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Maternal near miss and maternal deaths in Mozambique: a cross-sectional, region-wide study of 635 consecutive cases assisted in health facilities of Maputo province

Overview of attention for article published in BMC Pregnancy and Childbirth, December 2014
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (77th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (61st percentile)

Mentioned by

twitter
7 tweeters

Citations

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39 Dimensions

Readers on

mendeley
165 Mendeley
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Title
Maternal near miss and maternal deaths in Mozambique: a cross-sectional, region-wide study of 635 consecutive cases assisted in health facilities of Maputo province
Published in
BMC Pregnancy and Childbirth, December 2014
DOI 10.1186/s12884-014-0401-3
Pubmed ID
Authors

Ernestina David, Fernanda Machungo, Giovanni Zanconato, Elena Cavaliere, Sidonia Fiosse, Celeste Sululu, Benvinda Chiluvane, Staffan Bergström

Abstract

BackgroundLife-threatening events during pregnancy are currently used as a measure to assess quality of obstetric care. The aim of this study is to assess prevalence of near miss cases and maternal deaths, to elucidate the causes and to analyze avoidable factors based upon the three-delays approach in southern Mozambique.MethodsNear miss cases comprised five categories: eclampsia, severe hemorrhage, severe sepsis, uterine rupture and severe malaria. Pregnant women surviving the event were interviewed during a 5-month period within five health facilities offering comprehensive emergency obstetric care in Maputo City and Province. Family members gave additional information and were interviewed in case of the patient¿s death.ResultsOut of 27,916 live births, 564 near miss cases and 71 maternal deaths were identified, giving a total maternal near miss ratio of 20/1,000 live births and maternal mortality ratio of 254/100,000 live births, respectively. Near miss fatality rate was 11.2%. Among near miss cases hemorrhage accounted for the most common event (58.0%), followed by eclampsia (35.5%); HIV seroprevalence was 22.3%. Inappropriate attendance in antenatal care services (21.1%), late or wrong diagnosis (12.6%), inadequate management immediately after delivery (9.6%), no monitoring of blood pressure and other vital signs (9.2%) were the most prevalent factors contributing to the severe morbidity under study. Third delay was identified in 69.7% of the interviews. In more than one fourth of near miss cases treatment was not started immediately. Lack of blood derivates and unavailable operating room were reported in 42.0% and 35.0%, respectively.ConclusionsNear miss cases were frequent and related to delays in reaching and receiving adequate care. First and third type of delay contributed significantly to the number of maternal near miss cases and deaths. Maternal health policies need to be concerned not only with averting the loss of life, but also with ameliorating care of severe maternal complications at all levels including primary care. Sexual and reproductive health services for adolescents should be prioritized to prevent adverse outcomes.

Twitter Demographics

The data shown below were collected from the profiles of 7 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Belgium 1 <1%
Brazil 1 <1%
Unknown 163 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 44 27%
Researcher 29 18%
Student > Ph. D. Student 18 11%
Student > Postgraduate 15 9%
Student > Doctoral Student 11 7%
Other 28 17%
Unknown 20 12%
Readers by discipline Count As %
Medicine and Dentistry 74 45%
Nursing and Health Professions 27 16%
Social Sciences 21 13%
Business, Management and Accounting 3 2%
Agricultural and Biological Sciences 3 2%
Other 11 7%
Unknown 26 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 December 2014.
All research outputs
#4,070,044
of 15,830,821 outputs
Outputs from BMC Pregnancy and Childbirth
#1,188
of 2,912 outputs
Outputs of similar age
#60,410
of 268,917 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#146
of 379 outputs
Altmetric has tracked 15,830,821 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 2,912 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.4. This one has gotten more attention than average, scoring higher than 59% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,917 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 77% of its contemporaries.
We're also able to compare this research output to 379 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.