Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health: a descriptive analysis.

M. Dragoman, W. R. Sheldon, Z. Qureshi, J. Blum, B. Winikoff, B. Ganatra, Multicountry Survey on Maternal Newborn Health Research Network WHO Multicountry Survey on Maternal Newborn Health Research Network

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

To summarise individual and institutional characteristics of abortion-related severe maternal outcomes reported at health facilities. Secondary analysis of data from the WHO Multicountry Survey on Maternal and Newborn Health. 85 health facilities in 23 countries. 322 women with abortion-related severe maternal outcomes. Frequency distributions and comparisons of differences in characteristics between cases of maternal near miss and death using Fisher's exact tests of association. Individual and institutional characteristics and frequencies of potentially life-threatening conditions, and interventions provided to women with severe maternal outcomes, maternal near miss, and maternal death. Most women with abortion-related severe maternal outcomes (SMOs) were 20-34 years old (65.2%), married or cohabitating (92.3%), parous (84.2%), and presented with abortions resulting from pregnancies at less than 14 weeks of gestation (67.1%). The women who died were younger, more frequently without a partner, and had abortions at ≥14 weeks of gestation, compared with women with maternal near miss (MNM). Curettage was the most common mode of uterine evacuation. The provision of blood products and therapeutic antibiotics were the most common other interventions recorded for all women with abortion-related SMOs; those who died more frequently had antibiotics, laparotomy, and hysterectomy, compared with women with MNM. Although haemorrhage was the most common cause of abortion-related SMO, infection (alone and in combination with haemorrhage) was the most common cause of death. This analysis affirms a number of previously observed characteristics of women with abortion-related severe morbidity and mortality, despite the fact that facility-based data on abortion-related SMO suffers a number of limitations.

Original languageEnglish (US)
Pages (from-to)25-31
Number of pages7
JournalBJOG : an international journal of obstetrics and gynaecology
Volume121 Suppl 1
DOIs
StatePublished - 2014
Externally publishedYes

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Mothers
Health Facilities
Pregnancy
Infant Health
Surveys and Questionnaires
Maternal Health
Hemorrhage
Anti-Bacterial Agents
Maternal Death
Curettage
Hysterectomy
Laparotomy
Cause of Death
Morbidity
Mortality
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dragoman, M., Sheldon, W. R., Qureshi, Z., Blum, J., Winikoff, B., Ganatra, B., & WHO Multicountry Survey on Maternal Newborn Health Research Network, M. S. O. M. N. H. R. N. (2014). Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health: a descriptive analysis. BJOG : an international journal of obstetrics and gynaecology, 121 Suppl 1, 25-31. https://doi.org/10.1111/1471-0528.12689

Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health : a descriptive analysis. / Dragoman, M.; Sheldon, W. R.; Qureshi, Z.; Blum, J.; Winikoff, B.; Ganatra, B.; WHO Multicountry Survey on Maternal Newborn Health Research Network, Multicountry Survey on Maternal Newborn Health Research Network.

In: BJOG : an international journal of obstetrics and gynaecology, Vol. 121 Suppl 1, 2014, p. 25-31.

Research output: Contribution to journalArticle

Dragoman, M, Sheldon, WR, Qureshi, Z, Blum, J, Winikoff, B, Ganatra, B & WHO Multicountry Survey on Maternal Newborn Health Research Network, MSOMNHRN 2014, 'Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health: a descriptive analysis.', BJOG : an international journal of obstetrics and gynaecology, vol. 121 Suppl 1, pp. 25-31. https://doi.org/10.1111/1471-0528.12689
Dragoman, M. ; Sheldon, W. R. ; Qureshi, Z. ; Blum, J. ; Winikoff, B. ; Ganatra, B. ; WHO Multicountry Survey on Maternal Newborn Health Research Network, Multicountry Survey on Maternal Newborn Health Research Network. / Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health : a descriptive analysis. In: BJOG : an international journal of obstetrics and gynaecology. 2014 ; Vol. 121 Suppl 1. pp. 25-31.
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abstract = "To summarise individual and institutional characteristics of abortion-related severe maternal outcomes reported at health facilities. Secondary analysis of data from the WHO Multicountry Survey on Maternal and Newborn Health. 85 health facilities in 23 countries. 322 women with abortion-related severe maternal outcomes. Frequency distributions and comparisons of differences in characteristics between cases of maternal near miss and death using Fisher's exact tests of association. Individual and institutional characteristics and frequencies of potentially life-threatening conditions, and interventions provided to women with severe maternal outcomes, maternal near miss, and maternal death. Most women with abortion-related severe maternal outcomes (SMOs) were 20-34 years old (65.2{\%}), married or cohabitating (92.3{\%}), parous (84.2{\%}), and presented with abortions resulting from pregnancies at less than 14 weeks of gestation (67.1{\%}). The women who died were younger, more frequently without a partner, and had abortions at ≥14 weeks of gestation, compared with women with maternal near miss (MNM). Curettage was the most common mode of uterine evacuation. The provision of blood products and therapeutic antibiotics were the most common other interventions recorded for all women with abortion-related SMOs; those who died more frequently had antibiotics, laparotomy, and hysterectomy, compared with women with MNM. Although haemorrhage was the most common cause of abortion-related SMO, infection (alone and in combination with haemorrhage) was the most common cause of death. This analysis affirms a number of previously observed characteristics of women with abortion-related severe morbidity and mortality, despite the fact that facility-based data on abortion-related SMO suffers a number of limitations.",
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