ArticleBulletin of the World Health Organization2020
Maternal near-miss surveillance, Namibia.
Article in Bulletin of the World Health Organization, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- 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
- The Prevalence and Risk Factors for Severe Maternal Morbidities: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Maternal mortality: near-miss events in middle-income countries, a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- Comparative analysis of maternal near miss incidents in secondary and tertiary healthcare facilities.BMC pregnancy and childbirth · 2025Article
- Comorbidities and prescribed medications in expectant mothers attending antenatal clinic: a cross-sectional study in Windhoek, Namibia.Primary health care research & development · 2025Article
- An assessment of women's satisfaction with maternity care during labour and birth in a referral hospital in Namibia.Heliyon · 2025Article
- Women's experiences of high-risk pregnancy care in resource constrained Cape Town communities.Health SA = SA Gesondheid · 2025Article
- Pregnancy complications associated with maternal near-miss in an undeveloped province in south-central China, 2012-2022.BMC public health · 2024Article
- Vaginal Microbiome and Pregnancy Complications: A Review.Journal of clinical medicine · 2024Review
- Lifetime risk of maternal near miss morbidity: a novel indicator of maternal health.International journal of epidemiology · 2024Article
- Confidential Enquiry into Maternal Deaths in Namibia, 2018-2019: A Local Approach to Strengthen the Review Process and a Description of Review Findings and Recommendations.Maternal and child health journal · 2023Review
- [Maternal morbidity and mortality in Brazil and the urgency of a national surveillance system for maternal near miss].Cadernos de saude publica · 2023Article
- Incidence and causes of severe maternal outcomes in Somaliland using the sub-Saharan Africa maternal near-miss criteria: A prospective cross-sectional study in a national referral hospital.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Article
- Experiences of a dedicated Heart and Maternal Health Service providing multidisciplinary care to pregnant women with cardiac disease in a tertiary centre in Namibia.Tropical medicine & international health : TM & IH · 2022Article
- Great saves or near misses? Severe maternal outcome in Metro East, South Africa: A region-wide population-based case-control study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Article
- Maternal and fetal outcomes of pregnancies complicated by acute hepatitis E and the impact of HIV status: A cross-sectional study in Namibia.Liver international : official journal of the International Association for the Study of the Liver · 2022Article
- Women with maternal near-miss in the intensive care unit in Yangzhou, China: a 5-year retrospective study.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
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyse and improve the Namibian maternity care system by implementing maternal near-miss surveillance during 1 October 2018 and 31 March 2019, and identifying the challenges and benefits of such data collection.
methodsFrom the results of an initial feasibility study, we adapted the World Health Organization's criteria defining a maternal near miss to the Namibian health-care system. We visited most (27 out of 35) participating facilities before implementation and provided training on maternal near-miss identification and data collection. We visited all facilities at the end of the surveillance period to verify recorded data and to give staff the opportunity to provide feedback.
findingsDuring the 6-month period, we recorded 37 106 live births, 298 maternal near misses (8.0 per 1000 live births) and 23 maternal deaths (62.0 per 100 000 live births). We observed that obstetric haemorrhage and hypertensive disorders were the most common causes of maternal near misses (each 92/298; 30.9%). Of the 49 maternal near misses due to pregnancies with abortive outcomes, ectopic pregnancy was the most common cause (36/298; 12.1%). Fetal or neonatal outcomes were poor; only 50.3% (157/312) of the infants born to maternal near-miss mothers went home with their mother.
conclusionMaternal near-miss surveillance is a useful intervention to identify within-country challenges, such as lack of access to caesarean section or hysterectomy. Knowledge of these challenges can be used by policy-makers and programme managers in the development of locally tailored targeted interventions to improve maternal outcome in their setting.
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