Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.
BMC Public Health
; 24(1): 1526, 2024 Jun 06.
Article
em En
| MEDLINE
| ID: mdl-38844895
ABSTRACT
OBJECTIVE:
To explore the risk factors for maternal near-miss (MNM) using the WHO near-miss approach.METHODS:
Data were obtained from the Maternal Near-Miss Surveillance System in Hunan Province, China, 2012-2022. Multivariate logistic regression analysis (method:
Forward, Wald, α = 0.05) and adjusted odds ratios (aORs) were used to identify risk factors for MNM.RESULTS:
Our study included 780,359 women with 731,185 live births, a total of 2461 (0.32%) MNMs, 777,846 (99.68%) non-MNMs, and 52 (0.006%) maternal deaths were identified. The MNM ratio was 3.37 (95%CI 3.23-3.50). Coagulation/hematological dysfunction was the most common cause of MNM (75.66%). Results of multivariate logistic regression analysis showed risk factors for MNM maternal age > = 30 years old (aOR > 1, P < 0.05), unmarried women (aOR = 2.21, 95%CI 1.71-2.85), number of pregnancies > = 2 (aOR > 1, P < 0.05), nulliparity (aOR = 1.51, 95%CI 1.32-1.72) or parity > = 3 (aOR = 1.95, 95%CI 1.50-2.55), prenatal examinations < 5 times (aOR = 1.13, 95%CI 1.01-1.27), and number of cesarean sections was 1 (aOR = 1.83, 95%CI 1.64-2.04) or > = 2 (aOR = 2.48, 95%CI 1.99-3.09).CONCLUSION:
The MNM ratio was relatively low in Hunan Province. Advanced maternal age, unmarried status, a high number of pregnancies, nulliparity or high parity, a low number of prenatal examinations, and cesarean sections were risk factors for MNM. Our study is essential for improving the quality of maternal health care and preventing MNM.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Near Miss
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMC Public Health
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China