SynthesisBMJ global health2022
Global and regional estimates of maternal near miss: a systematic review, meta-analysis and experiences with application.
Synthesis in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Measuring Severe Maternal Morbidity: Current Practices, Challenges, and Opportunities.Obstetrics and gynecology · 2026Review
- Determinants of Maternal Near Miss: A Facility-Based Case-Control Study in Luanda, Angola.Portuguese journal of public health · 2026Article
- Article
- Characteristics and Outcomes of Rapid Response System Activations in Obstetric Patients: A Multicenter Registry-Based Study in Japan.Journal of multidisciplinary healthcare · 2026Article
- Article
- Assessing quality of care among maternity waiting home users and non-users in a rural Rwandan hospital.Frontiers in global women's health · 2025Article
- Postpartum recovery after severe maternal morbidity in Kilifi, Kenya: a grounded theory of recovery trajectories beyond 42 days.BMJ global health · 2024Article
- Screening for post-traumatic stress disorder following childbirth using the Peritraumatic Distress Inventory.Journal of affective disorders · 2024Article
- The Unmet Needs of Women with Maternal Near Miss Experience: A Qualitative Study.Journal of caring sciences · 2024Article
- Lifetime risk of maternal near miss morbidity: a novel indicator of maternal health.International journal of epidemiology · 2024Article
- Mechanistic study of pre-eclampsia and macrophage-associated molecular networks: bioinformatics insights from multiple datasets.Frontiers in genetics · 2024Article
- Determinants of maternal near-miss among women admitted to public hospitals in North Shewa Zone, Ethiopia: A case-control study.Frontiers in public health · 2022Review
- Informing Equity-Oriented Approaches to Postpartum Care Following Severe Maternal Morbidity Events: A Qualitative Descriptive Study Protocol.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionMaternal near miss (MNM) is a useful means to examine quality of obstetric care. Since the introduction of the WHO MNM criteria in 2011, it has been tested and validated, and is being used globally. We sought to systematically review all available studies using the WHO MNM criteria to develop global and regional estimates of MNM frequency and examine its application across settings.
methodsWe conducted a systematic review by implementing a comprehensive literature search from 2011 to 2018 in six databases with no language restrictions. The predefined data collection tool included sections on study characteristics, frequency of near-miss cases and study quality. Meta-analysis was performed by regional groupings. Reported adaptations, modifications and remarks about application were extracted.
results7292 articles were screened by title and abstract, and 264 articles were retrieved for full text review for the meta-analysis. An additional 230 articles were screened for experiences with application of the WHO MNM criteria. Sixty studies with near-miss data from 56 countries were included in the meta-analysis. The pooled global near-miss estimate was 1.4% (95% CI 0.4% to 2.5%) with regional variation in MNM frequency. Of the 20 studies that made adaptations to the criteria, 19 were from low-resource settings where lab-based criteria were adapted due to resource limitations.
conclusionsThe WHO MNM criteria have enabled the comparison of global and sub-national estimates of MNM frequency. There has been good uptake in low-resource countries but contextual adaptations are necessary.
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