Situation Analysis of Maternal Near-miss in Bhutan from 2018 to 2020: Using the World Health Organization Approach.

Q2 Medicine

WHO South-East Asia journal of public health Pub Date : 2024-07-01 Epub Date: 2025-02-21 DOI:10.4103/WHO-SEAJPH.WHO-SEAJPH_64_24

Tashi Tshomo, Kencho Zangmo, Karma Tshering, Dago Dem, Sangay Tshering

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引用次数: 0

Abstract

Background: In Bhutan, the maternal mortality rate has drastically decreased over the years. In situations where maternal mortality is not a public health concern anymore, severe maternal conditions have been used as an alternative to maternal health quality indicators.

Aims and objectives: This study aimed to report the prevalence, underlying causes, and outcomes of maternal near-miss (MNM) cases in Bhutan.

Materials and methods: The study involved a secondary analysis of routine data on MNM cases recorded in three referral hospitals in Bhutan from 2018 to 2020. The World Health Organization MNM, 2011 approach guided the investigation.

Results: The incidence of potentially life-threatening conditions was 12.8 and MNM was 6.7 per 1000 live births. Obstetric hemorrhage, pregnancy with abortive outcomes, and hypertensive disorders in pregnancy were some of the leading conditions, which had led to women experiencing near-miss complications. About 68.5% of women had received blood products, 20.2% had undergone laparotomy, and 5.9% required intensive care unit admission.

Conclusion: An audit of MNM cases, which occur more frequently than maternal deaths, could provide better insights into the existing quality of care.

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2018 - 2020年不丹孕产妇未遂情况分析：使用世界卫生组织方法

背景：在不丹，多年来产妇死亡率急剧下降。在产妇死亡率不再是一个公共卫生问题的情况下，严重的产妇状况被用作替代产妇保健质量指标。目的和目的：本研究旨在报告不丹孕产妇未遂事故（MNM）病例的患病率、潜在原因和结果。材料和方法：该研究涉及对2018年至2020年不丹三家转诊医院记录的MNM病例的常规数据进行二次分析。世界卫生组织2011年MNM方法指导了调查。结果：潜在危及生命的疾病发生率为12.8 / 1000，MNM为6.7 / 1000。产科出血、流产妊娠和妊娠期高血压疾病是导致妇女经历险些并发症的一些主要情况。约68.5%的妇女接受了血液制品，20.2%的妇女接受了剖腹手术，5.9%的妇女需要进入重症监护病房。结论：对比孕产妇死亡更频繁发生的MNM病例进行审计，可以更好地了解现有的护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

WHO South-East Asia journal of public health Medicine-Medicine (all)

CiteScore

4.10

自引率

0.00%

发文量

期刊介绍： The journal will cover technical and clinical studies related to health, ethical and social issues in field of Public Health, Epidemiology, primary health care, epidemiology, health administration, health systems, health economics, health promotion, public health nutrition, communicable and non-communicable diseases, maternal and child health, occupational and environmental health, social and preventive medicine. Articles with clinical interest and implications will be given preference.