Contributory Factors for Severe Maternal Morbidity

Norhayati, Mohd Noor; Hussain, Nik Hazlina Nik; Sulaiman, Zaharah; Razak, Asrenee Abdul

doi:10.1177/1010539515589811

Cited by 3 publications

(1 citation statement)

References 40 publications

(154 reference statements)

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“…Women experiencing intimate partner violence have a greater risk of induced abortions, and a higher rate of previous abortions (miscarriage, therapeutic, and unsafe) was observed in women with severe acute maternal morbidity in this study. However, data on history of previous abortions (not specified which type) in women with severe acute maternal morbidity in the ICU are usually underreported irrespective of intimate partner violence.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Quintanilla

Pollock

McDonald

et al. 2019

Birth

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Background Intimate partner violence is a prevalent public health issue associated with all‐cause maternal mortality. This study investigated the relationship between intimate partner violence, severe acute maternal morbidity in the intensive care unit (ICU), and neonatal outcomes. Methods This was a prospective case‐control study in a hospital in Lima, Peru, with 109 cases (maternal ICU admissions) and 109 controls (obstetric patients not admitted to the ICU). Data were collected through face‐to‐face interviews and medical record review. Partner violence was assessed using the World Health Organization instrument. Multivariate logistic regression was used to model the association between intimate partner violence and severe acute maternal morbidity. Results There was a significantly higher rate of intimate partner violence both before and during pregnancy among cases (58.7%) than controls (27.5%). In multivariate analysis, intimate partner violence both before and during pregnancy (aOR 3.83 (95% CI: 1.99‐7.37)), being married (3.86 (1.27‐11.73)), having <8 antenatal care visits (2.78 (1.14‐6.80)), and having previous abortions (miscarriage, therapeutic, or unsafe) (1.69 (1.13‐2.51)) were significantly associated with severe acute maternal morbidity. The ICU admission rate was 18.8 (per 1000 live births), and ICU maternal mortality was 1.7%. The perinatal mortality rate was higher in cases (9.3%) than in controls (1.8%). Conclusions Intimate partner violence was associated with an increased risk of severe acute maternal morbidity. This suggests a more severe impact of intimate partner violence on pregnancy than has been previously identified. Inquiring about intimate partner violence during prenatal visits may prevent further harm to the mother‐baby dyad.

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Section: Discussionmentioning

confidence: 99%

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Quintanilla

Pollock

McDonald

et al. 2019

Birth

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Predictors and a scoring model for maternal near-miss and maternal death in Southern Thailand: a case-control study

Raktong,

Sawaddisan,

Peeyananjarassri

et al. 2024

Arch Gynecol Obstet

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Expanding the scope beyond mortality: burden and missed opportunities in maternal morbidity in Indonesia

Widyaningsih

Khotijah

Balgis

2017

Global Health Action

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Background: Indonesia still faces challenges in maternal health. Specifically, the lack of information on community-level maternal morbidity. The relatively high maternal healthcare non-utilization in Indonesia intensifies this problem.Objective: To describe the burden of community-level maternal morbidity in Indonesia. Additionally, to evaluate the extent and determinants of missed opportunities in women with maternal morbidity.Methods: We used three cross-sectional surveys (Indonesian Demographic and Health Survey, IDHS 2002, 2007 and 2012). Crude and adjusted proportions of maternal morbidity burden were estimated from 43,782 women. We analyzed missed opportunities in women who experienced maternal morbidity during their last birth (n = 19,556). Multilevel mixed-effects logistic regressions were used to evaluate the determinants of non-utilization in IDHS 2012 (n = 6762).Results: There were significant increases in the crude and adjusted proportion of maternal morbidity from IDHS 2002 to IDHS 2012 (p < 0.05). In 2012, the crude proportion of maternal morbidity was 53.7%, with adjusted predicted probability of 51.4%. More than 90% of these morbidities happened during labor. There were significant decreases in non-utilization of maternal healthcare among women with morbidity. In 2012, 20.0% of these women did not receive World Health Organization (WHO) standard antenatal care. In addition, 7.1% did not have a skilled provider at birth, and 25.0% delivered outside of health facilities. Higher proportions of non-utilization happened in women who were younger, multiparous, of low socioeconomic status (SES), and living in less-developed areas. In multilevel analyses, missed opportunities in healthcare utilization were strongly related to low SES and low-resource areas in Indonesia.Conclusion: The prevalence of maternal morbidity in Indonesia is relatively high, especially during labor. This condition is amplified by the concerning missed opportunities in maternal healthcare. Efforts are needed to identify risk factors for maternal morbidity, as well as increasing healthcare coverage for the vulnerable population.

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Contributory Factors for Severe Maternal Morbidity

Cited by 3 publications

References 40 publications

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Predictors and a scoring model for maternal near-miss and maternal death in Southern Thailand: a case-control study

Expanding the scope beyond mortality: burden and missed opportunities in maternal morbidity in Indonesia

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