{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:43:16Z","timestamp":1788327796252,"version":"build-2803163510"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study seeks to examine the prevalence of maternal morbidities and deaths in Ayder Comprehensive Specialized Hospital from 1 July 2018 to 30 June 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a cross-sectional study. Total purposive sampling method was employed to collect data prospectively using modified World Health Organization criteria for baseline assessment of maternal near-miss and mortality. Pregnant women or those who are within 42\u2009days postpartum\/any form of pregnancy termination that satisfy the inclusion criteria were enrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 691 mothers were recorded as having severe maternal complications. Out of these, 170 women developed severe maternal outcome, ending with 146 maternal near-miss cases and 24 maternal deaths. The maternal near-miss ratio and maternal mortality ratio were 28.5 per 1000 live births and 469.1 per 100,000 live births, respectively. The overall mortality index was 14%. The top underlying causes of severe maternal complications were the infamous triads of preeclampsia (n\u2009=\u2009303, 43.8%), obstetric hemorrhage (n\u2009=\u2009166, 24.0%) and sepsis (n\u2009=\u2009130, 18.8%). About 62.5% of mothers who died were not admitted to intensive care unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study found that the infamous triads of preeclampsia, obstetric hemorrhage and sepsis persist as the commonest causes of severe maternal complications in the study area. A significant number of women with severe maternal outcome were not admitted to intensive care unit. It also highlights that the severe maternal complications, severe maternal outcome, maternal near-miss ratio and mortality index in the study area are disproportionately higher than the global average. These staggering numbers call for a system re-thinking at multiple junctures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057221078739","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T00:08:01Z","timestamp":1645661281000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Maternal near-miss and mortality in a teaching hospital in Tigray region, Northern Ethiopia"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0968-4627","authenticated-orcid":false,"given":"Hale","family":"Teka","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Mekelle University, Mekelle, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awol","family":"Yemane","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Mekelle University, Mekelle, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yibrah","family":"Berhe Zelelow","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Mekelle University, Mekelle, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habtom","family":"Tadesse","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Mekelle University, Mekelle, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadgay","family":"Hagos","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Mekelle University, Mekelle, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,23]]},"reference":[{"key":"bibr1-17455057221078739","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-213"},{"key":"bibr2-17455057221078739","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.071001"},{"key":"bibr3-17455057221078739","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195711"},{"key":"bibr4-17455057221078739","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12219"},{"key":"bibr5-17455057221078739","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69384-7"},{"key":"bibr6-17455057221078739","unstructured":"World Health Organization. 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