Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana
International Journal of Gynecology and Obstetrics, Volume 123, No. 1, Year 2013
Notification
URL copied to clipboard!
Description
Objective To assess the baseline incidence of maternal near-miss, process indicators related to facility access, and quality of care at a tertiary care facility in urban Ghana. Methods A prospective observational study of all women delivering at the facility, including those with pregnancy-related complications, was conducted between October 2010 and March 2011. Quality of maternal health care was assessed via a newly developed WHO instrument based on near-miss criteria and criterion-based clinical audit methodology. Results Among 3438 women, 516 had potentially life-threatening conditions and 131 had severe maternal outcomes (94 near-miss cases and 37 maternal deaths). More than half (64.4%) of the women had been referred to the facility. The incidence of maternal near-miss was 28.6 cases per 1000 live births. Anemia contributed to most cases with a severe maternal outcome. More than half of all women with severe maternal outcomes developed organ dysfunction or died within the first 12 hours of hospital admission. Although preventive measures were prevalent, treatment-related indicators showed mixed results. Conclusion The WHO near-miss approach was found to represent a feasible strategy in low-resource countries. Improving referral systems, effective use of critical care, and evidence-based interventions can potentially reduce severe maternal outcomes. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Tunçalp, Özge
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Hindin, Michelle J.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Adu-Bonsaffoh, Kwame
Ghana, Accra
Korle bu Teaching Hospital
Adanu, Richard Mawuena Kofi
Ghana, Accra
University of Ghana
Statistics
Citations: 96
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1016/j.ijgo.2013.06.003
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Study Locations
Ghana
Participants Gender
Female