title: Factors associated with maternal near-miss morbidity and mortality in Kowloon Hospital, Suzhou, China.
abstract: OBJECTIVE
  To investigate factors associated with acute maternal morbidity and mortality in Kowloon Hospital, Suzhou, China.
  
  
  METHODS
  Data from cases of near-miss and maternal death between January 2008 and December 2012 were reviewed retrospectively. Maternal characteristics and related factors were identified, and multiple regression analysis was used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs).
  
  
  RESULTS
  During the study period, there were 18 104 deliveries, 69 near-miss cases, and 3 maternal deaths. Women who had no health insurance (aOR, 4.55; 95% CI, 0.87-21.8), had fewer than 6 prenatal consultations (aOR, 6.76; 95% CI, 0.76-45.8), were part of a migrant population (aOR, 2.34; 95% CI, 0.45-24.9), or delayed seeking healthcare (aOR, 4.76; 95% CI, 0.89-13.6) had a greater risk of near-miss morbidity or death. Admission to intensive care (aOR, 6.75; 95% CI, 0.89-34.6) and blood transfusion within 30 min (aOR, 3.79; 95% CI, 0.65-8.67) were protective factors in disease progression.
  
  
  CONCLUSIONS
  The factors associated with maternal near-miss morbidity and mortality were closely related to health insurance and socioeconomic status, suggesting that the government should take an active role in the community in preventing morbidity and mortality in pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, First Affiliated Hospital of Soochow University, Suzhou, China; Department of Obstetrics and Gynecology, Suzhou Kowloon Hospital, Suzhou, China.
authors.forename: Fang-Rong
authors.initials: FR
authors.lastname: Shen
authors.forename: Ming
authors.initials: M
authors.lastname: Liu
authors.forename: Xia
authors.initials: X
authors.lastname: Zhang
authors.forename: Weiwen
authors.initials: W
authors.lastname: Yang
authors.forename: You-Guo
authors.initials: YG
authors.lastname: Chen
mesh_terms: D000328:Adult; D001803:Blood Transfusion / Q000379:methods*; D002681:China / Q000453:epidemiology; D003422:Critical Care / Q000706:statistics & numerical data*; D018450:Disease Progression; D005260:Female; D006801:Humans; D008428:Maternal Mortality; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012044:Regression Analysis; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D013997:Time Factors; D055815:Young Adult
keywords: China; Maternal morbidity; Prenatal care; Socioeconomic factors