{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:07:15Z","timestamp":1786993635477,"version":"build-2736575974"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001782","name":"University of Melbourne","doi-asserted-by":"publisher","award":["CI 4\u20223 - 4.5"],"award-info":[{"award-number":["CI 4\u20223 - 4.5"]}],"id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Lancet Regional Health - Western Pacific"],"published-print":{"date-parts":[[2021,9]]},"DOI":"10.1016\/j.lanwpc.2021.100217","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T18:42:27Z","timestamp":1626806547000},"page":"100217","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"special_numbering":"C","title":["Severe maternal morbidity in the Asia Pacific: a systematic review and meta-analysis"],"prefix":"10.1016","volume":"14","author":[{"given":"Manarangi","family":"De Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leeanne","family":"Panisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthea","family":"Lindquist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Cluver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Middleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Koete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua P.","family":"Vogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Walker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4342-1943","authenticated-orcid":false,"given":"Roxanne","family":"Hastie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.lanwpc.2021.100217_bib0001","unstructured":"Organization W.H., Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. 2019."},{"issue":"2","key":"10.1016\/j.lanwpc.2021.100217_bib0002","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.ijgo.2006.10.010","article-title":"Maternal mortality, stillbirth and measures of obstetric care in developing and developed countries","volume":"96","author":"McClure","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"issue":"10","key":"10.1016\/j.lanwpc.2021.100217_bib0003","doi-asserted-by":"crossref","first-page":"734","DOI":"10.2471\/BLT.09.071001","article-title":"Mortality WHOWGoM, WHO maternal death and near-miss classifications","volume":"87","author":"Pattinson","year":"2009","journal-title":"Bull World Health Organ"},{"issue":"9516","key":"10.1016\/j.lanwpc.2021.100217_bib0004","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/S0140-6736(06)68397-9","article-title":"WHO analysis of causes of maternal death: a systematic review","volume":"367","author":"Khan","year":"2006","journal-title":"Lancet"},{"issue":"9947","key":"10.1016\/j.lanwpc.2021.100217_bib0005","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/S0140-6736(14)60696-6","article-title":"Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study","volume":"384","author":"Kassebaum","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0006","doi-asserted-by":"crossref","unstructured":"Filippi V., Chou D., Ronsmans C., Graham W., Say L. Levels and Causes of Maternal Mortality and Morbidity. In: Black RE, Laxminarayan R, Temmerman M, Walker N, editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, Third Edition (Volume 2). Washington (DC) 2016.","DOI":"10.1596\/978-1-4648-0348-2_ch3"},{"issue":"9","key":"10.1016\/j.lanwpc.2021.100217_bib0007","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1111\/j.1471-0528.1998.tb10262.x","article-title":"Severe acute maternal morbidity: a pilot study of a definition for a near-miss","volume":"105","author":"Mantel","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"issue":"6","key":"10.1016\/j.lanwpc.2021.100217_bib0008","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1111\/j.1471-0528.2012.03294.x","article-title":"The prevalence of maternal near miss: a systematic review","volume":"119","author":"Tuncalp","year":"2012","journal-title":"BJOG"},{"issue":"3","key":"10.1016\/j.lanwpc.2021.100217_bib0009","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.bpobgyn.2009.01.007","article-title":"Mortality WHOwgoM, Morbidity c. Maternal near miss\u2013towards a standard tool for monitoring quality of maternal health care","volume":"23","author":"Say","year":"2009","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0010","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s13224-016-0901-3","article-title":"Incidence of Maternal \"Near-Miss\" Events in a Tertiary Care Hospital of Central Gujarat","volume":"66","author":"Parmar","year":"2016","journal-title":"India. Journal of Obstetrics & Gynaecology of India."},{"issue":"10","key":"10.1016\/j.lanwpc.2021.100217_bib0011","doi-asserted-by":"crossref","first-page":"794","DOI":"10.2471\/BLT.13.117564","article-title":"Measuring maternal health: focus on maternal morbidity","volume":"91","author":"Firoz","year":"2013","journal-title":"Bull World Health Organ"},{"issue":"8","key":"10.1016\/j.lanwpc.2021.100217_bib0012","doi-asserted-by":"crossref","first-page":"e44129","DOI":"10.1371\/journal.pone.0044129","article-title":"The WHO maternal near-miss approach and the maternal severity index model (MSI): tools for assessing the management of severe maternal morbidity","volume":"7","author":"Souza","year":"2012","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.lanwpc.2021.100217_bib0013","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1742-4755-1-3","article-title":"WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss)","volume":"1","author":"Say","year":"2004","journal-title":"Reprod Health"},{"issue":"9879","key":"10.1016\/j.lanwpc.2021.100217_bib0014","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1016\/S0140-6736(13)60686-8","article-title":"Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study","volume":"381","author":"Souza","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0015","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12884-015-0789-4","article-title":"Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality","volume":"16","author":"Chou","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0016","unstructured":"Organization W.H., The WHO near-miss approach for maternal health. 2011; 29. 2019."},{"issue":"1","key":"10.1016\/j.lanwpc.2021.100217_bib0017","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1186\/s12884-017-1370-0","article-title":"Validating the WHO maternal near miss tool: comparing high- and low-resource settings","volume":"17","author":"Witteveen","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"10.1016\/j.lanwpc.2021.100217_bib0018","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s12884-019-2225-7","article-title":"Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review","volume":"19","author":"Tura","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0019","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/1471-2393-11-65","article-title":"Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010","volume":"11","author":"Kaye","year":"2011","journal-title":"BMC Pregnancy Childbirth"},{"issue":"9726","key":"10.1016\/j.lanwpc.2021.100217_bib0020","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1016\/S0140-6736(10)60518-1","article-title":"Maternal mortality for 181 countries, 1980\u20132008: a systematic analysis of progress towards Millennium Development Goal 5","volume":"375","author":"Hogan","year":"2010","journal-title":"The lancet"},{"issue":"2","key":"10.1016\/j.lanwpc.2021.100217_bib0021","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/ajo.13050","article-title":"Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five-year period","volume":"60","author":"De Silva","year":"2020","journal-title":"Australian and New Zealand Journal of Obstetrics and Gynaecology"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0022","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0023","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1348\/000711007X255327","article-title":"Fixed- versus random-effects models in meta-analysis: model properties and an empirical comparison of differences in results","volume":"62","author":"Schmidt","year":"2009","journal-title":"Br J Math Stat Psychol"},{"issue":"7109","key":"10.1016\/j.lanwpc.2021.100217_bib0024","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.lanwpc.2021.100217_bib0025","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1471-2393-8-10","article-title":"Obstetric near miss and deaths in public and private hospitals in Indonesia","volume":"8","author":"Adisasmita","year":"2008","journal-title":"BMC Pregnancy Childbirth"},{"issue":"7","key":"10.1016\/j.lanwpc.2021.100217_bib0026","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1007\/s10995-015-1673-6","article-title":"Maternal characteristics and clinical diagnoses influence obstetrical outcomes in Indonesia","volume":"19","author":"Adisasmita","year":"2015","journal-title":"Matern Child Health J"},{"issue":"1","key":"10.1016\/j.lanwpc.2021.100217_bib0027","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/j.1471-0528.2008.01913.x","article-title":"Estimation of population-based incidence of pregnancy-related illness and mortality (PRIAM) in two districts in West Java","volume":"116","author":"Ronsmans","year":"2009","journal-title":"Indonesia. BJOG."},{"issue":"10","key":"10.1016\/j.lanwpc.2021.100217_bib0028","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1111\/1471-0528.15818","article-title":"Severe maternal morbidity during delivery hospitalisation in a large international administrative database, 2008-2013: a retrospective cohort","volume":"126","author":"Lipkind","year":"2019","journal-title":"Bjog"},{"issue":"3","key":"10.1016\/j.lanwpc.2021.100217_bib0029","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1001\/jamapediatrics.2015.4276","article-title":"Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013: Findings From the Global Burden of Disease 2013 Study","volume":"170","author":"Kyu","year":"2016","journal-title":"JAMA Pediatrics."},{"issue":"7","key":"10.1016\/j.lanwpc.2021.100217_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(20)30229-1","article-title":"Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study","volume":"8","author":"Roberton","year":"2020","journal-title":"Lancet Glob Health"},{"issue":"5","key":"10.1016\/j.lanwpc.2021.100217_bib0031","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(18)30078-0","article-title":"Risk of maternal mortality in women with severe anaemia during pregnancy and post partum: a multilevel analysis","volume":"6","author":"Daru","year":"2018","journal-title":"Lancet Glob Health"},{"issue":"5","key":"10.1016\/j.lanwpc.2021.100217_bib0032","doi-asserted-by":"crossref","first-page":"e260","DOI":"10.1016\/S2214-109X(15)70094-X","article-title":"Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys","volume":"3","author":"Vogel","year":"2015","journal-title":"Lancet Glob Health"},{"issue":"1","key":"10.1016\/j.lanwpc.2021.100217_bib0033","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejogrb.2013.05.005","article-title":"Global and regional estimates of preeclampsia and eclampsia: a systematic review","volume":"170","author":"Abalos","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"8","key":"10.1016\/j.lanwpc.2021.100217_bib0034","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1056\/NEJM199708213370810","article-title":"The promise and problems of meta-analysis","volume":"337","author":"Bailar","year":"1997","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.lanwpc.2021.100217_bib0035","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1093\/oxfordjournals.aje.a117326","article-title":"Can meta-analysis be salvaged?","volume":"140","author":"Greenland","year":"1994","journal-title":"Am J Epidemiol"}],"container-title":["The Lancet Regional Health - Western Pacific"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666606521001267?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666606521001267?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:36:13Z","timestamp":1763001373000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666606521001267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":35,"alternative-id":["S2666606521001267"],"URL":"https:\/\/doi.org\/10.1016\/j.lanwpc.2021.100217","relation":{},"ISSN":["2666-6065"],"issn-type":[{"value":"2666-6065","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Severe maternal morbidity in the Asia Pacific: a systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"The Lancet Regional Health - Western Pacific","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.lanwpc.2021.100217","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100217"}}