OBJECTIVE To investigate the association between overweight and severe acute maternal morbidity (SAMM) in a low-risk pregnant population. DESIGN Nationwide case-control study. SETTING The Netherlands, august 2004 to august 2006. POPULATION 1567 cases from initially primary care and 2994 women from primary care practices as controls, out of 371 012 women delivering in the Netherlands durin...

OBJECTIVE (1) To determine the incidence of near-miss, maternal death and mortality index; (2) to compare near-miss cases as per WHO criteria with that of maternal mortality; and (3) to study the causes of near-miss and maternal deaths. STUDY DESIGN Retrospective cohort study. SETTING Shri Vasantrao Naik Govt. Medical College, Yavatmal, India. STUDY POPULATION All cases of near-miss as pe...

BACKGROUND There are concerns about ethnic disparity in outcome of obstetric health care in high-income countries. Our aim was to assess these differences in a large cohort of women having experienced severe acute maternal morbidity (SAMM) during pregnancy, delivery and puerperium. METHODS All women experiencing SAMM were prospectively collected in a nationwide population-based design from Au...

BACKGROUND Postpartum period is the critically important part of obstetric care but most neglected period for majority of Pakistani women. Only life threatening complications compel them to seek for tertiary hospital care. We describe the nature of these obstetric morbidities in order to help policymakers in improving prevailing situation. OBJECTIVE To find out the frequency and causes of sev...

For every woman who dies of postpartum hemorrhage (PPH), many more suffer shortand long-term consequences even when well managed. During the 1990s, the concept of severe adverse maternal morbidity (SAMM) emerged in response to the need for a more sensitive marker of quality of maternity care than maternal death1,2. This concept and the accompanying acronym have the advantage of drawing attentio...

BACKGROUND Maternal immunization has gained traction as a strategy to diminish maternal and young infant mortality attributable to infectious diseases. Background rates of adverse pregnancy outcomes are crucial to interpret results of clinical trials in Sub-Saharan Africa. METHODS We developed a mathematical model that calculates a clinical trial's expected number of neonatal and maternal dea...

BACKGROUND Although pregnancy-related laparotomy is a major intervention, literature is limited to small case-control or single center studies. We aimed to identify national incidence rates for postpartum laparotomy related to severe acute maternal morbidity (SAMM) in a high-income country and test the hypothesis that risk of postpartum laparotomy differs by mode of birth. METHODS In a popula...

AIM: To determine the prevalence of severe acute maternal morbidity (SAMM) worldwide (near miss). METHOD: Systematic review of all available data. The methodology followed a pre-defined protocol, an extensive search strategy of 10 electronic databases as well as other sources. Articles were evaluated according to specified inclusion criteria. Data were extracted using data extraction instrument...

OBJECTIVES To propose a new standard for monitoring severe maternal morbidity, update previous estimates of severe maternal morbidity during both delivery and postpartum hospitalizations, and estimate trends in these events in the United States between 1998 and 2009. METHODS Delivery and postpartum hospitalizations were identified in the Nationwide Inpatient Sample for the period 1998-2009. I...