{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:43:03Z","timestamp":1788824583320,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["RBMH\/Adhoc\/5\/2017\u201018"],"award-info":[{"award-number":["RBMH\/Adhoc\/5\/2017\u201018"]}],"id":[{"id":"10.13039\/501100001411","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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of maternal near\u2010miss on late maternal death and the prevalence of hypertension or chronic kidney disease (CKD) and mental health problems at 12\u2009months of follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study was conducted in a tertiary hospital in the southeastern region of India from May 2018 to August 2019, enrolling those with maternal near\u2010miss and with follow up for 12\u2009months. The primary outcomes were incidence of late maternal deaths and prevalence of hypertension and CKD during follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Incidence of maternal near miss was 6.7 per 1000 live births. Among those who had a near miss, late maternal deaths occurred in 7.2% (95% confidence interval [CI] 3.1%\u201311.3%); prevalence of CKD was 23.0% (95% CI 16.2%\u201329.8%), and of hypertension was 56.2% (95% CI 50.5%\u201366.5%) and only two women had depression on follow up. After adjusting for age, parity, socioeconomic status, gestational age at delivery, hemoglobin levels, and perinatal loss, only serum creatinine was independently associated with late maternal death and CKD on follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women who survive a life\u2010threatening complication during pregnancy and childbirth are at increased risk of mortality and one or more long\u2010term sequelae contributing to the non\u2010communicable disease burden. A policy shift to increase postpartum follow\u2010up duration, following a high\u2010risk targeted approach after a near\u2010miss event, is needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15010","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T06:24:49Z","timestamp":1690266289000},"page":"227-235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of near\u2010miss event during pregnancy and childbirth on maternal health at 12\u2009months"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4881-0382","authenticated-orcid":false,"given":"Anish","family":"Keepanasseril","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-6978","authenticated-orcid":false,"given":"Dilip Kumar","family":"Maurya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0395-7639","authenticated-orcid":false,"given":"Bharathi","family":"Velmurugan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0696-8333","authenticated-orcid":false,"given":"Dhamotharan","family":"Karuppusamy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6860-5765","authenticated-orcid":false,"given":"Ajith Ananthakrishna","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5939-6300","authenticated-orcid":false,"given":"Sreejith","family":"Parameswaran","sequence":"additional","affiliation":[{"name":"Department of Nephrology Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7122-523X","authenticated-orcid":false,"given":"Sitanshu Sekhar","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Preventive and Social Medicine Jawaharlal Institute of Postgraduate Medical Education &amp; Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Evaluating the Quality of Care for Severe Pregnancy Complications: the WHO Near\u2010Miss Approach for Maternal Health","year":"2011"},{"key":"e_1_2_9_3_1","volume-title":"Trends in Maternal Mortality 2000 to 2017","author":"World Bank Group and the United Nations Population Division","year":"2019"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31470-2"},{"key":"e_1_2_9_5_1","volume-title":"Strategies for Ending Preventable Maternal Mortality","author":"World Health Organization","year":"2015"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30391-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34612-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.071001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61574-8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-018-1157-x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2017.00069"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12926"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.007"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-014-0468-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.11.006"},{"issue":"1","key":"e_1_2_9_17_1","first-page":"1","article-title":"Improving global outcomes CKDMBDUWG: KDIGO 2017 clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease\u2010mineral and bone disorder (CKD\u2010MBD)","volume":"7","author":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD\u2010MBD Update Work Group","year":"2011","journal-title":"Kidney Int Suppl"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.094011"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v30i2.11318"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.574111"}],"container-title":["International Journal of Gynecology &amp; 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