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Table 4 Healthcare services related characteristics

From: Determinants of maternal near miss events among women admitted to tertiary hospitals in Mogadishu, Somalia: a facility-based case–control study

  

Maternal Near-miss status

  

Maternal health service-related characteristics

N (%)

Near-miss

(n = 178)

Non-near-miss

(n = 355)

Odds Ratio (95% Cl)

P Value

ANC* Attendance

 Yes

394(73.9)

108(60.7)

286(80.6)

Ref

 

 No

139(26.1)

70(39.3)

69(19.4)

2.687(1.802–4.006)

 < 0.001*

Birth Preparedness

     

 Yes

364(68.3)

82(46.1)

282(79.4)

Ref

 

 No

169(31.7)

96(53.9)

73(20.6)

4.523(3.058–6.688)

 < 0.001*

Place of Last Delivery

 Health facility

392(73.5)

92(52.8)

298(83.9)

Ref

 

 Home

141(26.5)

84(47.2)

57(16.1)

4.672(3.105–7.029)

 < 0.001*

Knowledge of danger signs

 Yes

258(48.4)

93(52.2)

165(46.5)

1.260(0.879–1.807)

0.209

 No

275(51.6)

85(47.8)

190(53.5)

Ref

 

Means of transportation

 Ambulance

45(8.4)

25(14.0)

20(5.6)

1.176(0.478–2.897)

0.724

 Private transport

326(61.2)

89(50.0)

237(66.8)

0.353(0.171–0.730)

0.005*

 On foot

129(24.2)

47(26.4)

82(23.1)

0.539(0.249–1.166)

0.117

 Other

33(6.2)

17(9.6)

16(4.5)

Ref

 

Referred by

 Self

444(83.3)

122(68.5)

322(90.7)

4.479(2.777–7.223)

 < 0.001*

 Health facility

89(16.7)

56(31.5)

33(9.3)

Ref

 

Autonomy in seeking medical help

 Yes

45(8.4)

6(3.4)

39(11.0)

Ref

 

 No

488(91.6)

172(96.6)

316(89.0)

3.538(1.468–8.524)

0.005*

Fist Delay (decision to seek medical help took > 24 h)

 Yes

31(5.8)

13(7.3)

18(5.1)

1.475(0.706–3.083)

0.301

 No

502(94.2)

165(92.7)

337(94.9)

Ref

 

Second Delay (time to reach to the facility took more than 60 min)

 Yes

321(60.2)

123(69.1)

198(55.8)

1.773(1.212–2.595)

0.003*

 No

212(39.8)

55(30.9)

157(44.2)

Ref

 

Third Delay (time to receive required health service took 60 min)

 Yes

423(79.4)

138(77.5)

285(80.3)

1.180(0.761–1.830)

0.459

 No

110(20.6)

40(22.5)

70(19.7)

Ref

 

Last birth outcome

 Live birth

486(91.2)

145(81.5)

341(96.1)

Ref

 

 Stillbirth

47(8.8)

33(18.5)

14(3.9)

5.543(2.880–10.668)

 < 0.001*

  1. *ANC Ante natal care