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Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2017 / Cilt: 23 - Sayı: 2

Maternal Near Miss Morbidity and Maternal Mortality in a Tertiary Referral Center in Turkey

Dilek UYGUR
Yaprak ENGİN ÜSTÜN
Özgür KARA
Kudret ERKENEKLİ
Selcen YÜKSEL
SALİM ERKAYA
Sema SANİSOĞLU
Nuri DANIŞMAN
AYKAN YÜCEL
Pages
60–64
DOI
—
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CONCLUSION: By the help of the WHO near miss approach, we identified that near miss events were associated with length of hospital stay, hemoglobin level, cesarean section deliveries and parity.

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Objective & Hypothesis:OBJECTIVE: The objective of the study is to present the maternal near miss and maternal mortality cases from a tertiary hospital and to evaluate the factors associated with the presence of maternal near miss.
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Key Findings & Data:STUDY DESIGN: We performed a retrospective study, including all women who fulfilled the WHO crite-ria for maternal near miss or death between June 2009 and June 2014 at a tertiary referral education hospital.
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Conclusion & Impact:CONCLUSION: By the help of the WHO near miss approach, we identified that near miss events were associated with length of hospital stay, hemoglobin level, cesarean section deliveries and parity.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Özet

OBJECTIVE: The objective of the study is to present the maternal near miss and maternal mortality cases from a tertiary hospital and to evaluate the factors associated with the presence of maternal near miss. STUDY DESIGN: We performed a retrospective study, including all women who fulfilled the WHO crite-ria for maternal near miss or death between June 2009 and June 2014 at a tertiary referral education hospital. This study was conducted to evaluate the risk factors’ influence on near miss, multivariate lo-gistic regression was used. Before setting logistic regression, univariate analyses were used to select candidate variables. RESULTS: During the 5-year study, there were 82924 deliveries and 81673 live births. We identified 202 maternal near miss events and 11 maternal deaths. The maternal near miss ratio was 2.47 per 1.000 live births and the maternal mortality ratio was 13.46 per 100.000 live births. There were 213 women with a severe maternal outcome ratio (near miss + maternal death), with a ratio of 2.6 cases/1.000 live birth. Near miss events were associated with length of hospital stay (p<0.001), hemoglobin level (p=0.003). CONCLUSION: By the help of the WHO near miss approach, we identified that near miss events were associated with length of hospital stay, hemoglobin level, cesarean section deliveries and parity.

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Cite This Article

UYGUR, D., ÜSTÜN, Y. E., KARA, Ö., ERKENEKLİ, K., YÜKSEL, S., ERKAYA, S., SANİSOĞLU, S., DANIŞMAN, N., YÜCEL, A. (2017). Maternal Near Miss Morbidity and Maternal Mortality in a Tertiary Referral Center in Turkey. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 23 - Sayı: 2, 60–64. https://ajindex.com/articles/226982

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