Evidence map›Paper›PMID 34844476›Full record

ArticleWomen's health (London, England)

Determinants of maternal near-miss in private hospitals in eastern Ethiopia: A nested case-control study.

Shegaw Geze Tenaw, Sagni Girma Fage, Nega Assefa, Abera Kenay Tura

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

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 4 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. Article
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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.

Shegaw Geze TenawDepartment of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.ORCID 0000-0002-7216-6283
Sagni Girma FageSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID 0000-0002-3858-190X
Nega AssefaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID 0000-0003-0341-2329
Abera Kenay TuraSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID 0000-0002-2735-7523
Haramaya University · ETUniversity Medical Center Groningen · NLWolkite University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMaternal near-miss refers to a woman who nearly died but survived complications in pregnancy, childbirth, or within 42 days of termination of pregnancy. The study of maternal near-miss has become essential for improving the quality of obstetric care. The objective of this study was to identify the determinants of maternal near-miss among women admitted to major private hospitals in eastern Ethiopia.

methodAn unmatched nested case-control study was conducted in major private hospitals in eastern Ethiopia from 5 March to 31 March 2020. Cases were women who fulfilled the sub-Saharan African maternal near-miss criteria and those admitted to the same hospitals but discharged without any complications under the sub-Saharan African maternal near-miss tool were controls. For each case, three corresponding women were randomly selected as controls. Factors associated with maternal near-misses were analyzed using binary and multiple logistic regressions with an adjusted odds ratio along with a 95% confidence interval. Finally, p-value < 0.05 was considered as a cut-off point for the significant association.

resultsA total of 432 women (108 cases and 324 controls) participated in the study. History of prior cesarean section (AOR = 4.33; 95% CI = 2.36-7.94), anemia in index pregnancy (AOR = 4.38; 95% CI = 2.43-7.91), being ⩾ 35 years of age (AOR = 2.94; 95% CI = 1.37-6.24), not attending antenatal care (AOR = 3.11; 95% CI = 1.43-6.78), and history of chronic medical disorders (AOR = 2.18; 95% CI = 1.03-4.59) were independently associated with maternal near-miss.

conclusionMaternal age ⩾ 35 years, had no antenatal care, had prior cesarean section, being anemic in index pregnancy, and have history of chronic medical disorders were the determinants of maternal near-miss. Improving maternal near-misses requires strengthening antenatal care (including supplementation of iron and folic acid to reduce anemia) and prioritizing women with a history of chronic medical illnesses. Interventions for preventing primary cesarean sections are crucial in this era of the cesarean epidemic to minimize its effect on maternal near-miss.

Indexed as

Near Miss, HealthcarePregnancy ComplicationsAdultCase-Control StudiesCesarean SectionEthiopiaFemaleHospitals, PrivateHumansPregnancyPrenatal CaredeterminantsEthiopiamaternal near-missprivate hospitals

Identifiers

PMID34844476
PMCPMC8640294
OpenAlexW3216969195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.