What Are the Factors That Interplay From Normal Pregnancy to Near Miss Maternal Morbidity in a Nigerian Tertiary Health Care Facility?

Abstract

Researchers in Nigeria examined

Delays associated with maternal near-miss cases admitted in Women's Health Hospital, Assiut University

“…19) of experiencing MNM compared with women who did not experience delay in referral. Similar results (OR = 3.84) were reported in the study by Adeoye et al [23]. This delay in referral can be attributed to the negative attitude of healthcare providers as perceived by the study participants.…”

“…This finding is not surprising, as more than 80% of MNM women admitted in current studied hospital already with near-miss status, and they were in deteriorated critical condition need mostly admission in intensive care which urged the attention of hospital team to the necessity of the amount of critical care needed in a proper time [26]. Specifically, in developing countries, about 75-90% of women with MNM morbidity were in a critical condition upon arrival, thus underscoring the significance of the first and second delays [23,[27][28][29]. It is also crucial that MNM patients should not have to wait for unreasonable length of time to be attended by a hospital provider as observed for around one-fifth of MNM in this study.…”

Factors associated with the desire for companionship during labor in a Nigerian community

“…[5][6][7][8][9] Only approximately 36% of all pregnant women in Nigeria deliver in healthcare facilities under skilled supervision; this low rate of utilization of skilled birth attendants underpins the high rates of maternal and neonatal adverse outcomes recorded in this country. 10,11 The practice of companionship during labor in Nigeria could potentially enhance women's experiences of facility-based delivery and improve national statistics regarding maternal and neonatal health. Further, this approach could reduce mistreatment and abuse in labor, 12 which is documented to occur at high levels in Nigerian healthcare settings.…”

Near-miss cases admitted to a maternal intensive care unit,Alexandria,Egypt

“…Furthermore, the progression from organ failure to death may be very fast. Therefore, a diseasebased approach might be most suitable for identification of near-miss cases in low-resource settings that have higher burdens of maternal ill-health and mortality (29).…”