woman who presents with life-threatening complications during pregnancy, childbirth, or within 42 days of termination of pregnancy but survived by chance or due to the standard care she received. It is recognized as a valuable indicator to examine the...
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.996885/full |
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| author | Hana Nigussie Teshome Esubalew Tesfahun Ayele Solomon Hailemeskel Osman Yimer Getaneh Baye Mulu Mesfin Tadese |
| author_facet | Hana Nigussie Teshome Esubalew Tesfahun Ayele Solomon Hailemeskel Osman Yimer Getaneh Baye Mulu Mesfin Tadese |
| author_sort | Hana Nigussie Teshome |
| collection | DOAJ |
| description | BackgroundA maternal near-miss (MNM) refers to a woman who presents with life-threatening complications during pregnancy, childbirth, or within 42 days of termination of pregnancy but survived by chance or due to the standard care she received. It is recognized as a valuable indicator to examine the quality of obstetrics care as it follows similar predictors with maternal death. Ethiopia is one of the sub-Saharan African countries with the highest rate of maternal mortality and morbidity. Thus, studying the cause and predictors of maternal near-miss is vital to improving the quality of obstetric care, particularly in low-income countries.ObjectiveTo identify determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia, 2020.MethodsA facility-based unmatched case-control study was conducted on 264 women (88 cases and 176 controls) from February to April 2020. Data were collected using pretested interviewer-administered questionnaires and a review of medical records. Data were entered into Epi-data version 4.2.2 and exported to SPSS version 25 for analysis. Variables with a p-value <0.25 in the bivariable analysis were further analyzed using multivariable logistic regression analysis. Finally, variables with a p-value <0.05 were considered statistically significant.ResultSevere pre-eclampsia (49.5%) and postpartum hemorrhage (28.3%) were the main reasons for admission of cases. Educational level of women (AOR = 4.80, 95% CI: 1.78–12.90), education level of husbands (AOR = 5.26; 95% CI: 1.46–18.90), being referred from other health facilities (AOR = 4.73, 95% CI: 1.78–12.55), antenatal care visit (AOR = 2.75, 95% CI: 1.13–6.72), cesarean section (AOR = 3.70, 95% CI: 1.42-9.60), and medical disorder during pregnancy (AOR = 12.06, 95% CI: 2.82–51.55) were found to significantly increase the risk of maternal near-miss. Whereas, the younger age of women significantly decreased the risk of maternal near miss (AOR = 0.26, 95% CI: 0.09–0.75).ConclusionAge, educational level, antenatal care follow-ups, medical disorder during pregnancy, mode of admission, and mode of delivery were significant predictors of maternal near-miss. Socio-demographic development, use of ANC services, early detection and management of medical diseases, reducing cesarean section, and improving the referral systems are crucial to minimizing the maternal near-miss. |
| first_indexed | 2024-04-14T03:06:42Z |
| format | Article |
| id | doaj.art-169407710ccb47fc9b01a2ed613cc7ec |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-14T03:06:42Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-169407710ccb47fc9b01a2ed613cc7ec2022-12-22T02:15:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.996885996885Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control studyHana Nigussie Teshome0Esubalew Tesfahun Ayele1Solomon Hailemeskel2Osman Yimer3Getaneh Baye Mulu4Mesfin Tadese5Department of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Public Health, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Midwifery, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Midwifery, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Midwifery, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaBackgroundA maternal near-miss (MNM) refers to a woman who presents with life-threatening complications during pregnancy, childbirth, or within 42 days of termination of pregnancy but survived by chance or due to the standard care she received. It is recognized as a valuable indicator to examine the quality of obstetrics care as it follows similar predictors with maternal death. Ethiopia is one of the sub-Saharan African countries with the highest rate of maternal mortality and morbidity. Thus, studying the cause and predictors of maternal near-miss is vital to improving the quality of obstetric care, particularly in low-income countries.ObjectiveTo identify determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia, 2020.MethodsA facility-based unmatched case-control study was conducted on 264 women (88 cases and 176 controls) from February to April 2020. Data were collected using pretested interviewer-administered questionnaires and a review of medical records. Data were entered into Epi-data version 4.2.2 and exported to SPSS version 25 for analysis. Variables with a p-value <0.25 in the bivariable analysis were further analyzed using multivariable logistic regression analysis. Finally, variables with a p-value <0.05 were considered statistically significant.ResultSevere pre-eclampsia (49.5%) and postpartum hemorrhage (28.3%) were the main reasons for admission of cases. Educational level of women (AOR = 4.80, 95% CI: 1.78–12.90), education level of husbands (AOR = 5.26; 95% CI: 1.46–18.90), being referred from other health facilities (AOR = 4.73, 95% CI: 1.78–12.55), antenatal care visit (AOR = 2.75, 95% CI: 1.13–6.72), cesarean section (AOR = 3.70, 95% CI: 1.42-9.60), and medical disorder during pregnancy (AOR = 12.06, 95% CI: 2.82–51.55) were found to significantly increase the risk of maternal near-miss. Whereas, the younger age of women significantly decreased the risk of maternal near miss (AOR = 0.26, 95% CI: 0.09–0.75).ConclusionAge, educational level, antenatal care follow-ups, medical disorder during pregnancy, mode of admission, and mode of delivery were significant predictors of maternal near-miss. Socio-demographic development, use of ANC services, early detection and management of medical diseases, reducing cesarean section, and improving the referral systems are crucial to minimizing the maternal near-miss.https://www.frontiersin.org/articles/10.3389/fpubh.2022.996885/fullmaternal near-missdeterminantsNorth ShewaEthiopiacase-control study |
| spellingShingle | Hana Nigussie Teshome Esubalew Tesfahun Ayele Solomon Hailemeskel Osman Yimer Getaneh Baye Mulu Mesfin Tadese Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study Frontiers in Public Health maternal near-miss determinants North Shewa Ethiopia case-control study |
| title | Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study |
| title_full | Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study |
| title_fullStr | Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study |
| title_full_unstemmed | Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study |
| title_short | Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study |
| title_sort | determinants of maternal near miss among women admitted to public hospitals in north shewa zone ethiopia a case control study |
| topic | maternal near-miss determinants North Shewa Ethiopia case-control study |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.996885/full |
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