Rationale for a Long-term Evaluation of the Consequences of Potentially Life-threatening Maternal Conditions and Maternal “Near-miss” Incidents Using a Multidimensional Approach

Pacagnella, Rodolfo C.; Cecatti, José Guilherme; Camargo, Rodrigo Paupério Soares de; Silveira, Carla; Zanardi, Dulce T.; Souza, João Paulo; Parpinelli, Mary Ângela; Haddad, Samira M.

doi:10.1016/s1701-2163(16)34612-6

Cited by 45 publications

(62 citation statements)

References 70 publications

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“…The participants described a continuum of ‘losses’: financial losses due to hospitalization costs, severe injuries (such as hysterectomy), persistent morbidity, loss of marital relationships, death of the newborns, loss of income and stigma (associated with loss of self-esteem and prestige), all of which contributed to their suffering. This finding is in agreement with previous research [11-13,22,23] that physical injury, disability, social isolation and psychological distress overlap in the aftermath of maternal near miss morbidity.…”

Section: Discussionsupporting

confidence: 93%

Lived experiences of women who developed uterine rupture following severe obstructed labor in Mulago hospital, Uganda

et al. 2014

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BackgroundMaternal mortality is a major public health challenge in Uganda. Whereas uterine rupture remains a major cause of maternal morbidity and mortality, there is limited research into what happens to women who survive such severe obstetric complications. Understanding their experiences might delineate strategies to support survivors.MethodsThis qualitative study used a phenomenological approach to explore lived experiences of women who developed uterine rupture following obstructed labor. In-depth interviews initially conducted during their hospitalization were repeated 3–6 months after the childbirth event to explore their health and meanings they attached to the traumatic events and their outcomes. Data were analyzed using thematic analysis.ResultsThe resultant themes included barriers to access healthcare, multiple “losses” and enduring physical, psychosocial and economic consequences. Many women who develop uterine rupture fail to access critical care needed due to failure to recognise danger signs of obstructed labor, late decision making for accessing care, geographical barriers to health facilities, late or failure to diagnose obstructed labor at health facilities, and failure to promptly perform caesarean section. Secondly, the sequel of uterine rupture includes several losses (loss of lives, loss of fertility, loss of body image, poor quality of life and disrupted marital relationships). Thirdly, uterine rupture has grim economic consequences for the survivors (with financial loss and loss of income during and after the calamitous events).ConclusionUterine rupture is associated with poor quality of care due to factors that operate at personal, household, family, community and society levels, and results in dire physical, psychosocial and financial consequences for survivors. There is need to improve access to and provision of emergency obstetric care in order to prevent uterine rupture consequent to obstructed labor. There is also critical need to provide counselling and support to survivors to enable them cope with physical, social, psychological and economic consequences.

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Section: Discussionsupporting

confidence: 93%

Lived experiences of women who developed uterine rupture following severe obstructed labor in Mulago hospital, Uganda

et al. 2014

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“…Life threatening, and serious morbidities are experienced by 39 and 54 percent in the less developed; 15 and 46 percent of women in developed district respectively. 3 The mean age of the patients was 23.6 ± 3.5 years. pragti chhabra et al, study found the mean age of the patient was 26.3 ± 5 years.…”

Section: Discussionmentioning

confidence: 99%

“…cognition, mobility, participation in society), their body image and their social and economic status. 3,4 Not surprisingly, the burden of maternal morbidity -like that of maternal mortality -is estimated to be highest in low-and middle-income countries, especially among the poorest women. 4 Pregnancy is a vital stage in every woman's life.…”

Section: Introductionmentioning

confidence: 99%

Morbidity Pattern Study among Pregnant Women Attending Antenatal Clinic at Community Health Centre

Suthar¹,

Patel²

2018

IJOPP

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Background: About half a million women die every year of causes related to obstetrics complication. Complication can arise at any time during pregnancy; child birth and post natal period and in absence of intervention, there is a high feto-maternal morbidity and mortality. The aim of the study was to know the morbidity pattern and pregnancy outcome among the antenatal attending to the community health centre. Method: A prospective observational study was conducted on pregnant women during August 2013 to December 2013. Data regarding maternal socio-demographic profile and antenatal profile was collected. Results: A total 512 pregnant women attended the health centre of whom, 88.87% patients had at least one morbidity pattern or complain. In our study moderate anemia (65.26%), severe anemia (13.79%) and pregnancy induced hypertension (4.78%) were the most common morbidities. Further, morbidity pattern like, pregnancy associated common complains, mild anemia abnormal presentation, abortion, preterm labor, oligohydramnios, urinary tract infection and HIV were also reported. Conclusion: Maternal morbidity is notably high, although most of the common problems were not lifethreatening. They are more likely to have marked influence on their well-being and health status in the long run. Most conditions could be addressed through provision of health promotion and preventive interventions.

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“…cognition, mobility, participation in society), their body image and their social and economic status. 2,3 Not surprisingly, the burden of maternal morbidity -like that of maternal mortality -is estimated to be highest in low-and middle-income countries, especially among the poorest women. 4 The true burden of maternal morbidity is still not known, however.…”

Section: Perspectivesmentioning

confidence: 99%

Measuring maternal health: focus on maternal morbidity

Firoz

Chou

Dadelszen

et al. 2013

Bull. World Health Organ.

216

226

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Rationale for a Long-term Evaluation of the Consequences of Potentially Life-threatening Maternal Conditions and Maternal “Near-miss” Incidents Using a Multidimensional Approach

Cited by 45 publications

References 70 publications

Lived experiences of women who developed uterine rupture following severe obstructed labor in Mulago hospital, Uganda

Lived experiences of women who developed uterine rupture following severe obstructed labor in Mulago hospital, Uganda

Morbidity Pattern Study among Pregnant Women Attending Antenatal Clinic at Community Health Centre

Measuring maternal health: focus on maternal morbidity

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