Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

Table 4

Distribution of study centers according to structure indicators and level of performance of care.

Structure indicator^@	Level of performance		𝑃^1
	Adequate	Nonadequate
Type of ICU			*
Obstetric	5 (29)	2 (20)	0.68^#
Only general ICU	9 (53)	5 (50)	>1^#
None	3 (18)	3 (30)	0.64^#
Level of complexity			>1^#
Secondary	3 (18)	2 (20)
Tertiary	14 (82)	8 (80)
Geographic region			0.06^#
North, Northeast,; and Center-West	5 (29)	7 (70)
Southeast and South	12 (71)	3 (30)
Level of government			*
Municipal	2 (12)	2 (20)	0.61^#
State	5 (29)	4 (40)	0.68^#
Federal	7 (41)	3 (30)	0.69^#
Nonpublic	3 (18)	1 (10)	>1^#
Total	17 (100)	10 (100)

@The following indicators were not taken into account: teaching hospital; blood bank; neonatal ICU and round the clock anesthetic available, due to the fact that almost all centers had these indicators.
*Chi-square test not applicable for general comparison.
^#Fisher Exact Test.
¹𝑃 value adjusted for cluster effect.