Evidence map›Paper›PMID 26024770›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2015

A case-control study of correlates of severe acute maternal morbidity in Kabul, Afghanistan.

Catherine S Todd, Ghulam Farooq Mansoor, Sadia Haider, Pashtoon Hashimy, Nazifa Mustafavi, Abdul Nasir, Suellen Miller

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Catherine S ToddDepartment of Obstetrics and Gynecology and Heilbrunn Department of Population and Family Health, Columbia University, New York, NY, USA. Electronic address: ctodd@fhi360.org.
Ghulam Farooq MansoorHealth Protection and Research Organisation, Kabul, Afghanistan.
Sadia HaiderDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Pashtoon HashimyHealth Protection and Research Organisation, Kabul, Afghanistan.
Nazifa MustafaviHealth Protection and Research Organisation, Kabul, Afghanistan.
Abdul NasirHealth Protection and Research Organisation, Kabul, Afghanistan.
Suellen MillerDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.

Funding

Blood-borne infection screening in an Afghan antenatal populationK01TW007408 · FIC · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TODD, CATHERINE SUZANNE · 2005 to 2010
$538k
FIC NIH HHS K01 TW007408
6 · The paper itself

Abstract

objectiveTo identify correlates of severe acute maternal morbidity (SAMM) in Kabul, Afghanistan.

methodsThe present case-control study enrolled postpartum couples at four public maternity hospitals between September 2007 and December 2009. Eligibility was determined by: spousal consent; SAMM criteria from chart review for cases; and matching by age, parity, and time since previous delivery for controls (uncomplicated deliveries). Staff administered questionnaires to women and their husbands separately. SAMM correlates were analyzed with conditional logistic regression in models including (proximate) and excluding (distal) care factors.

resultsAmong 285 case and 285 control couples, the most frequent SAMM diagnoses were obstructed labor (104 [36.5%]) and hemorrhage requiring transfusion (102 [35.8%]). In both models, SAMM was associated with the husband having more than one wife (distal: adjusted odds ratio [aOR] 48.6, 95% CI 5.4-436.5; proximate: 141.8, 3.5-5819.0), prior stillbirth(s) (distal: 16.2, 6.1-42.9; proximate: 8.0, 2.9-22.4), and complications in a prior pregnancy (distal: 5.4, 95% CI 2.5-12.1; proximate: 7.1, 2.5-20.4). In the proximate model, SAMM was associated with visiting another facility before hospitalization (aOR 7.5, 95% CI 3.1-17.9), male-reported planned home delivery (5.5, 1.5-20.0), and provider-determined care-seeking (4.8, 1.6-14.9).

conclusionPlanned home delivery and referral to multiple facilities or by providers are factors associated with SAMM that are potentially amenable to intervention in Afghanistan.

Indexed as

AdultAfghanistanCase-Control StudiesFemaleHome ChildbirthHospitals, MaternityHumansLogistic ModelsMarriageMiddle AgedObstetric Labor ComplicationsPostpartum HemorrhagePregnancyPregnancy ComplicationsReferral and ConsultationSurveys and QuestionnairesAfghanistanMaternal morbidityMaternal mortalityPregnancy complications

Identifiers

PMID26024770
PMCPMC7201368

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.