The global prevalence of maternal near miss: A systematic review and meta-analysis

Abdollahpour, S. and Miri, H. H. and Khadivzadeh, T. (2019) The global prevalence of maternal near miss: A systematic review and meta-analysis. Health Promotion Perspectives, 9 (4). pp. 255-262.

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Background: Improving the maternal health is one of the world’s most challenging problems. Despite significant movements over the past decades, maternal health has been still considered as a central goal for sustainable development. Maternal near miss (MNM) cases experience long-term physical and psychological effects. To present a clear portrait of the current situation, we performed a systematic review and meta-analysis with the purpose to assess the worldwide prevalence of MNM. Methods: We conducted a systematic review on PubMed, Scopus and Web of Science electronic databases to find published papers in English, before March 2019 and regardless of the type of study. We, then, assessed the prevalence of MNM according to the World Health Organization (WHO) criteria. Finally, 49 papers were included in the study. Random effects meta-analysis was used to pool the available prevalence. The quality of studies was also evaluated. Results: The weighted pooled worldwide prevalence of MNM, was 18.67/1000 (95 CI: 16.28-21.06). Heterogeneity was explored using subgroup analyses based on the continent and the country. We used meta-regression of MNM on MD which resulted in adjusted R-squared as 78.88. Conclusion: The prevalence of MNM was considerable. Low- and middle-income countries should develop systematic approaches to improve quality of care in the facilities and to reduce the risk of MNM events, with the hope to women’s health. © 2019 The Author(s).

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Khadivzadeh, T.; Nursing and Midwifery Care Research Center, Mashhad University of Medical SciencesIran; email:
Uncontrolled Keywords: Maternal health Maternal near miss Meta-analysis Prevalence Systematic review adult art female human maternal welfare Medline meta analysis middle income country review Scopus Web of Science women's health World Health Organization
Subjects: WQ Obstetrics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 21 Jun 2020 04:25
Last Modified: 21 Jun 2020 04:25

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