{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:16:32Z","timestamp":1773285392061,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T00:00:00Z","timestamp":1556841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the prevalence of life\u2010threatening complications related to pregnancies with abortive outcome and the associated health service events and performance in Nigerian public tertiary hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary analysis of a nationwide cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Forty\u2010two tertiary hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women admitted for pregnancy\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All cases of severe maternal outcomes (<jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>: maternal near\u2010miss or death) due to abortive pregnancy complications (defined as spontaneous or induced abortion, and ectopic pregnancy) were prospectively identified over 1\u00a0year using uniform identification criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Prevalence of <jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>, mortality index (% maternal death\/<jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>), case fatality rate, time until death after admission, and health service performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 5779 women admitted with abortive pregnancy complications, 444 (7.9%) experienced an <jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content>: 366 maternal near\u2010misses and 78 maternal deaths. Intra\u2010hospital maternal mortality ratio from complicated abortive pregnancy outcome was 85\/100\u00a0000 live births. Case fatality rate was worst for abortion\u2010related infections (19.1%). A quarter of maternal deaths occurred on the same day of admission; however, the peak time of occurrence of death was 3\u20137\u00a0days of admission. Women experiencing cardiovascular, renal or coagulation organ dysfunction were less likely to survive. Higher level of maternal education and closer residence to a health facility improved chance of maternal survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Abortive outcome remains a major contributor to <jats:styled-content style=\"fixed-case\">SMO<\/jats:styled-content> in Nigeria. Although early hospital presentation by women is critical to surviving abortive pregnancy complications, improved, appropriate, and timely management is essential to enhance maternal survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>78 maternal deaths and 366 near\u2010misses occurred from abortions and ectopic pregnancies in 42 Nigerian referral hospitals in 1\u00a0year.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15699","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T13:56:10Z","timestamp":1556891770000},"page":"33-40","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Maternal near\u2010miss and death associated with abortive pregnancy outcome: a secondary analysis of the Nigeria Near\u2010miss and Maternal Death 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