| _version_ |
1860797557254389760
|
| building |
INTELEK Repository
|
| collection |
Online Access
|
| collectionurl |
https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072
|
| date |
2016-09-04 12:20:34
|
| format |
Restricted Document
|
| id |
13231
|
| institution |
UniSZA
|
| internalnotes |
1. Kaur J, Singh H. Maternal health in Malaysia: A review. Public Health. 2011; 2(12):WMC002599. 2. van Hanegem N, Miltenburg AS, Zwart JJ, Bloemenkamp KW, van Roosmalen J. Severe acute maternal morbidity in asylum seekers: A two-year nationwide cohort study in the Netherlands. Acta Obstet Gynecol Scand. 2011;90(9): 1010–6. doi:10.1111/j.1600-0412.2011.01140.x. 3. de Moraes AP, Barreto SM, Passos VM, Golino PS, Costa JE, Vasconcelos MX. Severe maternal morbidity: A case-control study in Maranhao, Brazil. BMC Reprod Health. 2013;10:11. doi:10.1186/1742-4755-10-11. 4. Lindquist A, Knight M, Kurinczuk JJ. Variation in severe maternal morbidity according to socioeconomic position: A UK national case-control study. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002742. 5. Liu S, Joseph KS, Hutcheon JA, Bartholomew S, Leon JA, Walker M, et al. Gestational age-specific severe maternal morbidity associated with labor induction. Am J Obstet Gynecol. 2013;209(3):209. doi:10.1016/j.ajog.2013.05.033. 6. van Mello NM, Zietse CS, Mol F, Zwart JJ, van Roosmalen J, Bloemenkamp KW, et al. Severe maternal morbidity in ectopic pregnancy is not associated with maternal factors but may be associated with quality of care. Fertil Steril. 2012;97(3):623–9. doi:10.1016/j.fertnstert.2011.12.021. 7. Oliveira Jr FC, Costa ML, Cecatti JG, Pinto e Silva JL, Surita FG. Maternal morbidity and near miss associated with maternal age: The innovative approach of the 2006 Brazilian demographic health survey. Clinics. 2013; 68(7):922–7. doi:10.6061/clinics/2013(07)06. 8. Gray KE, Wallace ER, Nelson KR, Reed SD, Schiff MA. Population-based study of risk factors for severe maternal morbidity. Paediatr Perinat Epidemiol. 2012;26(6):506–14. doi:10.1111/ppe.12011. 9. Simsek Y, Yilmaz E, Celik E, Aydogan MS, Celik O, Togal T. The major clinical determinants of maternal death among obstetric near-miss patients: A tertiary centre experience. J Pak Med Assoc. 2013;63(8):988–91. 10. Roost M, Altamirano VC, Liljestrand J, Essen B. Does antenatal care facilitate utilization of emergency obstetric care? A case-referent study of near-miss morbidity in Bolivia. Acta Obstet Gynecol Scand. 2010;89(3):335–42. doi:10.3109/00016340903511050. 11. van Dillen J, Zwart JJ, Schutte J, Bloemenkamp KW, van Roosmalen J. Severe acute maternal morbidity and mode of delivery in the Netherlands. Acta Obstet Gynecol Scand. 2010;89(11):1460–5. doi:10.3109/00016349.2010.519018. 12. Joseph KS, Rouleau J, Kramer MS, Young DC, Liston RM, Baskett TF. Investigation of an increase in postpartum haemorrhage in Canada. BJOG. 2007;114(6):751–9. doi:10.1111/j.1471-0528.2007.01316.x. 13. Say L, Souza JP, Pattinson RC. Maternal near miss - towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol. 2009;23(3):287–96. doi:10.1016/j.bpobgyn.2009.01.007. 14. WHO. Evaluating the quality of care for severe pregnancy complications: The WHO near-miss approach for maternal health. Geneva: World Health Organization; 2011. 15. Geller SE, Cox SM, Kilpatrick SJ. A descriptive model of preventability in maternal morbidity and mortality. J Perinatol. 2006;26(2):79–84. doi:10.1038/sj.jp.7211432. 16. Naing L. Microsoft Excel program for simple random sampling. Kubang Kerian: Universiti Sains Malaysia; 2004. 17. Galvao LP, Alvim-Pereira F, de Mendonca CM, Menezes FE, Gois KA, Ribeiro Jr RF, et al. The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil. BMC Pregnancy Childbirth. 2014;14(1):25. doi:10.1186/1471-2393-14-25. 18. WHO. Preterm birth. 2014. http://www.who.int/mediacentre/factsheets/ fs363/en/. Accessed 30 November 2014 . 19. MOH. Report of the meeting on national research priority setting in Family Health for the 10th Malaysian plan (2011-2015). Malaysia: Ministry of Health; 2009. 20. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization; 2000. 21. Dias MAB, Domingues RMSM, Schilithz AOC, Nakamura-Pereira M, Diniz CSG, Brum IR, et al. Incidence of maternal near miss in hospital childbirth and postpartum: Data from the birth in Brazil study. Cadernos De Saúde Pública. 2014;30 Suppl 1:S1–S12. 22. Halder A, Jose R, Vijayselvi R. Maternal mortality and derivations from the WHO near-miss tool: An institutional experience over a decade in Southern India. J Turk Ger Gynecol Assoc. 2014;15(4):222–7. doi:10.5152/jtgga.2014. 14076. 23. Rocha Filho EA, Costa ML, Cecatti JG, Parpinelli MA, Haddad SM, Sousa MH, et al. Contribution of antepartum and intrapartum hemorrhage to the burden of maternal near miss and death in a national surveillance study. Acta Obstet Gynecol Scand. 2015;94(1): 50–8. doi:10.1111/aogs.12529. 24. Bakshi RK, Roy D, Aggarwal P, Nautiyal R, Kakkar R. Demographic determinants of maternal “near-miss” cases in rural Uttarakhand. National Journal of Community Medicine. 2014;5(3):329–32. 25. Pacheco AJ, Katz L, Souza AS, de Amorim MM. Factors associated with severe maternal morbidity and near miss in the Sao Francisco Valley, Brazil: A retrospective, cohort study. BMC Pregnancy Childbirth. 2014;14(1):91. doi:10.1186/1471-2393-14-91. 26. Creanga AA, Bateman BT, Kuklina EV, Callaghan WM. Racial and ethnic disparities in severe maternal morbidity: A multistate analysis, 2008-2010. Am J Obstet Gynecol. 2014;210(5):e435. doi:10.1016/j.ajog.2013.11.039. 27. Kayem G, Kurinczuk J, Lewis G, Golightly S, Brocklehurst P, Knight M. Risk factors for progression from severe maternal morbidity to death: A national cohort study. PLoS One. 2011;6(12):e29077. doi:10.1371/journal.pone.0029077. 28. Goffman D, Madden RC, Harrison EA, Merkatz IR, Chazotte C. Predictors of maternal mortality and near-miss maternal morbidity. J Perinatol. 2007; 27(10):597–601. doi:10.1038/sj.jp.7211810. 29. Mazhar SB, Batool A, Emanuel A, Khan AT, Bhutta S. Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health. Int J Gynaecol Obstet. 2015;129(1):30–3. doi:10.1016/j.ijgo.2014.10.017. 30. Adeoye IA, Onayade AA, Fatusi AO. Incidence, determinants and perinatal outcomes of near miss maternal morbidity in Ile-Ife Nigeria: A prospective case control study. BMC Pregnancy Childbirth. 2013;13:93. doi:10.1186/1471-2393-13-93. 31. Donati S, Senatore S, Ronconi A. Obstetric near-miss cases among women admitted to intensive care units in Italy. Acta Obstet Gynecol Scand. 2012; 91(4):452–7. doi:10.1111/j.1600-0412.2012.01352.x. 32. Litorp H, Kidanto HL, Roost M, Abeid M, Nystrom L, Essen B. Maternal near-miss and death and their association with caesarean section complications: A crosssectional study at a university hospital and a regional hospital in Tanzania. BMC Pregnancy Childbirth. 2014;14(1):244. doi:10.1186/1471-2393-14-244. 33. Fridman M, Korst LM, Chow J, Lawton E, Mitchell C, Gregory KD. Trends in maternal morbidity before and during pregnancy in California. Am J Public Health. 2014;104 Suppl 1:S49–57. doi:10.2105/AJPH.2013.301583. 34. Todd CS, Mansoor GF, Haider S, Hashimy P, Mustafavi N, Nasir A, et al. A case-control study of correlates of severe acute maternal morbidity in Kabul, Afghanistan. Int J Gynaecol Obstet. 2015. doi:10.1016/j.ijgo.2015.02.035. 35. Camargo RS, Pacagnella RC, Cecatti JG, Parpinelli MA, Souza JP, Sousa MH. Subsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy. Clinics. 2011;66(8):1367–72. 36. Vogel JP, Lee AC, Souza JP. Maternal morbidity and preterm birth in 22 lowand middle-income countries: A secondary analysis of the WHO Global Survey dataset. BMC Pregnancy Childbirth. 2014;14:56. doi:10.1186/1471-2393-14-56. 37. Adeoye IA, Ijarotimi OO, Fatusi AO. What are the factors that interplay from normal pregnancy to near miss maternal morbidity in a Nigerian tertiary health care facility? Health Care Women Int. 2015;36(1):70–87. doi:10.1080/ 07399332.2014.943839. 38. de Bernis L, Dumont A, Bouillin D, Gueye A, Dompnier JP, Bouvier-Colle MH. Maternal morbidity and mortality in two different populations in Senegal: A prospective study (MOMA survey). BJOG. 2000;107(1):68–74. doi:10.1111/j. 1471-0528.2000.tb11581.x.
|
| originalfilename |
7540-01-FH02-FP-16-06457.jpg
|
| person |
norman
|
| recordtype |
oai_dc
|
| resourceurl |
https://intelek.unisza.edu.my/intelek/pages/view.php?ref=13231
|
| spelling |
13231 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=13231 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal image/jpeg inches 96 96 norman 52 52 775 1429 2016-09-04 12:20:34 1429x775 7540-01-FH02-FP-16-06457.jpg UniSZA Private Access Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study BMC Pregnancy and Childbirth Background: Knowledge on the factors associated with severe maternal morbidity enables a better understanding of the problem and serves as a foundation for the development of an effective preventive strategy. However, various definitions of severe maternal morbidity have been applied, leading to inconsistencies between studies. The objective of this study was to identify the sociodemographic characteristics, medical and gynaecological history, past and present obstetric performance and the provision of health care services as associated factors for severe maternal morbidity in Kelantan, Malaysia. Methods: A comparative cross-sectional study was conducted in two tertiary referral hospitals in 2014. Postpartum women with severe morbidity and without severe morbidity who fulfilled the inclusion and exclusion criteria were eligible as cases and controls, respectively. The study population included all postpartum women regardless of their age. Pregnancy at less than 22 weeks of gestation, more than 42 days after the termination of pregnancy and non-Malaysian citizens were excluded. Consecutive sampling was applied for the selection of cases and for each case identified, one unmatched control from the same hospital was selected using computer-based simple random sampling. Simple and multiple logistic regressions were performed using Stata Intercooled version 11.0. Results: A total of 23,422 pregnant women were admitted to these hospitals in 2014 and 395 women with severe maternal morbidity were identified, of which 353 were eligible as cases. An age of 35 or more years old [Adj. OR (95 % CI): 2.6 (1.67, 4.07)], women with past pregnancy complications [Adj. OR (95 % CI): 1.7 (1.00, 2.79)], underwent caesarean section deliveries [Adj. OR (95 % CI): 6.8 (4.68, 10.01)], preterm delivery [Adj. OR (95 % CI): 3.4 (1.87, 6.32)] and referral to tertiary centres [Adj. OR (95 % CI): 2.7 (1.87, 3.97)] were significant associated factors for severe maternal morbidity. Conclusions: Our study suggests the enhanced screening and monitoring of women of advanced maternal age, women with past pregnancy complications, those who underwent caesarean section deliveries, those who delivered preterm and the mothers referred to tertiary centres as they are at increased risk of severe maternal morbidity. Identifying these factors may contribute to specific and targeted strategies aimed at tackling the issues related to maternal morbidity. 16 1 BioMed Central Ltd. BioMed Central Ltd. 1-10 1. Kaur J, Singh H. Maternal health in Malaysia: A review. Public Health. 2011; 2(12):WMC002599. 2. van Hanegem N, Miltenburg AS, Zwart JJ, Bloemenkamp KW, van Roosmalen J. Severe acute maternal morbidity in asylum seekers: A two-year nationwide cohort study in the Netherlands. Acta Obstet Gynecol Scand. 2011;90(9): 1010–6. doi:10.1111/j.1600-0412.2011.01140.x. 3. de Moraes AP, Barreto SM, Passos VM, Golino PS, Costa JE, Vasconcelos MX. Severe maternal morbidity: A case-control study in Maranhao, Brazil. BMC Reprod Health. 2013;10:11. doi:10.1186/1742-4755-10-11. 4. Lindquist A, Knight M, Kurinczuk JJ. Variation in severe maternal morbidity according to socioeconomic position: A UK national case-control study. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002742. 5. Liu S, Joseph KS, Hutcheon JA, Bartholomew S, Leon JA, Walker M, et al. Gestational age-specific severe maternal morbidity associated with labor induction. Am J Obstet Gynecol. 2013;209(3):209. doi:10.1016/j.ajog.2013.05.033. 6. van Mello NM, Zietse CS, Mol F, Zwart JJ, van Roosmalen J, Bloemenkamp KW, et al. Severe maternal morbidity in ectopic pregnancy is not associated with maternal factors but may be associated with quality of care. Fertil Steril. 2012;97(3):623–9. doi:10.1016/j.fertnstert.2011.12.021. 7. Oliveira Jr FC, Costa ML, Cecatti JG, Pinto e Silva JL, Surita FG. Maternal morbidity and near miss associated with maternal age: The innovative approach of the 2006 Brazilian demographic health survey. Clinics. 2013; 68(7):922–7. doi:10.6061/clinics/2013(07)06. 8. Gray KE, Wallace ER, Nelson KR, Reed SD, Schiff MA. Population-based study of risk factors for severe maternal morbidity. Paediatr Perinat Epidemiol. 2012;26(6):506–14. doi:10.1111/ppe.12011. 9. Simsek Y, Yilmaz E, Celik E, Aydogan MS, Celik O, Togal T. The major clinical determinants of maternal death among obstetric near-miss patients: A tertiary centre experience. J Pak Med Assoc. 2013;63(8):988–91. 10. Roost M, Altamirano VC, Liljestrand J, Essen B. Does antenatal care facilitate utilization of emergency obstetric care? A case-referent study of near-miss morbidity in Bolivia. Acta Obstet Gynecol Scand. 2010;89(3):335–42. doi:10.3109/00016340903511050. 11. van Dillen J, Zwart JJ, Schutte J, Bloemenkamp KW, van Roosmalen J. Severe acute maternal morbidity and mode of delivery in the Netherlands. Acta Obstet Gynecol Scand. 2010;89(11):1460–5. doi:10.3109/00016349.2010.519018. 12. Joseph KS, Rouleau J, Kramer MS, Young DC, Liston RM, Baskett TF. Investigation of an increase in postpartum haemorrhage in Canada. BJOG. 2007;114(6):751–9. doi:10.1111/j.1471-0528.2007.01316.x. 13. Say L, Souza JP, Pattinson RC. Maternal near miss - towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol. 2009;23(3):287–96. doi:10.1016/j.bpobgyn.2009.01.007. 14. WHO. Evaluating the quality of care for severe pregnancy complications: The WHO near-miss approach for maternal health. Geneva: World Health Organization; 2011. 15. Geller SE, Cox SM, Kilpatrick SJ. A descriptive model of preventability in maternal morbidity and mortality. J Perinatol. 2006;26(2):79–84. doi:10.1038/sj.jp.7211432. 16. Naing L. Microsoft Excel program for simple random sampling. Kubang Kerian: Universiti Sains Malaysia; 2004. 17. Galvao LP, Alvim-Pereira F, de Mendonca CM, Menezes FE, Gois KA, Ribeiro Jr RF, et al. The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil. BMC Pregnancy Childbirth. 2014;14(1):25. doi:10.1186/1471-2393-14-25. 18. WHO. Preterm birth. 2014. http://www.who.int/mediacentre/factsheets/ fs363/en/. Accessed 30 November 2014 . 19. MOH. Report of the meeting on national research priority setting in Family Health for the 10th Malaysian plan (2011-2015). Malaysia: Ministry of Health; 2009. 20. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization; 2000. 21. Dias MAB, Domingues RMSM, Schilithz AOC, Nakamura-Pereira M, Diniz CSG, Brum IR, et al. Incidence of maternal near miss in hospital childbirth and postpartum: Data from the birth in Brazil study. Cadernos De Saúde Pública. 2014;30 Suppl 1:S1–S12. 22. Halder A, Jose R, Vijayselvi R. Maternal mortality and derivations from the WHO near-miss tool: An institutional experience over a decade in Southern India. J Turk Ger Gynecol Assoc. 2014;15(4):222–7. doi:10.5152/jtgga.2014. 14076. 23. Rocha Filho EA, Costa ML, Cecatti JG, Parpinelli MA, Haddad SM, Sousa MH, et al. Contribution of antepartum and intrapartum hemorrhage to the burden of maternal near miss and death in a national surveillance study. Acta Obstet Gynecol Scand. 2015;94(1): 50–8. doi:10.1111/aogs.12529. 24. Bakshi RK, Roy D, Aggarwal P, Nautiyal R, Kakkar R. Demographic determinants of maternal “near-miss” cases in rural Uttarakhand. National Journal of Community Medicine. 2014;5(3):329–32. 25. Pacheco AJ, Katz L, Souza AS, de Amorim MM. Factors associated with severe maternal morbidity and near miss in the Sao Francisco Valley, Brazil: A retrospective, cohort study. BMC Pregnancy Childbirth. 2014;14(1):91. doi:10.1186/1471-2393-14-91. 26. Creanga AA, Bateman BT, Kuklina EV, Callaghan WM. Racial and ethnic disparities in severe maternal morbidity: A multistate analysis, 2008-2010. Am J Obstet Gynecol. 2014;210(5):e435. doi:10.1016/j.ajog.2013.11.039. 27. Kayem G, Kurinczuk J, Lewis G, Golightly S, Brocklehurst P, Knight M. Risk factors for progression from severe maternal morbidity to death: A national cohort study. PLoS One. 2011;6(12):e29077. doi:10.1371/journal.pone.0029077. 28. Goffman D, Madden RC, Harrison EA, Merkatz IR, Chazotte C. Predictors of maternal mortality and near-miss maternal morbidity. J Perinatol. 2007; 27(10):597–601. doi:10.1038/sj.jp.7211810. 29. Mazhar SB, Batool A, Emanuel A, Khan AT, Bhutta S. Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health. Int J Gynaecol Obstet. 2015;129(1):30–3. doi:10.1016/j.ijgo.2014.10.017. 30. Adeoye IA, Onayade AA, Fatusi AO. Incidence, determinants and perinatal outcomes of near miss maternal morbidity in Ile-Ife Nigeria: A prospective case control study. BMC Pregnancy Childbirth. 2013;13:93. doi:10.1186/1471-2393-13-93. 31. Donati S, Senatore S, Ronconi A. Obstetric near-miss cases among women admitted to intensive care units in Italy. Acta Obstet Gynecol Scand. 2012; 91(4):452–7. doi:10.1111/j.1600-0412.2012.01352.x. 32. Litorp H, Kidanto HL, Roost M, Abeid M, Nystrom L, Essen B. Maternal near-miss and death and their association with caesarean section complications: A crosssectional study at a university hospital and a regional hospital in Tanzania. BMC Pregnancy Childbirth. 2014;14(1):244. doi:10.1186/1471-2393-14-244. 33. Fridman M, Korst LM, Chow J, Lawton E, Mitchell C, Gregory KD. Trends in maternal morbidity before and during pregnancy in California. Am J Public Health. 2014;104 Suppl 1:S49–57. doi:10.2105/AJPH.2013.301583. 34. Todd CS, Mansoor GF, Haider S, Hashimy P, Mustafavi N, Nasir A, et al. A case-control study of correlates of severe acute maternal morbidity in Kabul, Afghanistan. Int J Gynaecol Obstet. 2015. doi:10.1016/j.ijgo.2015.02.035. 35. Camargo RS, Pacagnella RC, Cecatti JG, Parpinelli MA, Souza JP, Sousa MH. Subsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy. Clinics. 2011;66(8):1367–72. 36. Vogel JP, Lee AC, Souza JP. Maternal morbidity and preterm birth in 22 lowand middle-income countries: A secondary analysis of the WHO Global Survey dataset. BMC Pregnancy Childbirth. 2014;14:56. doi:10.1186/1471-2393-14-56. 37. Adeoye IA, Ijarotimi OO, Fatusi AO. What are the factors that interplay from normal pregnancy to near miss maternal morbidity in a Nigerian tertiary health care facility? Health Care Women Int. 2015;36(1):70–87. doi:10.1080/ 07399332.2014.943839. 38. de Bernis L, Dumont A, Bouillin D, Gueye A, Dompnier JP, Bouvier-Colle MH. Maternal morbidity and mortality in two different populations in Senegal: A prospective study (MOMA survey). BJOG. 2000;107(1):68–74. doi:10.1111/j. 1471-0528.2000.tb11581.x.
|
| spellingShingle |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| summary |
Background: Knowledge on the factors associated with severe maternal morbidity enables a better understanding of the problem and serves as a foundation for the development of an effective preventive strategy. However, various definitions of severe maternal morbidity have been applied, leading to inconsistencies between studies. The objective of this study was to identify the sociodemographic characteristics, medical and gynaecological history, past and present obstetric performance and the provision of health care services as associated factors for severe maternal morbidity in Kelantan, Malaysia. Methods: A comparative cross-sectional study was conducted in two tertiary referral hospitals in 2014. Postpartum women with severe morbidity and without severe morbidity who fulfilled the inclusion and exclusion criteria were eligible as cases and controls, respectively. The study population included all postpartum women regardless of their age. Pregnancy at less than 22 weeks of gestation, more than 42 days after the termination of pregnancy and non-Malaysian citizens were excluded. Consecutive sampling was applied for the selection of cases and for each case identified, one unmatched control from the same hospital was selected using computer-based simple random sampling. Simple and multiple logistic regressions were performed using Stata Intercooled version 11.0. Results: A total of 23,422 pregnant women were admitted to these hospitals in 2014 and 395 women with severe maternal morbidity were identified, of which 353 were eligible as cases. An age of 35 or more years old [Adj. OR (95 % CI): 2.6 (1.67, 4.07)], women with past pregnancy complications [Adj. OR (95 % CI): 1.7 (1.00, 2.79)], underwent caesarean section deliveries [Adj. OR (95 % CI): 6.8 (4.68, 10.01)], preterm delivery [Adj. OR (95 % CI): 3.4 (1.87, 6.32)] and referral to tertiary centres [Adj. OR (95 % CI): 2.7 (1.87, 3.97)] were significant associated factors for severe maternal morbidity. Conclusions: Our study suggests the enhanced screening and monitoring of women of advanced maternal age, women with past pregnancy complications, those who underwent caesarean section deliveries, those who delivered preterm and the mothers referred to tertiary centres as they are at increased risk of severe maternal morbidity. Identifying these factors may contribute to specific and targeted strategies aimed at tackling the issues related to maternal morbidity.
|
| title |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| title_full |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| title_fullStr |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| title_full_unstemmed |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| title_short |
Factors associated with severe maternal morbidity in Kelantan, Malaysia: A comparative cross-sectional study
|
| title_sort |
factors associated with severe maternal morbidity in kelantan, malaysia: a comparative cross-sectional study
|