Evidence map›Paper›PMID 39440038›Full record

SynthesisFrontiers in medicine2024

Prevalence, underlying causes, and determinants of maternal near miss in Ethiopia: a systematic review and meta-analysis.

Neamin Tesfay, Girmay Hailu, Dumesa Begna, Medhanye Habtetsion, Fitsum Taye, Fitsum Woldeyohannes, Ruxana Jina

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Neamin TesfayCentre of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Girmay HailuCentre of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Dumesa BegnaCentre of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Medhanye HabtetsionCentre of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Fitsum TayeFelge Meles Primary Hospital, Addis Ababa Health Bureau, Addis Ababa, Ethiopia.
Fitsum WoldeyohannesHealth Financing Department, Clinton Health Access Initiative, Addis Ababa, Ethiopia.
Ruxana JinaData Impact Program, Vital Strategies, New York, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maternal near miss (MNM) is one of the newly adopted assessment parameters to gauge the quality of maternity care. In Ethiopia, several studies have been conducted to investigate the incidence, underlying causes, and determinants of MNM. However, the findings from those studies vary greatly and are largely inconsistent. Thus, this review aims to more robustly estimate the pooled prevalence, identify underlying causes, and single out determinants of MNM in Ethiopia. Methods: Studies were searched from international databases (PubMed/ Medline, Cochrane Library, and Embase databases) and other potential sites. All observational studies were included. Heterogeneity between studies was checked using Cochrane Q test statistics and I Result: The meta-analysis included 43 studies consisting of 77240 MNM cases. The pooled prevalence MNM per 1000 live births in Ethiopia was 54.33 (95% CI: 33.93 to 85.89). Between-study heterogeneity was high (I Conclusion: Almost six women encounter near miss among a hundred live births in Ethiopia. Obstetric hemorrhage and hypertensive disorder pregnancy were the most common underlying causes of MNM. Both individual and facility level determinants were found to be associated with MNM. Considering the magnitude and identified factors, tailored measures should be taken at every stage of the continuum of care. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42023395259.

Indexed as

maternal death surveillance and responsematernal near miss (MNM)pregnancy induced hypertensionpuerperal infectionuterine hemorrhage

Identifiers

PMID39440038
PMCPMC11493713

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Registered trials

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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.