Severe Maternal Morbidity and Its Associated Factors: A Cross-sectional Study in Morang District, Nepal

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Dec 31

PMID 34971558

Citations 2

Authors

Sushma Rajbanshi

Mohd Noor Norhayati

Nik Hussain Nik Hazlina

Affiliations

Soon will be listed here.

Abstract

Background: Understanding maternal morbidity and its determinants can help identify opportunities to prevent obstetric complications and improvements for maternal health. This study was conducted to determine the prevalence of severe maternal morbidity (SMM) and the associated factors.

Methods: A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal, from January to March 2020. All women who met the inclusion criteria of age ≥18 years of age, Morang residents of Nepalese nationality, had received routine antenatal care, and given birth at Koshi Hospital were recruited consecutively. The World Health Organization criteria were used to identify the women with SMM. A multiple logistic regression analysis was performed. Overall, 346 women were recruited.

Findings: The prevalence of SMM was 6.6%. Among the SMM cases, the most frequently occurring SMM conditions were hypertensive disorders (12, 56.5%), hemorrhagic disorders (6, 26.1%), and severe management indicators (8, 34.8%). Women with no or primary education (adjusted odds ratio: 0.10, 95% confidence interval: 0.01, 0.76) decreased the odds of SMM compared to secondary education.

Conclusion: The approximately 7% prevalence of SMM correlated with global studies. Maternal education was significantly associated with SMM. If referral hospitals were aware of the expected prevalence of potentially life-threatening maternal conditions, they could plan to avert future reproductive complications.

Citing Articles

Determinants of potential life-threatening maternal conditions (PLTCs) in Tigray, northern Ethiopia: a case‒control study.

Baykemagn F, Abreha G, Zelelow Y, Kahsay A Sci Rep. 2024; 14(1):30022.

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Global burden of potentially life-threatening maternal conditions: a systematic review and meta-analysis.

Baykemagn F, Abreha G, Zelelow Y, Berhe A, Kahsay A BMC Pregnancy Childbirth. 2024; 24(1):11.

PMID: 38166681 PMC: 10759711. DOI: 10.1186/s12884-023-06199-9.

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