Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature

Abstract Background The reduction in maternal mortality worldwide has increased the interest in studying more frequent severe events such as maternal near miss. The Human Development Index is a sociodemographic country-specific variable that includes key human development indicators such as living a...

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Main Authors: Santiago García-Tizón Larroca, Francisco Amor Valera, Esther Ayuso Herrera, Ignacio Cueto Hernandez, Yolanda Cuñarro Lopez, Juan De Leon-Luis
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-020-02901-3
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author Santiago García-Tizón Larroca
Francisco Amor Valera
Esther Ayuso Herrera
Ignacio Cueto Hernandez
Yolanda Cuñarro Lopez
Juan De Leon-Luis
author_facet Santiago García-Tizón Larroca
Francisco Amor Valera
Esther Ayuso Herrera
Ignacio Cueto Hernandez
Yolanda Cuñarro Lopez
Juan De Leon-Luis
author_sort Santiago García-Tizón Larroca
collection DOAJ
description Abstract Background The reduction in maternal mortality worldwide has increased the interest in studying more frequent severe events such as maternal near miss. The Human Development Index is a sociodemographic country-specific variable that includes key human development indicators such as living a long and healthy life, acquiring knowledge, and enjoying a decent standard of living, allowing differentiation between countries. In a globalised environment, it is necessary to study whether the Human Development Index of each patient's country of origin can be associated with the maternal near-miss rate and thus classify the risk of maternal morbidity and mortality. Methods A systematic review of the literature published between 2008 and 2019 was conducted, including all articles that reported data about maternal near miss in their sample of pregnant women, in addition to describing the study countries of their sample population. The Human Development Index of the study country, the maternal near-miss rate, the maternal mortality rate, and other maternal-perinatal variables related to morbidity and mortality were used. Results After the systematic review, eighty two articles from over thirty countries were included, for a total of 3,699,697 live births, 37,191 near miss cases, and 4029 mortality cases. A statistically significant (p <0.05) inversely proportional relationship was observed between the Human Development Index of the study country and the maternal near-miss and mortality rates. The most common cause of maternal near miss was haemorrhage, with an overall rate of 38.5%, followed by hypertensive disorders of pregnancy (34.2%), sepsis (7.5%), and other undefined causes (20.9%). Conclusions The Human Development Index of the maternal country of origin is a sociodemographic variable allowing differentiation and classification of the risk of maternal mortality and near miss in pregnant women. The most common cause of maternal near miss published in the literature was haemorrhage. Trial registration PROSPERO ID: CRD 42019133464
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spelling doaj.art-7018aedfe3614019ae830f5ee12d63db2022-12-22T03:40:51ZengBMCBMC Pregnancy and Childbirth1471-23932020-04-0120112410.1186/s12884-020-02901-3Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literatureSantiago García-Tizón Larroca0Francisco Amor Valera1Esther Ayuso Herrera2Ignacio Cueto Hernandez3Yolanda Cuñarro Lopez4Juan De Leon-Luis5Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, HGUGMAbstract Background The reduction in maternal mortality worldwide has increased the interest in studying more frequent severe events such as maternal near miss. The Human Development Index is a sociodemographic country-specific variable that includes key human development indicators such as living a long and healthy life, acquiring knowledge, and enjoying a decent standard of living, allowing differentiation between countries. In a globalised environment, it is necessary to study whether the Human Development Index of each patient's country of origin can be associated with the maternal near-miss rate and thus classify the risk of maternal morbidity and mortality. Methods A systematic review of the literature published between 2008 and 2019 was conducted, including all articles that reported data about maternal near miss in their sample of pregnant women, in addition to describing the study countries of their sample population. The Human Development Index of the study country, the maternal near-miss rate, the maternal mortality rate, and other maternal-perinatal variables related to morbidity and mortality were used. Results After the systematic review, eighty two articles from over thirty countries were included, for a total of 3,699,697 live births, 37,191 near miss cases, and 4029 mortality cases. A statistically significant (p <0.05) inversely proportional relationship was observed between the Human Development Index of the study country and the maternal near-miss and mortality rates. The most common cause of maternal near miss was haemorrhage, with an overall rate of 38.5%, followed by hypertensive disorders of pregnancy (34.2%), sepsis (7.5%), and other undefined causes (20.9%). Conclusions The Human Development Index of the maternal country of origin is a sociodemographic variable allowing differentiation and classification of the risk of maternal mortality and near miss in pregnant women. The most common cause of maternal near miss published in the literature was haemorrhage. Trial registration PROSPERO ID: CRD 42019133464http://link.springer.com/article/10.1186/s12884-020-02901-3Maternal near missMaternal mortalityHuman Development IndexImmigrants
spellingShingle Santiago García-Tizón Larroca
Francisco Amor Valera
Esther Ayuso Herrera
Ignacio Cueto Hernandez
Yolanda Cuñarro Lopez
Juan De Leon-Luis
Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
BMC Pregnancy and Childbirth
Maternal near miss
Maternal mortality
Human Development Index
Immigrants
title Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
title_full Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
title_fullStr Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
title_full_unstemmed Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
title_short Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature
title_sort human development index of the maternal country of origin and its relationship with maternal near miss a systematic review of the literature
topic Maternal near miss
Maternal mortality
Human Development Index
Immigrants
url http://link.springer.com/article/10.1186/s12884-020-02901-3
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