title: What are the factors that interplay from normal pregnancy to near miss maternal morbidity in a Nigerian tertiary health care facility?
abstract: Researchers in Nigeria examined the epidemiological characteristics and factors associated with maternal outcomes using a mixed method approach: a prospective case control study design involving 375 pregnant women who received maternal care from a tertiary facility and in-depth interviews reporting the experience of near-miss survivors. A generalized ordered logit model was used to generate the estimates of partial proportional odds ratios (and 95% confidence intervals) across categories of the outcome variable. Factors strongly associated with maternal morbidity were late referral of women, presence of complications at booking antenatal visits, low birth weight, and severe birth asphyxia. The nearmiss women were further characterized, and a low proportion (25%) had organ dysfunction or failure. The challenge of such diagnoses in resource-constrained settings raises questions about the appropriateness of using organ dysfunction criteria in developing countries.
authors.affiliation: a Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.
authors.forename: Ikeola A
authors.initials: IA
authors.lastname: Adeoye
authors.forename: Omotade O
authors.initials: OO
authors.lastname: Ijarotimi
authors.forename: Adesegun O
authors.initials: AO
authors.lastname: Fatusi
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006297:Health Services Accessibility; D006784:Hospitals, Teaching; D006801:Humans; D007231:Infant, Newborn; D007407:Interviews as Topic; D008427:Maternal Health Services / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D008428:Maternal Mortality; D009017:Morbidity; D009549:Nigeria / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D011256:Pregnancy Outcome; D015995:Prevalence; D011446:Prospective Studies; D011787:Quality of Health Care; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D013997:Time Factors