دورية أكاديمية
أعرض في EDS

Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.

التفاصيل البيبلوغرافية
العنوان: Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.
المؤلفون: Zhou X; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Fang J; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Wu Y; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China. 275513435@qq.com., Gao J; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Chen X; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China. 93313849@qq.com., Wang A; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China., Shu C; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China.
المصدر: BMC public health [BMC Public Health] 2024 Jun 06; Vol. 24 (1), pp. 1526. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Near Miss, Healthcare*/statistics & numerical data, Humans ; Female ; China/epidemiology ; Risk Factors ; Pregnancy ; Adult ; Young Adult ; Pregnancy Complications/epidemiology ; Logistic Models ; Maternal Mortality/trends
مستخلص: Objective: To explore the risk factors for maternal near-miss (MNM) using the WHO near-miss approach.
Methods: Data were obtained from the Maternal Near-Miss Surveillance System in Hunan Province, China, 2012-2022. Multivariate logistic regression analysis (method: Forward, Wald, α = 0.05) and adjusted odds ratios (aORs) were used to identify risk factors for MNM.
Results: Our study included 780,359 women with 731,185 live births, a total of 2461 (0.32%) MNMs, 777,846 (99.68%) non-MNMs, and 52 (0.006%) maternal deaths were identified. The MNM ratio was 3.37‰ (95%CI: 3.23-3.50). Coagulation/hematological dysfunction was the most common cause of MNM (75.66%). Results of multivariate logistic regression analysis showed risk factors for MNM: maternal age > = 30 years old (aOR > 1, P < 0.05), unmarried women (aOR = 2.21, 95%CI: 1.71-2.85), number of pregnancies > = 2 (aOR > 1, P < 0.05), nulliparity (aOR = 1.51, 95%CI: 1.32-1.72) or parity > = 3 (aOR = 1.95, 95%CI: 1.50-2.55), prenatal examinations < 5 times (aOR = 1.13, 95%CI: 1.01-1.27), and number of cesarean sections was 1 (aOR = 1.83, 95%CI: 1.64-2.04) or > = 2 (aOR = 2.48, 95%CI: 1.99-3.09).
Conclusion: The MNM ratio was relatively low in Hunan Province. Advanced maternal age, unmarried status, a high number of pregnancies, nulliparity or high parity, a low number of prenatal examinations, and cesarean sections were risk factors for MNM. Our study is essential for improving the quality of maternal health care and preventing MNM.
(© 2024. The Author(s).)
References: Rev Bras Ter Intensiva. 2015 Jul-Sep;27(3):220-7. (PMID: 26270856)
BMC Pregnancy Childbirth. 2021 Nov 19;21(1):784. (PMID: 34798869)
Acta Med Port. 2019 Mar 29;32(3):219-226. (PMID: 30946794)
Span J Psychol. 2009 May;12(1):171-83. (PMID: 19476230)
Aust N Z J Obstet Gynaecol. 2016 Apr;56(2):148-53. (PMID: 26840600)
Lancet Diabetes Endocrinol. 2021 Jul;9(7):446-461. (PMID: 34097869)
Hum Reprod. 2002 Oct;17(10):2580-4. (PMID: 12351532)
Lancet. 2013 May 18;381(9879):1747-55. (PMID: 23683641)
J Assist Reprod Genet. 2022 Mar;39(3):559-572. (PMID: 35182265)
BMJ Open. 2022 Jul 28;12(7):e063426. (PMID: 35902185)
Int J Reprod Med. 2015;2015:914713. (PMID: 25763409)
BMC Pregnancy Childbirth. 2013 Apr 15;13:93. (PMID: 23587107)
BJOG. 2016 May;123(6):946-53. (PMID: 26412586)
Pregnancy Hypertens. 2021 Jun;24:13-21. (PMID: 33626437)
Clin Epidemiol. 2020 Apr 29;12:405-414. (PMID: 32425608)
Birth. 2010 Sep;37(3):219-26. (PMID: 20887538)
BMC Pregnancy Childbirth. 2020 Apr 21;20(1):233. (PMID: 32316915)
J Obstet Gynaecol India. 2016 Oct;66(Suppl 1):217-22. (PMID: 27651607)
Eur J Obstet Gynecol Reprod Biol. 2016 Apr;199:116-20. (PMID: 26921477)
Br Med Bull. 2017 Jan 1;121(1):121-134. (PMID: 28104630)
Lancet. 2019 Jan 19;393(10168):241-252. (PMID: 30554785)
BMC Pregnancy Childbirth. 2021 Mar 26;21(1):257. (PMID: 33771125)
J Glob Health. 2020 Dec;10(2):020429. (PMID: 33214899)
BMC Public Health. 2024 Jan 31;24(1):336. (PMID: 38297279)
Birth. 2005 Mar;32(1):45-59. (PMID: 15725205)
BMC Public Health. 2021 Aug 11;21(1):1536. (PMID: 34380436)
BJOG. 2019 May;126(6):755-762. (PMID: 30548506)
Health Sci Rep. 2021 Oct 14;4(4):e407. (PMID: 34693028)
Bull World Health Organ. 2009 Oct;87(10):734. (PMID: 19876533)
J Diabetes Investig. 2019 Jan;10(1):154-162. (PMID: 29683557)
BJOG. 2016 May;123(6):928-38. (PMID: 25974281)
Acta Obstet Gynecol Scand. 2012 Apr;91(4):452-7. (PMID: 22229438)
Lancet. 2006 Aug 12;368(9535):601-11. (PMID: 16905025)
Medicine (Baltimore). 2019 Nov;98(44):e17679. (PMID: 31689786)
Int J Gynaecol Obstet. 2013 Oct;123(1):64-7. (PMID: 23886451)
Int J Gynaecol Obstet. 2015 Apr;129(1):30-3. (PMID: 25596754)
Indian J Med Res. 2021 Apr;154(4):573-582. (PMID: 35435342)
S Afr Med J. 2018 Feb 27;108(3):171-175. (PMID: 30004358)
Lancet Glob Health. 2016 Feb;4(2):e109-18. (PMID: 26795603)
BMC Pregnancy Childbirth. 2014 Feb 20;14:77. (PMID: 24555831)
PLoS One. 2013 Apr 16;8(4):e61248. (PMID: 23613821)
Front Med (Lausanne). 2022 Mar 17;9:861028. (PMID: 35372381)
Medicine (Baltimore). 2018 Aug;97(33):e11748. (PMID: 30113460)
PLoS One. 2020 May 29;15(5):e0233697. (PMID: 32470099)
Sci Rep. 2020 Sep 16;10(1):15181. (PMID: 32939022)
Front Public Health. 2022 Aug 25;10:996885. (PMID: 36091552)
Oman Med J. 2017 Sep;32(5):386-395. (PMID: 29026470)
J Adolesc Health. 2020 Nov;67(5S):S24-S31. (PMID: 33246530)
J Assist Reprod Genet. 2019 Mar;36(3):499-507. (PMID: 30470960)
BMC Med Res Methodol. 2008 Feb 28;8:9. (PMID: 18307814)
Lancet. 2016 Jan 30;387(10017):462-74. (PMID: 26584737)
Bull World Health Organ. 2021 Oct 01;99(10):693-707F. (PMID: 34621087)
Front Med (Lausanne). 2022 Apr 29;9:868992. (PMID: 35573000)
معلومات مُعتمدة: 2017SK4006 Hunan Provincial Clinical Medical Research Center for Reproductive Health and Gynecological Endocrine Diseases
فهرسة مساهمة: Keywords: Advanced maternal age; Cause; Epidemiology; Maternal near-miss; Risk factor
تواريخ الأحداث: Date Created: 20240606 Date Completed: 20240606 Latest Revision: 20240609
رمز التحديث: 20240609
مُعرف محوري في PubMed: PMC11157777
DOI: 10.1186/s12889-024-18970-4
PMID: 38844895
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-024-18970-4