ArticleBulletin of the World Health Organization2012
Mortality after near-miss obstetric complications in Burkina Faso: medical, social and health-care factors.
Article in Bulletin of the World Health Organization, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review.BMC pregnancy and childbirth · 2019Pooled it
- Application of geospatial analysis for mapping the distribution of severe maternal morbidities in eastern Ethiopia: The case of the Ethiopian obstetric surveillance system.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Clinical factors associated with severe maternal outcomes in two South African hospitals: A case-control study.PloS one · 2026Article
- Community engagement in maternal and perinatal death surveillance and response: a realist review.BMC pregnancy and childbirth · 2025Review
- Postpartum recovery after severe maternal morbidity in Kilifi, Kenya: a grounded theory of recovery trajectories beyond 42 days.BMJ global health · 2024Article
- Lifetime risk of maternal near miss morbidity: a novel indicator of maternal health.International journal of epidemiology · 2024Article
- Prospective assessment of mental and physical health of maternal near-miss women: A low-middle-income country's experience.Journal of family medicine and primary care · 2023Article
- Evaluation of the Predictors of the Quality of Life in the Postpartum Period: A Cross-Sectional Study.Iranian journal of public health · 2022Article
- The contribution of qualitative research within the PRECISE study in sub-Saharan Africa.Reproductive health · 2020Article
- One-Year Follow-Up of Women with Severe Acute Maternal Morbidity (SAMM): A Cohort Study.Journal of obstetrics and gynaecology of India · 2019Article
- Lessons from the Field Beyond the Numbers: Narratives of Professionals on Women who Experienced Severe Maternal Morbidity.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2019Article
- "Not taken seriously"-A qualitative interview study of postpartum Rwandan women who have experienced pregnancy-related complications.PloS one · 2019Article
- Article
- Quality of Life after an Episode of Severe Maternal Morbidity: Evidence from a Cohort Study in Brazil.BioMed research international · 2018Article
- Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran: a qualitative interview study.International journal for equity in health · 2017Article
- Consequences of maternal morbidity on health-related functioning: a systematic scoping review.BMJ open · 2017Article
- Effect of maternal death on child survival in rural West Africa: 25 years of prospective surveillance data in The Gambia.PloS one · 2017Article
- Article
- Article
- After surgery: the effects of life-saving caesarean sections in Burkina Faso.BMC pregnancy and childbirth · 2015Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate mortality in women in Burkina Faso in the 4 years following a life-threatening near-miss obstetric complication and to identify the medical, social and health-care-related causes of death.
methodsIn total, 1014 women were recruited after hospital discharge and followed for up to 4 years: 337 had near-miss complications and 677 had uncomplicated pregnancies. Significant differences in mortality between the groups were assessed using Fisher's exact test. The medical causes of death were identified from medical records and verbal autopsy data; social and health-care-related factors associated with death were identified from interviews with the deceased women's relatives.
findingsIn the 4 years, 15 (5.3%) women died in the near-miss group and 5 (0.9%) died after uncomplicated pregnancies (P < 0.001). More than half the deaths after a near miss, but none after an uncomplicated delivery, were pregnancy-related. Indirect factors contributed to many of these deaths, particularly human immunodeficiency virus infection. Relatives' accounts suggested that the high cost and poor quality of health care, a lack of follow-up care and an unmet need for contraception contributed to the excess mortality in the near-miss group.
conclusionWomen in Burkina Faso who initially survived a near-miss obstetric complication had an increased risk of all-cause and pregnancy-related death in the ensuing 4 years. The likelihood of survival over the longer term could be increased by offering a continuum of care that addresses the indirect and social causes of death and supplements the emergency intrapartum obstetric care provided by current safe motherhood programmes.
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