Evidence map›Paper›PMID 29374484›Full record

ArticleBMC women's health2018

Distant and proximate factors associated with maternal near-miss: a nested case-control study in selected public hospitals of Addis Ababa, Ethiopia.

Ewnetu Firdawek Liyew, Alemayehu Worku Yalew, Mesganaw Fantahun Afework, Birgitta Essén

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
3.6field-weighted citation impact, top 8% of its field
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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

4 authors at 3 institutions in 2 countries.

Ewnetu Firdawek LiyewDepartment of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. ewnetuliyew@gmail.com.
Alemayehu Worku YalewDepartment of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Mesganaw Fantahun AfeworkDepartment of Reproductive Health and Health Service Management, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Birgitta EssénDepartment of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden.
Addis Ababa University · ETArba Minch University · ETUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopia is one of the sub-Saharan Africa countries with the highest maternal mortality. Maternal near-misses are more common than deaths and statistically stronger for a comprehensive analysis of the determinants. The study aimed to identify the factors associated with maternal near-miss in selected public hospitals of Addis Ababa, Ethiopia.

methodsWe conducted a nested case-control study in five selected public hospitals of Addis Ababa, Ethiopia from May 1, 2015 to April 30, 2016. Participants were interviewed by well-trained data collectors using pre-tested questionnaire. Medical records were also reviewed to gather relevant information. World Health Organization criteria were used to identify maternal near-miss cases. A total of three controls matched for age and study area was selected for each maternal near-miss case. Bivariate and multivariable conditional logistic regressions were performed using Stata version 13.0.

resultsA total of 216 maternal near-miss cases and 648 controls were included in the study. The main factors associated with maternal near-miss were: history of chronic hypertension (AOR = 10.80,95% CI; 5.16-22.60), rural residency (AOR = 10.60,95% CI;4.59-24.46), history of stillbirth (AOR = 6.03,95% CI;2.09-17.41), no antenatal care attendance (AOR = 5.58,95% CI;1.94-16.07) and history of anemia (AOR = 5.26,95% CI;2.89-9.57).

conclusionsThere is a need for appropriate interventions in order to improve the identified factors. The factors can be modified through a better access to medical and maternity care, scaling up of antenatal care in rural areas, improve in infrastructure to fulfill referral chain from primary level to secondary and tertiary health care levels, and health education to pregnant women.

Indexed as

AnemiaCase-Control StudiesEthiopiaFemaleHealth Care SurveysHospitals, PublicHumansHypertensionNear Miss, HealthcarePregnancyPregnancy ComplicationsPrenatal CareRisk FactorsRural PopulationStillbirthAddis AbabaEthiopiaMaternal near-missNested case-controlPublic hospitalsRisk factors

Identifiers

PMID29374484
PMCPMC5787253
OpenAlexW2791189953

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.