OBJECTIVE To evaluate the risk factors for severe maternal outcome (SMO) in Afghan immigrant women. MATERIAL AND METHODS Women with potentially life-threatening conditions (PLTC) were selected. Then risk factors for those PLTC which led to SMO (maternal near- miss or maternal death) were evaluated. In addition, risk factors for those SMOs who had SMO on hospital admission or during the first 12 hours after admission to the hospital (SMO12) were evaluated. RESULTS Parity ≥3 (AOR=3.24, CI 95% 1.62-6.50, P= 0.03), low literacy level in mother (AOR=2.99, CI95% 1.16- 5.01, P= 0.03), inadequate antenatal care (AOR=2.74 , CI95% 1.2-3.87, P= 0.01), multigravidity [ gravidity ≥5 (AOR=2.62 ,CI 95% 1.31-4.53, P= 0.03], lack of health insurance (AOR=2.52, CI95% 1.25-4.02, P= 0.01), and low literacy level in husband (AOR=1.49; CI95% 1.15-2.9, P= 0.02), were the risk factors for SMO in women with PLTC respectively. Inadequate antenatal care (AOR=4.2, CI 95% 2.05-8.25, P= 0.04), low literacy level in mother (AOR=3.38, CI 95% 1.32- 6.65, P=0.04), parity ≥3 (AOR=2.69, CI 95% 1.16-4.7, P= 0.04), and lack of health insurance (AOR=2.13, CI 95% 1.25-3.67, P= 0.03), were risk factors for SMO12. CONCLUSION There was a higher rate of SMO and SMO12 cases among Afghan immigrant women.
Severe maternal outcome (SMO) in Afghan Immigrant Women; A Study in Tehran, Iran.