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Table 4 Estimates of the Prevalence of Severe Maternal Morbidity in Asia

From: A global view of severe maternal morbidity: moving beyond maternal mortality

Article

Country

Setting

Definition of SMM

Estimated Prevalencea

Leading Causes

Bolnga 2017 [96]

Papua New Guinea

Provincial hospital, Madang Province

Modified WHO

25.4

Hemorrhage

Goldenberg 2017 [51]

India

18 primary health centers, 3 tertiary hospitals and 8 secondary hospitals Belagavi

Modified WHO

28.1b

Not reported by country

Goldenberg 2017

India

20 primary health centers, 10 tertiary hospitals and 129 secondary hospitals, Nagpur

Modified WHO

4.4b

Not reported by country

Goldenberg 2017

Pakistan

47 primary health clinics, 25 secondary care facilities and 3 referral hospitals, Thatta district

Modified WHO

81.9b

Not reported by country

Kalra 2014 [97]

India

Tertiary hospital, Rajasthan

Geller et al. 2004

4.8

Hemorrhage, hypertensive disorders

Khan 2017 [98]

India

Tertiary referral hospital, New Delhi

Geller et al. 2004, Pattinson et al. 2003, ICD-10

14

Hemorrhage, hypertensive disorders, anemia

Luexay 2014 [99]

Laos

Community survey, Sayaboury province

WHO

9.8

Hemorrhage, hypertensive disorders

Mazhar 2015 [100]

Pakistan

16 government hospitals

WHO

7.0

Hemorrhage, hypertensive disorders, uterine rupture

Norhayati 2016 [101]

Malaysia

2 tertiary hospitals, Kelantan

WHO

2.2

Hemorrhage, hypertensive disorders

Roopa 2013 [102]

India

Tertiary referral hospital, Manipal

WHO

17.8

Hemorrhage, hypertensive disorders, sepsis

Pandey 2014 [55]

India

Medical college hospital, Uttar Predesh

WHO

120

Hemorrhage, hypertensive disorders, anemia

Purandare 2014 [60]

India

6 medical college hospitals

Pregnancy-specific disorders.

Pre-existing disorders aggravated during pregnancy, Pregnancy-specific medical disorders, Incidental and accidental causes that occurred in pregnancy

9.6

Hemorrhage

Rana 2013 [103]

Nepal

9 tertiary hospitals, Kathmandu

WHO

3.8

Hemorrhage, hypertensive disorders

Shen 2013 [104]

China

Private tertiary hospital, Suzhou

WHO

4

Hemorrhage, hypertensive disorders

Shrestha 2010 [105]

Nepal

Tertiary hospital, Kathmandu

Geller et al. 2004

23.1b

Hemorrhage, hypertensive disorders

Siddiqui 2012 [106]

Pakistan

Public tertiary hospital, Karachi

Modified Waterstone et al. 2001

77

Hemorrhage, hypertensive disorders, uterine rupture

Tan 2015 [107]

China

8 hospital, Sichuan province

Hemorrhage, hypertensive disorders, uterine rupture, interventional radiology, blood transfusions, laparotomy, ICU admission, multiple organ dysfunction syndromes

43.4

Did not report

Tanimia 2016 [108]

Papua New Guinea

National referral hospital, Port Moresby

Modified WHO

9.1

Hemorrhage, hypertensive disorders, infection

  1. aper 1000 live births
  2. bper 1000 deliveries