Jentashapir Journal of Health Research

Published by: Kowsar

Severe Maternal Morbidity and Near Misses in Two Tertiary Referral Hospitals in Iran

Mahvash Zargar 1 , * , Javad Marfou 1 , Azam Afrakhteh 1 and Nahal Nasehi 1
Authors Information
1 Fertility, Infertility and Perinatology Research Center, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Article information
  • Jentashapir Journal of Health Research: April 01, 2015, 6 (2); e25886
  • Published Online: April 25, 2015
  • Article Type: Research Article
  • Received: December 7, 2014
  • Accepted: March 12, 2015
  • DOI: 10.5812/jjhr.6(2)2015.25886

To Cite: Zargar M, Marfou J, Afrakhteh A, Nasehi N. Severe Maternal Morbidity and Near Misses in Two Tertiary Referral Hospitals in Iran, Jentashapir J Health Res. 2015 ; 6(2):e25886. doi: 10.5812/jjhr.6(2)2015.25886.

Copyright © 2015, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
3. Patients and Methods
4. Results
5. Discussion
  • 1. World health statistics. 2009;
  • 2. National Maternal Mortality Study. 1992-1993;
  • 3. Oona C, Reginald G, Adel H, Nahed M, Bothina E. National maternal mortality ratio in Egypt halved between 1992–93 and 2000. 2005;
  • 4. Stones W, Lim W, Al-Azzawi F, Kelly M. An investigation of maternal morbidity with identification of life-threatening 'near miss' episodes. Health Trends. 1991; 23(1): 13-5[PubMed]
  • 5. Souza JP, Cecatti JG, Parpinelli MA, de Sousa MH, Serruya SJ. [Systematic review of near miss maternal morbidity]. Cad Saude Publica. 2006; 22(2): 255-64[PubMed]
  • 6. Ronsmans CVF. Reviewing maternal deaths and complications to make pregnancy safer. 2004;
  • 7. Pattinson RC, Hall M. Near misses: a useful adjunct to maternal death enquiries. Br Med Bull. 2003; 67: 231-43[PubMed]
  • 8. Amaral E, Luz AG, Souza JPD. A morbidade materna grave na qualificacao da assistencia: utopia ou necessidade? Braz J Obstet Gynecol . 2007; 29(9)[DOI]
  • 9. Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Br J Obstet Gynaecol. 1998; 105(9): 985-90[PubMed]
  • 10. Waterstone M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case-control study. BMJ. 2001; 322(7294): 1089-93[PubMed]
  • 11. Pattinson R, Say L, Souza JP, Broek N, Rooney C, W. H. O. Working Group on Maternal Mortality , et al. WHO maternal death and near-miss classifications. Bull World Health Organ. 2009; 87(10): 734[PubMed]
  • 12. Prual A, Bouvier-Colle MH, de Bernis L, Breart G. Severe maternal morbidity from direct obstetric causes in West Africa: incidence and case fatality rates. Bull World Health Organ. 2000; 78(5): 593-602[PubMed]
  • 13. Baskett TF, Sternadel J. Maternal intensive care and near-miss mortality in obstetrics. Br J Obstet Gynaecol. 1998; 105(9): 981-4[PubMed]
  • 14. Dias de Souza JP, Duarte G, Basile-Filho A. Near-miss maternal mortality in developing countries. Eur J Obstet Gynecol Reprod Biol. 2002; 104(1): 80[PubMed]
  • 15. Say L, Pattinson RC, Gülmezoglu AM. WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 2004; 1(1): 3[DOI]
  • 16. Trends in maternal mortality WHO Library Cataloguing in publication Data 1990-2008. 2010;
  • 17. Souza JP, Cecatti JG, Parpinelli MA, Serruya SJ, Amaral E. Appropriate criteria for identification of near-miss maternal morbidity in tertiary care facilities: a cross sectional study. BMC Pregnancy Childbirth. 2007; 7: 20[DOI][PubMed]
  • 18. de Souza JP, Cecatti JG. The near-miss maternal morbidity scoring system was tested in a clinical setting in Brazil. J Clin Epidemiol. 2005; 58(9): 962[DOI][PubMed]
  • 19. Luz AG, Tiago DB, Silva JC, Amaral E. [Severe maternal morbidity at a local reference university hospital in Campinas, Sao Paulo, Brazil]. Rev Bras Ginecol Obstet. 2008; 30(6): 281-6[PubMed]
  • 20. Amorim MM, Katz L, Valenca M, Araujo DE. [Severe maternal morbidity in an obstetric ICU in Recife, Northeast of Brasil]. Rev Assoc Med Bras. 2008; 54(3): 261-6[PubMed]
  • 21. Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy Childbirth. 2008; 8: 10[DOI][PubMed]
  • 22. Reichenheim ME, Zylbersztajn F, Moraes CL, Lobato G. Severe acute obstetric morbidity (near-miss): a review of the relative use of its diagnostic indicators. Arch Gynecol Obstet. 2009; 280(3): 337-43[DOI][PubMed]
  • 23. Filippi V, Ronsmans C, Gohou V, Goufodji S, Lardi M, Sahel A, et al. Maternity wards or emergency obstetric rooms? Incidence of near-miss events in African hospitals. Acta Obstet Gynecol Scand. 2005; 84(1): 11-6[DOI][PubMed]
  • 24. Oladapo OT, Sule-Odu AO, Olatunji AO, Daniel OJ. "Near-miss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005; 2: 9[DOI][PubMed]
  • 25. Roost M, Altamirano VC, Liljestrand J, Essen B. Priorities in emergency obstetric care in Bolivia--maternal mortality and near-miss morbidity in metropolitan La Paz. BJOG. 2009; 116(9): 1210-7[DOI][PubMed]
  • 26. Mustafa R, Hashmi H. Near-miss obstetrical events and maternal deaths. J Coll Physicians Surg Pak. 2009; 19(12): 781-5[PubMed]
  • 27. Almerie Y, Almerie MQ, Matar HE, Shahrour Y, Al Chamat AA, Abdulsalam A. Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study. BMC Pregnancy Childbirth. 2010; 10: 65[DOI][PubMed]
  • 28. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams obstetrics. 2010;
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