PREVALENCE AND FACTORS ASSOCIATED WITH MATERNAL NEAR-MISS AMONG MOTHER ATTENDING KAWEMPE NATIONAL REFERRAL HOSPITAL
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Date
2024-07-19
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King Ceasor University, Institutional Repository
Abstract
Background: According to the recent UDHS report (2022), the maternal mortality ratio stands at 189 per 100,000 live births. Maternal death is frequently described as just the “tip of the iceberg” while maternal morbidity is the “base,” and for every woman who dies, many more will survive but often suffer from lifelong disabilities. Today, maternal near miss is increasingly used as an indicator of the quality of obstetric care and clinical practice. This study set out to investigate the prevalence and factors associated with maternal near misses among mothers attending Kawempe National Referral Hospital.
Methods: A facility-based cross-sectional study was conducted among 120 participants who attended Kawempe Women’s Hospital from December 2023 to March 2024. The researcher conducted structured interviews using a 33-item questionnaire consisting of 3 sub-sections. Data analysis at univariate and bivariate levels (at a significance level below 0.05) was done using SPSS version 2 to determine the prevalence and factors associated with maternal near misses.
Results:
The prevalence of self-reported maternal near misses at Kawempe Women’s Hospital stands at 14% and key factors associated were having a history of smoking (X2=3.838, p=0.05), alcohol consumption (X2=16.569, p<0.001), infections during pregnancy (X2=12.21, p=0.03), and antenatal attendance (X2=6.974, p=0.01), living 6km and above from the facility and for those waiting for 61 minutes and above at the health facility before receiving care.
Conclusion and recommendation:
The current prevalence of maternal near misses at Kawempe Women’s Hospital stands at 14%. Maternal and health facility-related factors such as age, religious affiliation, and lifestyle habits like smoking and alcohol consumption and long distance from the facility (more than 6km) and prolonged waiting times (more than 61 minutes) were significantly associated with the occurrence of maternal near miss (MNM) incidents. We recommend that targeted interventions to address maternal factors such as smoking, alcohol consumption, and infections during pregnancy should be put in place.
Keywords: Maternal near miss, Mortality, Morbidity
Description
Mulago National Referral Hospital, Uganda.