ArticleBMC pregnancy and childbirth2015
Maternal near miss and mortality in a tertiary care hospital in Rwanda.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Maternal near miss incidence ratio, its causes and risk factors in East Africa: a systematic review and meta-analysis.Reproductive health · 2025Pooled it
- Road to maternal death: the pooled estimate of maternal near-miss, its primary causes and determinants in Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Prevalence and determinants of maternal near miss in Ethiopia: a systematic review and meta-analysis, 2015-2023.BMC women's health · 2023Pooled it
- Global and regional estimates of maternal near miss: a systematic review, meta-analysis and experiences with application.BMJ global health · 2022Pooled it
- Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020.Journal of global health · 2021Pooled it
- 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 · 2020Pooled it
- Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review.BMC pregnancy and childbirth · 2019Pooled it
- Measuring maternal mortality: a systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries.British medical bulletin · 2017Pooled it
- Severe maternal outcomes and their underlying causes in Ethiopia. Systematic review and meta-analysis.Women's health (London, England)Pooled it
- Postpartum hemorrhage in Suriname: A national descriptive study of hospital births and an audit of case management.PloS one · 2020Trial
- Prevalence and determinants of preterm birth at University Teaching Hospital of Kigali: a retrospective study.BMC pregnancy and childbirth · 2026Article
- Article
- Severe Maternal Outcome in Women Admitted to an Obstetric Intensive Care Unit in the Northeast of Brazil: A Cross-Sectional Study.TheScientificWorldJournal · 2025Article
- Assessing quality of care among maternity waiting home users and non-users in a rural Rwandan hospital.Frontiers in global women's health · 2025Article
- Factors Affecting Pregnancy Complications in Ghana.Global journal on quality and safety in healthcare · 2024Article
- Maternal Near-Miss and Maternal Mortality in a Tertiary Care Center of Western Uttar Pradesh: A Retrospective Study.Cureus · 2023Article
- Perceptions of male partners on maternal near-miss events experienced by their female partners in Rwanda.PloS one · 2023Article
- Maternal near-miss and mortality associated with hypertensive disorders of pregnancy remote from term: a multicenter observational study in Ghana.AJOG global reports · 2022Article
- High mortality rate of obstetric critically ill women in Rwanda and its predictability.BMC pregnancy and childbirth · 2021Article
- Effects of antenatal care service utilization on maternal near miss in Gamo Gofa zone, southern Ethiopia: retrospective cohort study.BMC pregnancy and childbirth · 2021Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo determine the prevalence and factors associated with severe ('near miss') maternal morbidity and mortality in the University Teaching Hospital of Kigali-Rwanda.
methodsWe performed a cross sectional study of all women admitted to the tertiary care University Hospital in Kigali with severe "near miss" maternal morbidity and mortality during a one year period using the WHO criteria for 'near miss' maternal mortality. We assessed maternal demographic characteristics and disease processes associated with severe obstetric morbidity and mortality.
resultsThe prevalence of severe maternal outcomes was 11 per 1000 live births. The maternal near miss ratio was 8 per 1000 live births. The majority of severe obstetric morbidity and mortalities resulted from: sepsis/peritonitis (30.2%)--primarily following caesarean deliveries, hypertensive disease (28.6%), and hemorrhage (19.3%). Majority of our patients were found to be of lower socioeconomic status, refered from district hospitals to the tertiary care center, and resided in the eastern part of the country.
conclusionThe main causes associated with MNH were peritonitis, hypertensive disorders and bleeding. The high prevalence of peritonitis may reflect suboptimal intraoperative and intrapartum management of high-risk patients at district hospitals. Direct causes of severe maternal outcome are still the most prevalent. The study identified opportunities for improvement in clinical care to reduce potentially these adverse outcomes.
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