ArticleBMC pregnancy and childbirth2018
Maternal near-miss and the risk of adverse perinatal outcomes: a prospective cohort study in selected public hospitals of Addis Ababa, Ethiopia.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Prevalence and risk factors of maternal near miss in India: A systematic review and meta-analysis.The Indian journal of medical research · 2026Pooled 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
- Pooled it
- The effect of antenatal care on perinatal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 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
- Criteria based clinical audit of selected obstetric emergencies standard of care and feto-maternal outcomes in public hospitals of West Shoa Zone, Central Ethiopia.BMC pregnancy and childbirth · 2026Article
- Magnitude and associated factors of premature rupture of membranes among pregnant women admitted to a university comprehensive specialized hospital in Central Ethiopia.BMC pregnancy and childbirth · 2026Article
- Epidemiology of perinatal asphyxia among newborns in Ethiopia: a systematic review and meta-analysis of incidence and risk factors.Maternal health, neonatology and perinatology · 2025Review
- Urban-rural disparity in preterm neonatal mortality in China: a retrospective study.BMC pediatrics · 2025Article
- Association Between Short Birth Interval and Immediate Adverse Perinatal Outcomes Among Women Delivering at a Tertiary Hospital in South-Western Uganda.International journal of women's health · 2025Article
- A cohort study of maternal near-miss events and its adverse perinatal outcomes: an obstetrical finding in Northwest Ethiopia.AJOG global reports · 2024Article
- Magnitude of maternal near-misses and associated factors in Arsi Zone public hospitals in Oromia, Ethiopia, 2022.Heliyon · 2024Article
- Maternal near miss as a predictor of adverse perinatal outcomes: findings from a prospective cohort study in southwestern Uganda.BMC pregnancy and childbirth · 2024Article
- Incidence of Adverse Perinatal Outcomes among Women Exposed to Maternal Near-Misses in Arsi Zone in Ethiopia: Prospective Cohort Study in 2022.Journal of pregnancy · 2024Article
- Article
- A mixed methods study on continuity and care coordination based on the obstetric near miss approach.Health SA = SA Gesondheid · 2024Article
- Predictors and perinatal outcomes of pre-labor rupture of membrane among pregnant women admitted to Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia: a retrospective study.Frontiers in medicine · 2023Article
- The utility of delivery ward register data for determining the causes of perinatal mortality in one specialized and one general hospital in south Ethiopia.BMC pediatrics · 2022Article
- Fetomaternal Outcomes and Associated Factors among Mothers with Hypertensive Disorders of Pregnancy in Suhul Hospital, Northwest Tigray, Ethiopia.Journal of pregnancy · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPresence of maternal near-miss conditions in women is strongly associated with the occurrence of adverse perinatal outcomes, but not well-understood in low-income countries. The study aimed to ascertain the effect of maternal near-miss on the risk of adverse perinatal outcomes in Ethiopia.
methodsA prospective cohort study was conducted in five public hospitals of Addis Ababa, Ethiopia. Women admitted from May 1, 2015 to April 30, 2016 were recruited for the study. We followed a total of 828 women admitted for delivery or treatment of pregnancy-related complications along with their singleton newborn babies. Maternal near-miss was the primary exposure and was ascertained using the World Health Organization criteria. Women who delivered without complications were taken as the non-exposed groups. The main outcome was adverse perinatal outcomes. Data on maternal near-miss and perinatal outcomes were abstracted from medical records of the participants. Exposed and non-exposed women were interviewed by well-trained data collectors to obtain information about potential confounding factors. Logistic regressions were performed using Stata version 13.0 to determine the adjusted odds of adverse perinatal outcomes.
resultsA total of 207 women with maternal near-miss and 621 women with uncomplicated delivery were included in the study. After adjusting for potential confounders, women with maternal near-miss condition had more than five-fold increased odds of adverse perinatal outcomes compared to women who delivered without any complications (AOR = 5.69: 95% CI; 3.69-8.76). Other risk factors that were independently associated with adverse perinatal outcomes include: rural residence, history of prior stillbirth and primary educational level.
conclusionsPresence of maternal near-miss in women is an independent risk factor for adverse perinatal outcomes. Hence, interventions rendered at improvement in maternal health of Ethiopia can lead to an improvement in perinatal outcomes.
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