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Maternal near miss and mortality in a tertiary care hospital in Rwanda

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
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  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
Maternal near miss and mortality in a tertiary care hospital in Rwanda
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/s12884-015-0619-8
Pubmed ID
Authors

Stephen Rulisa, Immaculee Umuziranenge, Maria Small, Jos van Roosmalen

Abstract

To determine the prevalence and factors associated with severe ('near miss') maternal morbidity and mortality in the University Teaching Hospital of Kigali - Rwanda. We performed a cross sectional study of all women admitted to the tertiary care University Hospital in Kigali with severe "near miss" maternal morbidity and mortality during a one year period using the WHO criteria for 'near miss' maternal mortality. We assessed maternal demographic characteristics and disease processes associated with severe obstetric morbidity and mortality. The prevalence of severe maternal outcomes was 11 per 1000 live births. The maternal near miss ratio was 8 per 1000 live births. The majority of severe obstetric morbidity and mortalities resulted from: sepsis/peritonitis (30.2 %)--primarily following caesarean deliveries, hypertensive disease (28.6 %), and hemorrhage (19.3 %). Majority of our patients were found to be of lower socioeconomic status, refered from district hospitals to the tertiary care center, and resided in the eastern part of the country. The main causes associated with MNH were peritonitis, hypertensive disorders and bleeding. The high prevalence of peritonitis may reflect suboptimal intraoperative and intrapartum management of high-risk patients at district hospitals. Direct causes of severe maternal outcome are still the most prevalent. The study identified opportunities for improvement in clinical care to reduce potentially these adverse outcomes.

X Demographics

X Demographics

The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 253 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Brazil 1 <1%
Unknown 251 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 56 22%
Researcher 23 9%
Student > Postgraduate 23 9%
Student > Bachelor 22 9%
Student > Ph. D. Student 16 6%
Other 42 17%
Unknown 71 28%
Readers by discipline Count As %
Medicine and Dentistry 105 42%
Nursing and Health Professions 35 14%
Social Sciences 13 5%
Agricultural and Biological Sciences 5 2%
Psychology 4 2%
Other 11 4%
Unknown 80 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 07 February 2016.
All research outputs
#13,661,887
of 23,577,654 outputs
Outputs from BMC Pregnancy and Childbirth
#2,491
of 4,333 outputs
Outputs of similar age
#124,582
of 268,388 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#59
of 102 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,333 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one is in the 41st percentile – i.e., 41% 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 268,388 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 102 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.