{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:14Z","timestamp":1777944914441,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"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":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Maternal near-miss refers to a woman who nearly died but survived complications in pregnancy, childbirth, or within 42\u2009days of termination of pregnancy. The study of maternal near-miss has become essential for improving the quality of obstetric care. The objective of this study was to identify the determinants of maternal near-miss among women admitted to major private hospitals in eastern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>An unmatched nested case\u2013control study was conducted in major private hospitals in eastern Ethiopia from 5 March to 31 March 2020. Cases were women who fulfilled the sub-Saharan African maternal near-miss criteria and those admitted to the same hospitals but discharged without any complications under the sub-Saharan African maternal near-miss tool were controls. For each case, three corresponding women were randomly selected as controls. Factors associated with maternal near-misses were analyzed using binary and multiple logistic regressions with an adjusted odds ratio along with a 95% confidence interval. Finally, p-value\u2009&lt;\u20090.05 was considered as a cut-off point for the significant association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 432 women (108 cases and 324 controls) participated in the study. History of prior cesarean section (AOR\u2009=\u20094.33; 95% CI\u2009=\u20092.36\u20137.94), anemia in index pregnancy (AOR\u2009=\u20094.38; 95% CI\u2009=\u20092.43\u20137.91), being\u2009\u2a7e\u200935\u2009years of age (AOR\u2009=\u20092.94; 95% CI\u2009=\u20091.37\u20136.24), not attending antenatal care (AOR\u2009=\u20093.11; 95% CI\u2009=\u20091.43\u20136.78), and history of chronic medical disorders (AOR\u2009=\u20092.18; 95% CI\u2009=\u20091.03\u20134.59) were independently associated with maternal near-miss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Maternal age\u2009\u2a7e\u200935\u2009years, had no antenatal care, had prior cesarean section, being anemic in index pregnancy, and have history of chronic medical disorders were the determinants of maternal near-miss. Improving maternal near-misses requires strengthening antenatal care (including supplementation of iron and folic acid to reduce anemia) and prioritizing women with a history of chronic medical illnesses. Interventions for preventing primary cesarean sections are crucial in this era of the cesarean epidemic to minimize its effect on maternal near-miss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455065211061949","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T14:42:34Z","timestamp":1638283354000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Determinants of maternal near-miss in private hospitals in eastern Ethiopia: A nested case\u2013control study"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7216-6283","authenticated-orcid":false,"given":"Shegaw","family":"Geze Tenaw","sequence":"first","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3858-190X","authenticated-orcid":false,"given":"Sagni","family":"Girma Fage","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0341-2329","authenticated-orcid":false,"given":"Nega","family":"Assefa","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-7523","authenticated-orcid":false,"given":"Abera","family":"Kenay Tura","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"},{"name":"Department of Obstetrics and Gynecology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"bibr1-17455065211061949","unstructured":"World Health Organization. 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