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Table 5 Severe maternal outcomes, near miss indicators and facility-related indicators, including 95 % confidence intervals

From: Maternal Near Miss and quality of care in a rural Rwandan hospital

Maternal outcomes and indicatorsa Value
Severe maternal outcomes (SMO) cases (n) 99
 Cases of maternal death (n) 13
 Cases of maternal near miss (n) 86
Overall near miss indicators
cSevere maternal outcome ratio (per 1000 live births) 24.8 (20.3–30.1)b
 Maternal near miss incidence ratio (per 1000 live births) 21.5 (17.3–26.5)b
dMaternal near miss mortality ratio 7:1
eMortality index 13.1 % (7.3–21.9)
Hospital access indicatorsb
 SMO cases presenting with organ dysfunction or maternal death within 12 h of hospital stay (SM012) (n) 79
 Percentage of SM012 cases among all SMO cases 79.8 (63.6–98.9)
 Percentage of SM012 cases coming from other health facilities 77.8 (61.8–96.7)
 SM012 mortality index 8.1 (3.6–16.1)
Intra-hospital care
 Intra-hospital SMO cases of organ dysfunction or maternal death after 12 h of hospital stay 32
 Rate of intra-hospital SMO (per 1000 live births) 8.0 (5.6–11.2)
 Intra-hospital mortality index 15.8 (6.4–32.8)
Intensive care useda
 Percentage of ICU admission 1.4 (1.1–1.8)
 Percentage of ICU admission among women with SMO 28.3 (19.2–40.3)
 Percentage of SMO among women admitted to ICU 73.8 (54.5–97.8)
 Percentage of maternal deaths occurred without ICU admission 46.2 (18.7–96)
  1. Abbreviations: ICU intensive care unit or admission also included women who stayed in the recovery room on the labor ward for longer than 6 h, SMO severe maternal outcome
  2. aBased on data from all women (n = 4353)
  3. bThe denominator for these 2 indicators is ‘live births’ (n = 3994)
  4. cSMOR Severe Maternal Outcome Ratio: the number of women with life-threatening conditions (MNM+ MD) per 1000 live births (LB). This indicator gives an estimate of the amount of care and resources that would be needed in an area or facility (SMOR = MNM + MD/LB) [10]
  5. dMNMR Maternal near miss mortality ratio: the number of maternal near miss cases per 1000 live births (MNMR = MNM/LB). Similarly to the SMOR, this indicator gives an estimation of the amount of care and resources that would be needed in an area or facility [10]
  6. eMortality Index (MI): the number of maternal deaths divided by the number of women with life-threatening conditions expressed as a percentage (MI = MD/MNM + MD). The higher the index the more women with life-threatening conditions die (low quality of care), whereas the lower the index the fewer the women with life-threatening conditions die (better quality of care) [10]