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Incidence and cause...
Incidence and causes of severe maternal outcomes in Somaliland using the sub-Saharan Africa maternal near-miss criteria : A prospective cross-sectional study in a national referral hospital.
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- Egal, Jama Ali, 1977- (författare)
- Högskolan Dalarna,Vårdvetenskap,Omvårdnad,College of Medicine and Health Science University of Hargeisa Hargeisa Somaliland;Institution of Health and Welfare Dalarna University Dalarna Sweden
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- Kiruja, Jonah (författare)
- Högskolan Dalarna,Vårdvetenskap,College of Medicine and Health Science University of Hargeisa Hargeisa Somaliland;Institution of Health and Welfare Dalarna University Dalarna Sweden
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- Litorp, Helena, 1980- (författare)
- Karolinska Institutet,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Department of Global Public Health Karolinska Institutet Stockholm Sweden
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- Osman, Fatumo, 1973- (författare)
- Uppsala universitet,Högskolan Dalarna,Omvårdnad,Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden,Institutionen för folkhälso- och vårdvetenskap,Institution of Health and Welfare Dalarna University Dalarna Sweden.
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- Erlandsson, Kerstin, 1961- (författare)
- Högskolan Dalarna,Omvårdnad,Institution of Health and Welfare Dalarna University Dalarna Sweden
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- Klingberg-Allvin, Marie, 1972- (författare)
- Karolinska Institutet,Högskolan Dalarna,Omvårdnad,Institution of Health and Welfare Dalarna University Dalarna Sweden
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(creator_code:org_t)
- 2022-05-23
- 2022
- Engelska.
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 0020-7292 .- 1879-3479. ; 159:3, s. 856-864
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Abstract
Ämnesord
Stäng
- OBJECTIVE: To describe the incidence and causes of severe maternal outcomes and the unmet need for life-saving obstetric interventions among women admitted for delivery in a referral hospital in Somaliland.METHODS: A prospective cross-sectional study was conducted from April 15, 2019, to March 31, 2020, with women admitted during pregnancy or childbirth or within 42 days after delivery. Data was collected using the World Health Organization (WHO) and sub-Saharan Africa (SSA) maternal near-miss (MNM) tools. Descriptive analysis was performed by computing frequencies, proportions and ratios.RESULTS: The MNM ratio were 56 (SSA criteria) and 13 (WHO criteria) per 1,000 live births. The mortality index was highest among women with medical complications (63%), followed by obstetric haemorrhage (13%), pregnancy-related infection (10%) and hypertensive disorders (7.9%) according to the SSA MNM criteria. Most women giving birth received prophylactic oxytocin for postpartum haemorrhage prevention (97%), and most laparotomies (60%) for ruptured uterus were conducted after three hours.CONCLUSION: There is a need to improve the quality of maternal health services through implementation of evidence-based obstetric interventions and continuous in-service training for health care providers. Using the SSA MNM criteria could facilitate such preventive measures in this setting as well as similar low-resource contexts.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- WHO maternal near-miss
- low-income country
- maternal death
- sub-Saharan Africa criteria
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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