SynthesisBMC pregnancy and childbirth2019
Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review.
Synthesis in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.
What it found
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Who cites it
31 citing papers in PubMed, 6 syntheses or guidelines pooled 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
- The global use of the International Classification of Diseases to Perinatal Mortality (ICD-PM): A systematic review.Journal of global health · 2022Pooled it
- Global and regional estimates of maternal near miss: a systematic review, meta-analysis and experiences with application.BMJ global health · 2022Pooled it
- Obstructed labor and its effect on adverse maternal and fetal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 2022Pooled it
- Maternal mortality: near-miss events in middle-income countries, a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- Quality and women's satisfaction with maternal referral practices in sub-Saharan African low and lower-middle income countries: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
- Measuring Severe Maternal Morbidity: Current Practices, Challenges, and Opportunities.Obstetrics and gynecology · 2026Review
- Severe maternal outcomes in 36 West African hospitals from Benin, Burkina Faso and Niger.BMC pregnancy and childbirth · 2025Article
- Maternal near-miss prediction model development in Bahir Dar city administration, Northwest Ethiopia.PloS one · 2025Article
- Reasons for maternal near-miss in Bahir Dar city administration, northwest Ethiopia: a qualitative interview approach using socio-ecological model.Frontiers in global women's health · 2025Article
- Educational inequalities and decomposition of the urban-rural disparities in maternal health care utilization in Ethiopia: further analysis of 2019 intermediate Ethiopian demography and health survey.BMC public health · 2024Article
- Article
- Can International Classification of Disease Perinatal Mortality (ICD-PM) be a solution to overcome neglected tragedy? A scoping reviews.Health science reports · 2024Article
- A cohort study of maternal near-miss events and its adverse perinatal outcomes: an obstetrical finding in Northwest Ethiopia.AJOG global reports · 2024Article
- Investigating the depression, anxiety, and stress-related factors in near-miss mothers.Journal of education and health promotion · 2024Article
- Article
- 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
- Observational
- Maternal near-miss and mortality associated with hypertensive disorders of pregnancy remote from term: a multicenter observational study in Ghana.AJOG global reports · 2022Article
- Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey.Reproductive health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApplicability of the World Health Organization (WHO) maternal near miss criteria in low-income settings is not systematically addressed in the literature. The objective of this review was to determine the applicability of the WHO maternal near miss tool in sub-Saharan Africa.
methodsWe searched PubMed, Embase, Popline, CINAHL, AJOL, and Google scholar using key words for maternal near miss and sub-Saharan Africa. Studies which applied the WHO maternal near miss criteria, containing clear definitions, and published between January 1st, 2009 and December 31st, 2017 were included. Two authors independently extracted data. Quantitative analysis and narrative synthesis were conducted, and medians with interquartile range (IQR) were calculated for summarizing the findings. Methodological quality of the studies was assessed using the Estabrook's quality assessment and validity tool.
resultsFifteen studies from nine countries comprising 227,077 participants were included. Median maternal near miss ratio was 24.2 (IQR: 12.4-35.8) per 1000 live births ranging from 4.4 in a population-based study in South Africa to 198 in a rural private hospital in Nigeria. Eight studies reported challenges in implementing the WHO maternal near miss tool, especially related to the threshold for blood transfusion, and availability of several laboratory-based criteria. In three studies, local adaptations were made.
conclusionThis review showed that the WHO maternal near miss tool is not uniformly applied in sub-Saharan Africa. Therefore, a common adaptation for the region is required to increase its applicability.
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