Research Article
Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study
Table 5
Distribution of cases of severe maternal morbidity according to process and management indicators and level of performance of care.
| | Process indicators | Level of performance | | | Adequate | Nonadequate | | (%) | | (%) |
| | Spontaneous access to facility | 3.227 | (54.2) | 1.082 | (35.7) | 0.06 | | Total (a) | 5.958 | (100.0) | 3.033 | (100.0) | | | Way pregnancy is terminated (cesarean) | 3.748 | (61.7) | 2.406 | (69.9) | 0.21 | | Total (b) | 6.074 | (100.0) | 3.441 | (100.0) | | | Admission to ICU | 1.652 | (27.1) | 463 | (13.4) | 0.24 | | Long hospital stay (>7 days) | 1.751 | (28.7) | 1.117 | (32.4) | 0.64 | | Referred to another place | 46 | (0.8) | 32 | (0.9) | 0.68 | | Total | 6.103 | (100.0) | 3.452 | (100.0) | | | Any near miss criteria on admission | 196 | (35.0) | 95 | (27.1) | 0.28 | | Total | 560 | (100.0) | 350 | (100.0) | | | Management indicators | | | | | | | Use of magnesium sulphate | 2.932 | (48.0) | 1.685 | (48.8) | 0.96 | | Blood product transfusion | 855 | (14.0) | 711 | (20.6) | 0.13 | | Central venous access | 261 | (4.3) | 102 | (3.0) | 0.45 | | Intubation unrelated to anesthesia | 190 | (3.1) | 106 | (3.1) | 0.97 | | Hysterectomy due to infection or hemorrhage | 116 | (1.9) | 55 | (1.6) | 0.69 | | Total | 6.103 | (100.0) | 3.452 | (100.0) | |
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Missing information for: (a) 564 cases; (b) 40 cases.
value adjusted for cluster effect.
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