The global prevalence of maternal near miss: a systematic review and meta-analysis

Abstract

Background: Improving the maternal health is one of the world’s most challenging problems. Despite significant movements over the past decades, maternal health has been still considered as a central goal for sustainable development. Maternal near miss (MNM) cases experience long-term physical and psychological effects. To present a clear portrait of the current situation, we performed a systematic review and meta-analysis with the purpose to assess the worldwide prevalence of MNM. Methods: We conducted a systematic review on PubMed, Scopus and Web of Science electronic databases to find published papers in English, before March 2019 and regardless of the type of study. We, then, assessed the prevalence of MNM according to the World Health Organization(WHO) criteria. Finally, 49 papers were included in the study. Random effects meta-analysis was used to pool the available prevalence. The quality of studies was also evaluated. Results: The weighted pooled worldwide prevalence of MNM, was 18.67/1000 (95% CI: 16.28-21.06). Heterogeneity was explored using subgroup analyses based on the continent and the country. We used meta-regression of MNM on MD which resulted in adjusted R-squared as78.88%. Conclusion: The prevalence of MNM was considerable. Low- and middle-income countries should develop systematic approaches to improve quality of care in the facilities and to reducethe risk of MNM events, with the hope to women’s health.

Development and Validation of a Program Logic Model (PLM) to Support "Near Miss Mother"(NMM): A Nominal Group Technique (NGT)

“…Mothers who due to childbirth morbidities have gone close to death, but have had a narrow escape, experience near-miss conditions [1,2] and experience long-term negative psychological and emotional effects [3,4,5,6,7], and along with organ dysfunction and physical problems, they experience anxiety, isolation, depression, and trauma childbirth [8,9]. Other family members and the infant will not be immune to these negative effects, either [7,10].…”

The Mother with Smeary-Death Life: The Lived Experience of Near Miss Mothers

“…A global systematic review -in a large multicountry study revealed that based on WHO approach, the prevalence of MNM cases in health facilities was 18.67 per 1000 live births [3]. Per each maternal mortality case, an estimated of 20 mothers survive but they go on to experience the consequences of related morbidities, with long-term effects on their mental and physical health [4,5]; however, no precise information is available about their lives after being saved from death.…”

Incidence, risk factors, and causes of maternal near-miss admitted to the intensive care unit in Yangzhou, China: A 5-year retrospective study

“…Therefore, the World Health Organization (WHO) organized an expert group to review and revise the concept of maternal near-miss (MNM) in 2009, which clarify the diagnostic criteria from three aspects: clinical standards, laboratory tests, and disease management standards. MNM means that pregnant women who are on the verge of death within 42 days of pregnancy, childbirth, and postpartum are successfully rescued or continue to survive due to accidental factors [5]. MNM's condition changes are bidirectional [6].…”