{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:58:09Z","timestamp":1753354689191},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:00:00Z","timestamp":1645142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006661","name":"United Nations Population Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the risk factors for severe maternal outcome (SMO) in Afghan immigrant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women with potentially life\u2010threatening conditions (PLTC) were selected. Then risk factors for those PLTC which led to SMO (maternal near\u2010miss or maternal death) were evaluated. In addition, risk factors for those SMOs occurring on hospital admission or during the first 12\u00a0hours after admission to the hospital (SMO12) were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Parity \u22653 (adjusted odds ratio [aOR] 3.24, 95% confidence interval [CI] 1.62\u20136.50, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03), low literacy level in mother (aOR 2.99, 95% CI 1.16\u20135.01, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03), inadequate prenatal care (aOR 2.74, 95% CI 1.2\u20133.87, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01), multigravidity (gravidity \u22655: aOR 2.62, 95% CI 1.31\u20134.53, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03), lack of health insurance (aOR 2.52, 95% CI 1.25\u20134.02, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01), and low literacy level in husband (aOR\u00a0=\u00a01.49, 95% CI 1.15\u20132.9, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02) were the risk factors for SMO in women with PLTC. Inadequate prenatal care (aOR 4.2, 95% CI 2.05\u20138.25, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04), low literacy level in mother (aOR 3.38, 95% CI 1.32\u20136.65, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04), parity \u22653 (aOR 2.69, 95% CI 1.16\u20134.7, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04), and lack of health insurance (aOR 2.13, 95% CI 1.25\u20133.67, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03) were risk factors for SMO12.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was a higher rate of SMO and SMO12 cases among Afghan immigrant women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14111","type":"journal-article","created":{"date-parts":[[2022,1,22]],"date-time":"2022-01-22T19:14:45Z","timestamp":1642878885000},"page":"302-312","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Severe maternal outcome in Afghan immigrant women: A study in Tehran, Iran"],"prefix":"10.1002","volume":"159","author":[{"given":"Fatemeh","family":"Yaghoubi","sequence":"first","affiliation":[{"name":"Faculty of Nursing and Midwifery Iran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nahid","family":"Akbari","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery Iran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Kashanian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, Akbarabadi Teaching Hospital Iran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maziar","family":"Moradi Lakeh","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine Iran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narges","family":"Sheikhansari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Exeter  Exeter UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-1149-x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2016.01.005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.137145"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13058"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2015.08.016"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.5296\/jpag.v4i4.6625"},{"key":"e_1_2_10_8_1","volume-title":"Trends in Maternal Mortality: 1990\u20132015: Estimates from WHO, UNICEF, UNFPA","author":"WHO","year":"2015"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2018.169"},{"key":"e_1_2_10_10_1","unstructured":"WHO.Country Cooperation Strategy for WHO and the Islamic Republic of Iran 20120\u20132014. 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