{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:57:55Z","timestamp":1787065075823,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"s1","license":[{"start":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T00:00:00Z","timestamp":1395100800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,3]]},"abstract":"\n Objective<\/jats:title>\n To summarise individual and institutional characteristics of abortion\u2010related severe maternal outcomes reported at health facilities.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n Secondary analysis of data from the\n WHO M<\/jats:styled-content>\n ulticountry\n S<\/jats:styled-content>\n urvey on\n M<\/jats:styled-content>\n aternal and\n N<\/jats:styled-content>\n ewborn\n H<\/jats:styled-content>\n ealth.\n <\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n 85 health facilities in 23 countries.<\/jats:p>\n <\/jats:sec>\n \n Sample<\/jats:title>\n 322 women with abortion\u2010related severe maternal outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Frequency distributions and comparisons of differences in characteristics between cases of maternal near miss and death using\n F<\/jats:styled-content>\n isher's exact tests of association.\n <\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Individual and institutional characteristics and frequencies of potentially life\u2010threatening conditions, and interventions provided to women with severe maternal outcomes, maternal near miss, and maternal death.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Most women with abortion\u2010related severe maternal outcomes (\n SMO<\/jats:styled-content>\n s) were 20\u201334\u00a0years old (65.2%), married or cohabitating (92.3%), parous (84.2%), and presented with abortions resulting from pregnancies at less than 14\u00a0weeks of gestation (67.1%). The women who died were younger, more frequently without a partner, and had abortions at \u226514\u00a0weeks of gestation, compared with women with maternal near miss (\n MNM<\/jats:styled-content>\n ). Curettage was the most common mode of uterine evacuation. The provision of blood products and therapeutic antibiotics were the most common other interventions recorded for all women with abortion\u2010related\n SMO<\/jats:styled-content>\n s; those who died more frequently had antibiotics, laparotomy, and hysterectomy, compared with women with\n MNM<\/jats:styled-content>\n . Although haemorrhage was the most common cause of abortion\u2010related\n SMO<\/jats:styled-content>\n , infection (alone and in combination with haemorrhage) was the most common cause of death.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n This analysis affirms a number of previously observed characteristics of women with abortion\u2010related severe morbidity and mortality, despite the fact that facility\u2010based data on abortion\u2010related\n SMO<\/jats:styled-content>\n suffers a number of limitations.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.12689","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T07:53:38Z","timestamp":1395129218000},"page":"25-31","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Overview of abortion cases with severe maternal outcomes in the\n WHO M<\/scp>\n ulticountry\n S<\/scp>\n urvey on\n M<\/scp>\n aternal and\n N<\/scp>\n ewborn\n H<\/scp>\n ealth: a descriptive analysis"],"prefix":"10.1111","volume":"121","author":[{"given":"M","family":"Dragoman","sequence":"first","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) World Health Organization Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WR","family":"Sheldon","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Blum","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects New York NY 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