The WHO maternal near miss approach: consequences at Malawian District level.
INTRODUCTION: WHO proposes a set of organ-failure based criteria for maternal near miss. Our objective was to evaluate what implementation of these criteria would mean for the analysis of a cohort of 386 women in Thyolo District, Malawi, who sustained severe acute maternal morbidity according to dis...
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| Format: | Article |
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Public Library of Science (PLoS)
2013-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3556078?pdf=render |
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| author | Thomas van den Akker Jogchum Beltman Joey Leyten Beatrice Mwagomba Tarek Meguid Jelle Stekelenburg Jos van Roosmalen |
| author_facet | Thomas van den Akker Jogchum Beltman Joey Leyten Beatrice Mwagomba Tarek Meguid Jelle Stekelenburg Jos van Roosmalen |
| author_sort | Thomas van den Akker |
| collection | DOAJ |
| description | INTRODUCTION: WHO proposes a set of organ-failure based criteria for maternal near miss. Our objective was to evaluate what implementation of these criteria would mean for the analysis of a cohort of 386 women in Thyolo District, Malawi, who sustained severe acute maternal morbidity according to disease-based criteria. METHODS AND FINDINGS: A WHO Maternal Near Miss (MNM) Tool, created to compare disease-, intervention- and organ-failure based criteria for maternal near miss, was completed for each woman, based on a review of all available medical records. Using disease-based criteria developed for the local setting, 341 (88%) of the 386 women fulfilled the WHO disease-based criteria provided by the WHO MNM Tool, 179 (46%) fulfilled the intervention-based criteria, and only 85 (22%) the suggested organ-failure based criteria. CONCLUSIONS: In this low-resource setting, application of these organ-failure based criteria that require relatively sophisticated laboratory and clinical monitoring underestimates the occurrence of maternal near miss. Therefore, these criteria and the suggested WHO approach may not be suited to compare maternal near miss across all settings. |
| first_indexed | 2024-12-16T12:17:06Z |
| format | Article |
| id | doaj.art-304ae4eb7c984cc08a5fb261d704c401 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-16T12:17:06Z |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
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| spelling | doaj.art-304ae4eb7c984cc08a5fb261d704c4012022-12-21T22:32:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0181e5480510.1371/journal.pone.0054805The WHO maternal near miss approach: consequences at Malawian District level.Thomas van den AkkerJogchum BeltmanJoey LeytenBeatrice MwagombaTarek MeguidJelle StekelenburgJos van RoosmalenINTRODUCTION: WHO proposes a set of organ-failure based criteria for maternal near miss. Our objective was to evaluate what implementation of these criteria would mean for the analysis of a cohort of 386 women in Thyolo District, Malawi, who sustained severe acute maternal morbidity according to disease-based criteria. METHODS AND FINDINGS: A WHO Maternal Near Miss (MNM) Tool, created to compare disease-, intervention- and organ-failure based criteria for maternal near miss, was completed for each woman, based on a review of all available medical records. Using disease-based criteria developed for the local setting, 341 (88%) of the 386 women fulfilled the WHO disease-based criteria provided by the WHO MNM Tool, 179 (46%) fulfilled the intervention-based criteria, and only 85 (22%) the suggested organ-failure based criteria. CONCLUSIONS: In this low-resource setting, application of these organ-failure based criteria that require relatively sophisticated laboratory and clinical monitoring underestimates the occurrence of maternal near miss. Therefore, these criteria and the suggested WHO approach may not be suited to compare maternal near miss across all settings.http://europepmc.org/articles/PMC3556078?pdf=render |
| spellingShingle | Thomas van den Akker Jogchum Beltman Joey Leyten Beatrice Mwagomba Tarek Meguid Jelle Stekelenburg Jos van Roosmalen The WHO maternal near miss approach: consequences at Malawian District level. PLoS ONE |
| title | The WHO maternal near miss approach: consequences at Malawian District level. |
| title_full | The WHO maternal near miss approach: consequences at Malawian District level. |
| title_fullStr | The WHO maternal near miss approach: consequences at Malawian District level. |
| title_full_unstemmed | The WHO maternal near miss approach: consequences at Malawian District level. |
| title_short | The WHO maternal near miss approach: consequences at Malawian District level. |
| title_sort | who maternal near miss approach consequences at malawian district level |
| url | http://europepmc.org/articles/PMC3556078?pdf=render |
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