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Table 3 Outcome indicators

From: Maternal near miss and mortality in a rural referral hospital in northern Tanzania: a cross-sectional study

Outcomes

Near-miss indicators

  All live births in the hospital (n)

9136

Severe maternal outcomes

 

  Maternal deaths (n)

32

  Maternal near miss cases (n)

216

  Women with life-threatening conditions (WLTC) (n)

248

Overall near miss indicators

 

Severe maternal outcome ratio (SMOR) (per 1,000 live births)

27.1

Maternal near miss incidence ratio (per 1,000 live births)

23.6

Maternal near miss mortality ratio

6.75

Case fatality rate (%)

12.9%

Hospital access indicators

 

WLTC at hospital arrival (n)

172

Proportion WLTC at arrival among all WLTC (%)

69.4%

Proportion of WLTC at arrival coming from other hospitals (%)

20.9%

WLTC at arrival mortality index (%)

7.6%

Intra hospital care indicators

 

Intra hospital WLTC cases (n)

76

Intra hospital WLTC rate (per 1,000 live births)

8.32

Intra hospital mortality index (%)

5.3%

  1. Live birth (LB): the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which, after such separation, breathes or shows any other evidence of life. Each product of such a birth is considered live born.
  2. Women with life-threatening conditions (WLTC): the sum of maternal near miss and maternal deaths. (WLTC = MNM + MD).
  3. Severe Maternal Outcome Ratio (SMOR): the number of women with life‒threatening conditions per 1,000 live births. [SMOR = (MNM + MD)/LB].
  4. MNM incidence ratio: the number of maternal near miss cases per 1,000 live births. [MNM IR = MNM/LB].
  5. Maternal near miss : mortality ratio: the proportion between maternal near miss cases and maternal deaths. [MNM : 1 MD].
  6. Case fatality Rate: the number of maternal deaths divided by the number of women with life-threatening conditions, expressed as a percentage. [CFR = MD/(MNM + MD)].
  7. WLTC at hospital arrival: the number of women with life‒threatening conditions who are ill on arrival.
  8. Proportion WLTC at arrival among all WLTC: the number of WLTC who are ill on arrival divided by the total number of WLTC.
  9. Proportion of WLTC at arrival coming from other hospitals: the number of WLTC who are ill on arrival and coming from another hospital divided by the total number of WLTC at arrival.
  10. WLTC at arrival mortality index: the maternal deaths within 24 hours after arrival (MD24) divided by the number of women with life-threatening conditions who were ill on arrival, expressed as percentage. [WLTC at arrival MI = MD24/(WLTC at arrival)].
  11. Intra hospital WLTC cases: the number of women with life-threatening conditions who developed these life-threatening conditions in the hospital.
  12. Intra hospital WLTC rate (per 1000 live births): the number of women with life-threatening conditions who developed these life-threatening conditions in the hospital per 1000 live births.
  13. Intra hospital mortality index: the number of maternal deaths who were not ill on arrival, divided by the number of women with life-threatening conditions who were not ill on arrival, expressed as percentage.