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Maternal near miss among women admitted in major private hospitals in eastern Ethiopia: a retrospective study

Overview of attention for article published in BMC Pregnancy and Childbirth, March 2021
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Title
Maternal near miss among women admitted in major private hospitals in eastern Ethiopia: a retrospective study
Published in
BMC Pregnancy and Childbirth, March 2021
DOI 10.1186/s12884-021-03677-w
Pubmed ID
Authors

Shegaw Geze Tenaw, Nega Assefa, Teshale Mulatu, Abera Kenay Tura

Abstract

Since maternal mortality is a rare event, maternal near miss has been used as a proxy indicator for measuring maternal health. Maternal near miss (MNM) refers to a woman who nearly died but survived of complications during pregnancy, childbirth or within 42 days of termination of pregnancy. Although study of MNM in Ethiopia is becoming common, it is limited to public facilities leaving private facilities aside. The objective of this study was to assess MNM among women admitted in major private hospitals in eastern Ethiopia. An institution based retrospective study was conducted from March 05 to 31, 2020 in two major private hospitals in Harar and Dire Dawa, eastern Ethiopia. The records of all women who were admitted during pregnancy, delivery or within 42 days of termination of pregnancy was reviewed for the presence of MNM criteria as per the sub-Saharan African MNM criteria. Descriptive analysis was done by computing proportion, ratio and means. Factors associated with MNM were assessed using binary logistic regression with adjusted odds ratio (aOR) along with its 95% confidence interval (CI). Of 1214 pregnant or postpartum women receiving care between January 09, 2019 and February 08, 2020, 111 women developed life-threatening conditions: 108 MNM and 3 maternal deaths. In the same period, 1173 live births were registered, resulting in an MNM ratio of 92.1 per 1000 live births. Anemia in the index pregnancy (aOR: 5.03; 95%CI: 3.12-8.13), having chronic hypertension (aOR: 3.13; 95% CI: 1.57-6.26), no antenatal care (aOR: 3.04; 95% CI: 1.58-5.83), being > 35 years old (aOR: 2.29; 95%CI: 1.22-4.29), and previous cesarean section (aOR: 4.48; 95% CI: 2.67-7.53) were significantly associated with MNM. Close to a tenth of women admitted to major private hospitals in eastern Ethiopia developed MNM. Women with anemia, history of cesarean section, and old age should be prioritized for preventing and managing MNM. Strengthening antenatal care and early screening of chronic conditions including hypertension is essential for preventing MNM.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 89 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 89 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 12%
Student > Bachelor 7 8%
Student > Postgraduate 7 8%
Researcher 5 6%
Student > Doctoral Student 4 4%
Other 10 11%
Unknown 45 51%
Readers by discipline Count As %
Nursing and Health Professions 17 19%
Medicine and Dentistry 15 17%
Social Sciences 3 3%
Arts and Humanities 2 2%
Agricultural and Biological Sciences 2 2%
Other 4 4%
Unknown 46 52%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 March 2021.
All research outputs
#17,067,168
of 25,080,267 outputs
Outputs from BMC Pregnancy and Childbirth
#3,316
of 4,673 outputs
Outputs of similar age
#267,723
of 427,978 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#107
of 159 outputs
Altmetric has tracked 25,080,267 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,673 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.3. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 427,978 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 159 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.