Kebede, Feven (2015) Assessment of Magnitude and Factors Associated with Maternal Near Miss in Public Hospitals of Addis Ababa. Masters thesis, Addis Ababa University.
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Abstract
Back ground: Causes of maternal near miss can be classified as direct and indirect causes. The major direct causes of maternal near miss are obstructed or prolonged labor, postpartum hemorrhage, infections, ruptured uterus, severe preeclampsia, eclampsia and unsafe abortion. Among the indirect causes of maternal morbidity and mortality anemia, malaria, hepatitis, tuberculosis and cardiovascular disease account for the highest number of maternal deaths. Objective: To assess magnitude and factors associated with maternal near miss in selected public hospitals of Addis Ababa. Methodology: A retrospective cross-sectional study design was used .A total of 497near miss cases were identified from January 2014 to December 20014 from four selected public hospitals in Addis Ababa. Out of these 321 near miss cases were selected based on proportionally allocated sample size for each hospitals data was collected using data extraction format adopted from WHO. Data was entered into Epi data version 3.1 and transferred to SPSS version 20 and analyzed. To establishes associations between dependent and independent variables and determine possible Association, P values, logistic regression and odds ratio at 95% confidence interval were used, Statistical significance was considered at P-value less than 0.05. RUSELT The reviewed near miss cases were admitted with different diagnosis. The most common types of near-miss events fall under the diagnostic categories of hemorrhage, sevier pre-eclampsia, Eclampsia, ruptured uterus, sepsis and obstructed labor. Heammorrhage was the major 179(55.8%) diagnosis at admission followed by sever preeclampsia 116(36.1%) . The least diagnosis was uterine rupture which accounts for 4 (1.2%). On logistic regression and bivaret multivariate analysis with hemorrhage and SPE; age, parity, gestational age and ANC were significantly associated with OR. Conclusion. There is a high frequency of maternal near miss at the level of these facilities therefore maternal health policy needs to be concerned not only with averting the loss life, but also with preventing maternal near events or factors hemorrhage, hypertension, infection, ruptured uterus at all care levels including primary health care levels and community based level. Recommendation. Therefore maternal health policy needs to be concerned not only with preventing loss of life but also with preventing maternal near miss events like hemorrhage and hypertension disorder and other all health care levels including primary health care by developing management protocols.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Maternal near miss, complication, outcome maternal near miss events. |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 31 Oct 2018 10:50 |
| Last Modified: | 31 Oct 2018 10:50 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7196 |
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