Bulletin of the World Health Organization

Maternal near miss and maternal death in the World Health Organization’s 2005 global survey on maternal and perinatal health

João Paulo Souza, Jose Guilherme Cecatti, Anibal Faundes, Sirlei Siani Morais, Jose Villar, Guillermo Carroli, Metin Gulmezoglu, Daniel Wojdyla, Nelly Zavaleta, Allan Donner, Alejandro Velazco, Vicente Bataglia, Eliette Valladares, Marius Kublickas, Arnaldo Acosta & for the World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group

Volume 88, Number 2, February 2010, 113-119

Table 3. Characteristics of women who experienced a maternal near missa (crude and adjusted estimates)b in a study of eight Latin American countries, 2005

Characteristic Near miss
Not near miss
Crude OR (95% CI) Adjusted OR (95% CI)
% No. No.
Age, in years
10–19 2.99 530 17 178 1.03 (0.93–1.14) 0.99 (0.88–1.10)
20–34 2.91 2 003 66 860 1 1
> 35 4.00 417 9 997 1.39 (1.25–1.55) 1.40 (1.20–1.64)
Missing 2 48
Marital status
No partner 3.36 697 20 072 1.15 (1.05–1.25) 1.21 (1.10–1.64)
With partner 2.94 2 233 73 662 1 1
Missing 22 349
Schooling, no. of years
< 7 2.76 662 23 345 0.72 (0.63–0.82) 0.70 (0.62–0.80)
7–12 3.07 1 769 55 877 0.80 (0.72–0.90) 0.82 (0.73–0.92)
> 12 3.79 395 10 024 1 1
Missing 126 4 837
Parity
Primipara 3.18 1 062 32 344 1.17 (1.08–1.27) 1.37 (1.24–1.51)
2–3 deliveries 2.73 1 225 43 606 1 1
> 3 deliveries 3.54 663 18 077 1.31 (1.19–1.44) 1.28 (1.15–1.42)
Missing 2 56
No. of antenatal visits
0–3 3.15 506 15 546 1.03 (0.93–1.14) 1.05 (0.94–1.16)
> 3 3.06 2 356 74 612 1 1
Missing 90 3 925
Obesity (BMI > 30 kg/m²)c
Yes 2.98 1 059 34 510 1.08 (0.99–1.17)
No 2.77 1 199 42 052 1
Missing 694 17 521
Caesarean section in previous pregnancy
Yes 4.09 538 12 628 1.46 (1.33–1.61) 1.63 (1.47–1.81)
No 2.84 2 362 80 881 1 1
Missing 52 574
Type of health facility
Public 3.65 2 147 68 712 1 1
Social security 3.65 720 19 022 1.21 (1.11–1.32) 1.24 (1.13–1.36)
Private 1.32 85 6 349 0.43 (0.34–0.53) 0.29 (0.21–0.42)
Totald 2 952 94 083

BMI, body mass index; CI, confidence interval; OR, odds ratio.
a Women who survived after admission to the ICU, or a hysterectomy, or a blood transfusion, or a cardiac or renal complication, or eclampsia during pregnancy, childbirth and the first seven days postpartum.
b Simple and multiple logistic regression model (including all variables except BMI).
c BMI was not used in multiple analyses due to the high number of missing data.
d Excluded from the analysis were 61 women with no information on maternal death.

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