Maternal near‐miss and death associated with abortive pregnancy outcome: a secondary analysis of the Nigeria Near‐miss and Maternal Death Survey (original) (raw)

ObjectiveTo investigate the prevalence of life‐threatening complications related to pregnancies with abortive outcome and the associated health service events and performance in Nigerian public tertiary hospitals.DesignSecondary analysis of a nationwide cross‐sectional study.SettingForty‐two tertiary hospitals.PopulationWomen admitted for pregnancy‐related complications.MethodsAll cases of severe maternal outcomes (SMO: maternal near‐miss or death) due to abortive pregnancy complications (defined as spontaneous or induced abortion, and ectopic pregnancy) were prospectively identified over 1 year using uniform identification criteria.Main outcome measuresPrevalence of SMO, mortality index (% maternal death/SMO), case fatality rate, time until death after admission, and health service performance.ResultsOf 5779 women admitted with abortive pregnancy complications, 444 (7.9%) experienced an SMO: 366 maternal near‐misses and 78 maternal deaths. Intra‐hospital maternal mortality ratio fr...