article · BMC Pregnancy and Childbirth
A study at the Regional Hospital Bamenda examined the prevalence and drivers of maternal near-miss events, which occur when women survive life-threatening complications during pregnancy, childbirth, or within 42 days of delivery. Over a three-month period involving 725 live births, 44 women experienced near-miss events, representing a prevalence of 60.7 per 1,000 live births. Among 252 enrolled women, the primary clinical causes were severe haemorrhage and severe pre-eclampsia. Statistical analysis revealed that attending antenatal care visits significantly decreased the likelihood of experiencing a maternal near-miss event. Conversely, patients who were referred from other facilities faced substantially higher odds of near-miss complications. These findings highlight an elevated rate of severe maternal complications at the hospital, alongside the protective value of routine antenatal consultations.
Understanding maternal near-miss events helps healthcare systems assess care quality and prevent pregnancy-related deaths. The high prevalence observed compared to global averages indicates severe clinical challenges in this setting. Pinpointing critical risk factors, such as lack of antenatal care and emergency referrals, enables healthcare managers to design targeted clinical interventions, reinforce primary care visits, and improve transfer protocols to save lives.
The abstract does not indicate an application pathway.
AI-generated from the published abstract. Always read the original work before citing.
Maternal Near Miss (MNM) is a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days after childbirth. It assesses and monitors the activities aimed at the prevention of maternal mortality. A 2019 systematic review estimated the global prevalence of MNM at 18.67 per 1000 live births. This study aimed to determine the prevalence of maternal near miss and the associated factors at the Regional Hospital Bamenda. A hospital-based cross-sectional study was conducted for a period of three months at the Regional Hospital Bamenda. Data were collected from women who were admitted during pregnancy, childbirth or within 42 days after the termination of pregnancy using a structured pretested questionnaire. Data collected were analysed using R studio. Descriptive analysis was done followed by bivariate and multivariable logistic regression. Chi-squared test was used to determine the strength of association between variables. Statistical significance was considered at a p value < 0.05 and confidence interval of 95%. Among the 725 live births occurring during the study period, 44 women experienced maternal near-miss events, yielding a maternal near miss prevalence of 60.7 per 1000 live births. Of 252 women enrolled in the study, severe haemorrhage and severe pre-eclampsia were the leading causes of MNM. After multivariable logistic regression analysis, ANC follow-up was independently associated with reduced odds of maternal near-miss (aOR = 0.04, 95% CI: 0.01–0.11), while referral was associated with increased odds of maternal near-miss (aOR = 4.16, 95% CI: 1.85–9.59). There was a high prevalence of maternal near-miss at the Regional Hospital Bamenda. Women with no ANC follow-up and women referred were at risk of having maternal near-miss.
This page summarises published work. The authoritative version sits with the publisher.
DOI: 10.1186/s12884-026-09795-7
Is something wrong with this record? Report it or request removal.
Discussion
Have you built on this work, tried to replicate it, or seen it applied in practice? Share what you know. Verified researchers and MARATTO™ domain experts can open a discussion, and any member can reply. Contributions are reviewed before they appear.
No discussion yet. Open the first thread.
New to MARATTO™? Create a free account.
