Maternal Near-Miss in a Rural Hospital in Sudan
Author Information
Author(s): Ali AbdelAziem A, Khojali Awadia, Okud Amira, Adam Gamal K, Adam Ishag
Primary Institution: Kassala University
Hypothesis
The study investigates the frequency of near-miss events and compares socio-demographic and obstetrical data of near-miss cases with maternal deaths.
Conclusion
There is a high frequency of maternal morbidity and mortality at the level of this facility, indicating a need for improved maternal health policies.
Supporting Evidence
- There were 9578 deliveries and 205 near-miss cases identified.
- The maternal near-miss ratio was 22.1 per 1000 live births.
- Hemorrhage was the most common near-miss event, accounting for 40.8% of cases.
- The total mortality index for near-miss cases was 19.5%.
- Septicemia and hemorrhage were major causes of maternal deaths.
Takeaway
The study looked at women who almost died during childbirth but survived, showing that many women face serious health risks during pregnancy.
Methodology
The study reviewed medical files of pregnant women at Kassala Maternity Hospital over a two-year period, analyzing near-miss cases and maternal deaths.
Potential Biases
Potential bias due to reliance on medical records and retrospective data collection.
Limitations
The study's retrospective design may affect the quality and completeness of the data collected.
Participant Demographics
The majority of near-miss cases were illiterate, had no antenatal care, and were from rural areas.
Statistical Information
P-Value
<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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