| The paradox of obstetric "near misses": converting maternal mortality into morbidity. | |
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MedLine Citation:
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PMID: 18320871 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To systematically review evidence of obstetric near-misses and their consequences. DATA SOURCES: PUBMED, OVID, and references of retrieved articles were used. METHODS OF STUDY SELECTION: Only 13 original articles describe the occurrence of obstetric/maternal near-miss morbidity to date. All were included in this review, in addition to other articles related to the epidemiology and consequences of severe acute maternal morbidity. TABULATION, INTEGRATION, AND RESULTS: Serious forms of maternal morbidity occur in about 1% of women in the United States compared to 3.01 to 9.05% in some developing settings. Worldwide, the leading causes of near-miss morbidity are hemorrhage and pregnancy-related hypertension or eclampsia/pre-eclampsia. These complications can have lasting effects, and their sequelae may result in maternal illness, injury and disability. Based on severity, we have provided three phenotypes of obstetric near-misses: Class I (near-miss with healthy infant); Class II (near-miss with feto-infant morbidity); Class III (near-miss with fetal/infant death). CONCLUSION: Obstetric near-misses should be considered as potentially chronic illnesses that warrant follow-up care because the theoretical cycle of near-miss (as postulated in this paper) can only be interrupted by the resolution of residual issues or the mother's death. Some may consider near-miss events to be obstetric successes because ultimately the mother's life was spared, but the consequences of these complications can be overwhelming and enduring. |
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Authors:
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Roneé E Wilson; Hamisu M Salihu |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: International journal of fertility and women's medicine Volume: 52 ISSN: 1534-892X ISO Abbreviation: Int J Fertil Womens Med Publication Date: 2007 Mar-Jun |
Date Detail:
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Created Date: 2008-03-06 Completed Date: 2008-04-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706778 Medline TA: Int J Fertil Womens Med Country: United States |
Other Details:
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Languages: eng Pagination: 121-7 Citation Subset: IM |
Affiliation:
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Department of Epidemiology and Biostatistics, University of South Florida, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Developing Countries Emergency Medical Services / statistics & numerical data Female Humans Maternal Health Services / methods* Maternal Mortality* Maternal Welfare / statistics & numerical data* Obstetric Labor Complications / mortality*, prevention & control Pregnancy Puerperal Disorders / mortality*, prevention & control Risk Factors Socioeconomic Factors United States Women's Health* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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