Determinants of Maternal Near-Miss in Morocco: Too Late, Too Far, Too Sloppy?
作者： Bouchra Assarag , Bruno Dujardin , Alexandre Delamou , Fatima-Zahra Meski , Vincent De Brouwere
DOI: 10.1371/JOURNAL.PONE.0116675
关键词: Functional illiteracy 、 Obstetrics and gynaecology 、 Referral 、 Maternal near miss 、 Pediatrics 、 Demography 、 Incidence (epidemiology) 、 Pregnancy 、 Multivariate analysis 、 Medicine 、 Near miss
摘要: Background In Morocco, there is little information on the circumstances surrounding maternal near misses. This study aimed to determine incidence, characteristics, and determinants of misses in Morocco. Method A prospective case-control was conducted at 3 referral maternity hospitals Marrakech region Morocco between February July 2012. Near-miss cases included severe hemorrhage, hypertensive disorders, prolonged obstructed labor. Three unmatched controls were selected for each near-miss case. categories risk factors (sociodemographics, reproductive history, delays), as well perinatal outcomes, assessed, bivariate multivariate analyses performed. sample 30 non-near interviewed. Results The incidence 12‰ births. Hypertensive disorders during pregnancy (45%) hemorrhage (39%) most frequent direct causes miss. main illiteracy [OR = 2.35; 95% CI: (1.07 -5.15)], lack antenatal care 3.97; (1.42-11.09)], complications 2.81; (1.26-6.29)], having experienced a first phase delay 8.71; (3.97- 19.12)] third 4.03; (1.75-9.25)]. reasons family authority figure who could make decision, sufficient financial resources, vehicle, fear health facilities. majority demonstrated with many referrals. women's perceptions quality their highlighted importance information, good communication, attitude. Conclusion Women newborns serious obstetric have greater chance successful outcomes if they are immediately directed functioning hospital providers responsive.
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Sereen Thaddeus, Deborah Maine, Too far to walk : maternal mortality in context Social Science & Medicine. ,vol. 38, pp. 1091- 1110 ,(1994) , 10.1016/0277-9536(94)90226-7
Asri Adisasmita, Poppy E Deviany, Fitri Nandiaty, Cynthia Stanton, Carine Ronsmans, Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy and Childbirth. ,vol. 8, pp. 10- 10 ,(2008) , 10.1186/1471-2393-8-10
Thomas Udagbor Agan, EI Archibong, JE Ekabua, EI Ekanem, SE Abeshi, TA Edentekhe, EE Bassey, Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999-2009. International Journal of Women's Health. ,vol. 2, pp. 249- 254 ,(2010) , 10.2147/IJWH.S11971
Ellen JT Nelissen, Estomih Mduma, Hege L Ersdal, Bjørg Evjen-Olsen, Jos JM van Roosmalen, Jelle Stekelenburg, Maternal Near Miss and Mortality in a Rural Referral Hospital in Northern Tanzania: A Cross-Sectional Study. BMC Pregnancy and Childbirth. ,vol. 13, pp. 141- 141 ,(2013) , 10.1186/1471-2393-13-141
José G Cecatti, João P Souza, Antonio F Oliveira Neto, Mary A Parpinelli, Maria H Sousa, Lale Say, Robert C Pattinson, None, Pre-validation of the WHO organ dysfunction based criteria for identification of maternal near miss Reproductive Health. ,vol. 8, pp. 22- 22 ,(2011) , 10.1186/1742-4755-8-22
Veronique Filippi, Carine Ronsmans, Valerie Gohou, Sourou Goufodji, Mohamed Lardi, Amina Sahel, Jacques Saizonou, Vincent De Brouwere, Maternity wards or emergency obstetric rooms? Incidence of near-miss events in African hospitals. Acta Obstetricia et Gynecologica Scandinavica. ,vol. 84, pp. 11- 16 ,(2005) , 10.1111/J.0001-6349.2005.00636.X
Lale Say, Importance of accurate information on causes of maternal deaths for informing health care programmes. Indian Journal of Medical Research. ,vol. 132, pp. 123- 124 ,(2010)
O. Tunçalp, M.J. Hindin, J.P. Souza, D. Chou, L. Say, The Prevalence of Maternal Near Miss: A Systematic Review Obstetric Anesthesia Digest. ,vol. 33, pp. 84- ,(2013) , 10.1097/01.AOA.0000429114.02435.42
Carine Ronsmans, Mohamed Lardi, Véronique Filippi, Amina Sahel, Wim Van Lerberghe, Vincent De Brouwere, [Obstetric catastrophes barely just avoided: near misses in Moroccan hospitals]. Cahiers d'études et de recherches francophones / Santé. ,vol. 11, pp. 229- ,(2001)
Saizonou Jacques, Ouendo Edgard-Marius, Dujardin Bruno, Maternal Deaths Audit in Four Benin Referral Hospitals: Quality of Emergency Care Causes and Contributing Factors / Vérification des décès maternels au sein de quatre hôpitaux qui dispensent des services spécialisés, la qualité des soins d'urgence, les causes et les facteurs responsables African Journal of Reproductive Health. ,vol. 10, pp. 28- ,(2006) , 10.2307/30032469