دورية أكاديمية
Lifetime risk of maternal near miss morbidity: a novel indicator of maternal health.
| العنوان: | Lifetime risk of maternal near miss morbidity: a novel indicator of maternal health. |
|---|---|
| المؤلفون: | Gazeley U; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK., Polizzi A; Leverhulme Centre for Demographic Science, Nuffield College and Department of Sociology, University of Oxford, Oxford, UK., Romero-Prieto JE; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK., Aburto JM; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.; Leverhulme Centre for Demographic Science, Nuffield College and Department of Sociology, University of Oxford, Oxford, UK.; Interdisciplinary Centre on Population Dynamics, University of Southern Denmark, Odense, Denmark., Reniers G; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK., Filippi V; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK. |
| المصدر: | International journal of epidemiology [Int J Epidemiol] 2024 Feb 01; Vol. 53 (1). |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 7802871 Publication Model: Print Cited Medium: Internet ISSN: 1464-3685 (Electronic) Linking ISSN: 03005771 NLM ISO Abbreviation: Int J Epidemiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] Oxford University Press. |
| مواضيع طبية MeSH: | Pregnancy Complications*/epidemiology , Maternal Death* , Near Miss, Healthcare*/methods, Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Maternal Health ; Maternal Mortality ; Morbidity |
| مستخلص: | Background: The lifetime risk of maternal death quantifies the probability that a 15-year-old girl will die of a maternal cause in her reproductive lifetime. Its intuitive appeal means it is a widely used summary measure for advocacy and international comparisons of maternal health. However, relative to mortality, women are at an even higher risk of experiencing life-threatening maternal morbidity called 'maternal near miss' (MNM) events-complications so severe that women almost die. As maternal mortality continues to decline, health indicators that include information on both fatal and non-fatal maternal outcomes are required. Methods: We propose a novel measure-the lifetime risk of MNM-to estimate the cumulative risk that a 15-year-old girl will experience a MNM in her reproductive lifetime, accounting for mortality between the ages 15 and 49 years. We apply the method to the case of Namibia (2019) using estimates of fertility and survival from the United Nations World Population Prospects along with nationally representative data on the MNM ratio. Results: We estimate a lifetime risk of MNM in Namibia in 2019 of between 1 in 40 and 1 in 35 when age-disaggregated MNM data are used, and 1 in 38 when a summary estimate for ages 15-49 years is used. This compares to a lifetime risk of maternal death of 1 in 142 and yields a lifetime risk of severe maternal outcome (MNM or death) of 1 in 30. Conclusions: The lifetime risk of MNM is an urgently needed indicator of maternal morbidity because existing measures (the MNM ratio or rate) do not capture the cumulative risk over the reproductive life course, accounting for fertility and mortality levels. (© The Author(s) 2023. Published by Oxford University Press on behalf of the International Epidemiological Association.) |
| References: | Afr J Reprod Health. 2014 Jun;18(2):15-21. (PMID: 25022138) BMJ Glob Health. 2022 Apr;7(4):. (PMID: 35387768) BMC Pregnancy Childbirth. 2015 Nov 23;15:307. (PMID: 26596506) Bull World Health Organ. 2009 Apr;87(4):256-62. (PMID: 19551233) Lancet Glob Health. 2014 Mar;2(3):e120-1. (PMID: 25102834) BMC Pregnancy Childbirth. 2014 Feb 20;14:77. (PMID: 24555831) Reprod Health. 2010 Aug 27;7:22. (PMID: 20799964) Best Pract Res Clin Obstet Gynaecol. 2009 Jun;23(3):287-96. (PMID: 19303368) Bull World Health Organ. 2012 Jun 1;90(6):418-425B. (PMID: 22690031) BMC Pregnancy Childbirth. 2016 Mar 02;16:45. (PMID: 26935070) BMC Pregnancy Childbirth. 2015 Dec 23;15:348. (PMID: 26694035) Int J Gynaecol Obstet. 2018 Apr;141(1):133-138. (PMID: 29266256) J Obstet Gynaecol Can. 2010 Aug;32(8):730-8. (PMID: 21050503) BJOG. 2014 Mar;121 Suppl 1:1-4. (PMID: 24641529) Bull World Health Organ. 2020 Aug 01;98(8):548-557. (PMID: 32773900) Health Promot Perspect. 2019 Oct 24;9(4):255-262. (PMID: 31777704) |
| معلومات مُعتمدة: | 896821 European Union Horizon 2020 research and innovation programme Marie Curie Fellowship |
| فهرسة مساهمة: | Keywords: Maternal health; demographic methods; lifetime risk; maternal morbidity; maternal mortality; maternal near miss |
| تواريخ الأحداث: | Date Created: 20231219 Date Completed: 20240214 Latest Revision: 20240630 |
| رمز التحديث: | 20240630 |
| مُعرف محوري في PubMed: | PMC11212495 |
| DOI: | 10.1093/ije/dyad169 |
| PMID: | 38110741 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1464-3685 |
|---|---|
| DOI: | 10.1093/ije/dyad169 |