Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2017
Maternal near miss in low-resource areas.
Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03871491 (Prevention of Maternal and Neonatal Death/Infections With a Single Oral Dose of Azithromycin in Women in Labor), which is not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Prevention of Maternal and Neonatal Death/Infections With a Single Oral Dose of Azithromycin in Women in Labor (in Low- and Middle-income Countries): a Randomized Controlled Trial
Who cites it
28 citing papers in PubMed, 5 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
- Prevalence and determinants of maternal near miss in Ethiopia: a systematic review and meta-analysis, 2023.Systematic reviews · 2025Pooled it
- Prevalence, underlying causes, and determinants of maternal near miss in Ethiopia: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- Maternal mortality: near-miss events in middle-income countries, a systematic review.Bulletin of the World Health Organization · 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
- Cost estimation alongside a multi-regional, multi-country randomized trial of antenatal ultrasound in five low-and-middle-income countries.BMC public health · 2021Trial
- Determinants of Maternal Near Miss: A Facility-Based Case-Control Study in Luanda, Angola.Portuguese journal of public health · 2026Article
- Article
- PANDA e-health system as a tool to increase antenatal contacts and improve perinatal outcomes in Tanzania: adaptation and feasibility study.BMC pregnancy and childbirth · 2025Article
- Retrospective evaluation of patients admitted to the intensive care unit due to obstetric reasons in terms of maternal near-miss, a five-year case-control study.BMC pregnancy and childbirth · 2025Article
- Pregnancy complications associated with maternal near-miss in an undeveloped province in south-central China, 2012-2022.BMC public health · 2024Article
- A mixed methods study on continuity and care coordination based on the obstetric near miss approach.Health SA = SA Gesondheid · 2024Article
- Examining maternal morbidity across a spectrum of delivery locations: An analysis of the Global Network's Maternal and Neonatal Health Registry.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Indicators for maternal near miss: an observational study, India.Bulletin of the World Health Organization · 2022Observational
- Maternal near-miss and mortality associated with hypertensive disorders of pregnancy remote from term: a multicenter observational study in Ghana.AJOG global reports · 2022Article
- Severe Maternal Outcomes and Quality of Maternal Health Care in South Ethiopia.International journal of women's health · 2022Article
- A retrospective study of maternal near miss in the Critical Maternal Care Center in Suqian City, Jiangsu Province, China: A single-center study.Health science reports · 2021Article
- Respectful care an added extra: a grounded theory study exploring intrapartum experiences in Zambia and Tanzania.BMJ global health · 2021Article
- Obstetric anaesthesia as a career.Indian journal of anaesthesia · 2021Article
- Article
Corrections and comments
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Authors and funding
30 authors.
Funding
Abstract
objectiveTo describe the Global Network Near-Miss Maternal Mortality System and its application in seven sites.
methodsIn a population-based study, pregnant women eligible for enrollment in the Maternal and Newborn Health Registry at seven sites (Democratic Republic of the Congo; Guatemala; Belagavi and Nagpur, India; Kenya; Pakistan; and Zambia) between January 2014 and April 2016 were screened to identify those likely to have a near-miss event. The WHO maternal near-miss criteria were modified for low-resource settings. The ratio of near-miss events to maternal deaths was calculated.
resultsAmong 122 707 women screened, 18 307 (15.0%) had a potential near-miss event, of whom 4866 (26.6%; 4.0% of all women) had a near-miss maternal event. The overall maternal mortality ratio was 155 per 100 000 live births. The ratio of near-miss events to maternal deaths was 26 to 1. The most common factors involved in near-miss cases were the hematologic/coagulation system, infection, and cardiovascular system.
conclusionBy using the Global Network Near-Miss Maternal Mortality System, large numbers of women were screened for near-miss events, including those delivering at home or a low-level maternity clinic. The 4.0% incidence of near-miss maternal mortality is similar to previously reported data. The ratio of 26 near-miss cases to 1 maternal death suggests that near miss might evaluate the impact of interventions more efficiently than maternal mortality.
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