Prevalence of maternal near miss and community-based risk factors in Central Uganda
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Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Gynecology & Obstetrics
Abstract
Objective: To examine the prevalence of maternal near-miss (MNM) and its associated risk factors in a community
setting in Central Uganda. Methods: A cross-sectional research design employing multi-stage sampling collected
data from women aged 15–49 years in Rakai, Uganda, who had been pregnant in the 3 years preceding the survey,
conducted between August 10 and December 31, 2013. Additionally, in-depth interviews were conducted.
WHO-based disease and management criteria were used to identify MNM. Binary logistic regression was used to
predict MNM risk factors. Content analysis was performed for qualitative data. Results: Survey data were collected
from 1557 women and 40 in-depth interviews were conducted. TheMNMprevalence was 287.7 per 1000 pregnancies;
the majority of MNMs resulted from hemorrhage. Unwanted pregnancies, a history of MNM, primipara,
pregnancy danger signs, Banyakore ethnicity, and a partner who had completed primary education onlywere associated
with increased odds of MNM (all P b 0.05). Conclusions: MNM morbidity is a significant burden in Central
Uganda. The present study demonstrated higher MNM rates compared with studies employing organ-failure
MNM-diagnostic criteria. These findings illustrate the need to look beyond mortality statistics when assessing maternal
health outcomes. Concerted efforts to increase supervised deliveries, access to emergency obstetric care, and
access to contraceptives are warranted.
Description
Keywords
Maternal near-miss, Pregnancy complications, Prevalence Risk factors
Citation
Nansubuga, E., Ayiga, N., & Moyer, C. A. (2016). Prevalence of maternal near miss and community-based risk factors in Central Uganda. International Journal of Gynecology & Obstetrics, 135(2), 214-220. http://dx.doi.org/10.1016/j.ijgo.2016.05.009