原创力文档obstetric near-miss and maternal mortality in maternity university hospital, damascus, syria a retrospective study产科靠近弹和孕产妇死亡率在大学妇产科医院,大马士革,叙利亚一个回顾性研究.pdfVIP
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obstetric near-miss and maternal mortality in maternity university hospital, damascus, syria a retrospective study产科靠近弹和孕产妇死亡率在大学妇产科医院,大马士革,叙利亚一个回顾性研究
Almerie et al. BMC Pregnancy and Childbirth 2010, 10:65
/1471-2393/10/65
RESEARCH ARTICLE Open Access
Obstetric near-miss and maternal mortality in
maternity university hospital, Damascus, Syria:
a retrospective study
1 2* 3 1 1
Yara Almerie , Muhammad Q Almerie , Hosam E Matar , Yasser Shahrour , Ahmad Abo Al Chamat ,
Asmaa Abdulsalam1
Abstract
Background: Investigating severe maternal morbidity (near-miss) is a newly recognised tool that identifies women
at highest risk of maternal death and helps allocate resources especially in low income countries. This study aims
to i. document the frequency and nature of maternal near-miss at hospital level in Damascus, Capital of Syria,
ii. evaluate the level of care at maternal life-saving emergency services by comparatively analysing near-misses and
maternal mortalities.
Methods: Retrospective facility-based review of cases of near-miss and maternal mortality that took place in the
years 2006-2007 at Damascus Maternity University Hospital, Syria. Near-miss cases were defined based on disease-
specific criteria (Filippi 2005) including: haemorrhage, hypertensive disorders in pregnancy, dystocia, infection and
anaemia. Main outcomes included maternal mortality ratio (MMR), maternal near miss ratio (MNMR), mortality
indices and proportion of near-miss cases and mortality cases to hospital admissions.
Results: There were 28 025 deliveries, 15 maternal deaths and 901 near-miss cases. The study showed a MNMR of
32.9/1000 live births, a MMR of 54.8/100 000 live births and a relatively low mortality index of 1.7%. Hypertensive
disorders (52%) and haemorrhage (34%) were the top causes of near-misses. Late pregnancy haemorrhage was the
leading cause of
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