BioMed Research International / 2014 / Article / Tab 5

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 indicatorsLevel of performance
AdequateNonadequate
(%) (%)

Spontaneous access to facility3.227 (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 ICU1.652 (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
Total6.103(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 sulphate2.932 (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
 Total6.103(100.0)3.452 (100.0)

Missing information for: (a) 564 cases; (b) 40 cases.
value adjusted for cluster effect.