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Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria

INTRODUCTION: Risk analyses within rural regions of Nigeria are not routinely conducted, yet could help inform access to skilled birth care. The objective of this study was to assess and compare the proportion of pregnant women at risk for maternal mortality or morbidity in Benue State, Nigeria by a...

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Autores principales: Bola, Rajan, Ujoh, Fanan, Lett, Ronald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521834/
https://www.ncbi.nlm.nih.gov/pubmed/36174030
http://dx.doi.org/10.1371/journal.pone.0275442
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author Bola, Rajan
Ujoh, Fanan
Lett, Ronald
author_facet Bola, Rajan
Ujoh, Fanan
Lett, Ronald
author_sort Bola, Rajan
collection PubMed
description INTRODUCTION: Risk analyses within rural regions of Nigeria are not routinely conducted, yet could help inform access to skilled birth care. The objective of this study was to assess and compare the proportion of pregnant women at risk for maternal mortality or morbidity in Benue State, Nigeria by analysing data collected during routine antenatal visits and through the Community Maternal Danger Score (CMDS), a validated risk-analysis tool. METHODS: Two cohorts, comprised of pregnant women presenting to primary healthcare centres within Gboko, Benue State between 2015–2017 and 2020–2021, were included in this study. The 2015–2017 cohort had their risk assessed retrospectively through analysis of routinely collected data. Identification of risk was based on their age, parity, and disease status (HIV and diabetes). The 2020–2021 cohort had their risk assessed prospectively using the CMDS. RESULTS: Routinely collected data from 2015–2017 demonstrated that up to 14.9% of women in Gboko were at risk for mortality or morbidity. The CMDS reported that up to 21.5% of women were at a similar level of risk; a significant difference of 6.6% (p = 0.006). The CMDS was more efficient in obtaining and assessing this data, and the identification of risk occurred in real-time. CONCLUSION: Routine data collected in Gboko identifies a high proportion of pregnant women at risk for mortality or morbidity. The CMDS is an evidence-based risk analysis tool that expands on this assessment by also estimating individual and community-level risk, which allows for more efficient mitigation and prevention strategies of maternal mortality.
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spelling pubmed-95218342022-09-30 Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria Bola, Rajan Ujoh, Fanan Lett, Ronald PLoS One Research Article INTRODUCTION: Risk analyses within rural regions of Nigeria are not routinely conducted, yet could help inform access to skilled birth care. The objective of this study was to assess and compare the proportion of pregnant women at risk for maternal mortality or morbidity in Benue State, Nigeria by analysing data collected during routine antenatal visits and through the Community Maternal Danger Score (CMDS), a validated risk-analysis tool. METHODS: Two cohorts, comprised of pregnant women presenting to primary healthcare centres within Gboko, Benue State between 2015–2017 and 2020–2021, were included in this study. The 2015–2017 cohort had their risk assessed retrospectively through analysis of routinely collected data. Identification of risk was based on their age, parity, and disease status (HIV and diabetes). The 2020–2021 cohort had their risk assessed prospectively using the CMDS. RESULTS: Routinely collected data from 2015–2017 demonstrated that up to 14.9% of women in Gboko were at risk for mortality or morbidity. The CMDS reported that up to 21.5% of women were at a similar level of risk; a significant difference of 6.6% (p = 0.006). The CMDS was more efficient in obtaining and assessing this data, and the identification of risk occurred in real-time. CONCLUSION: Routine data collected in Gboko identifies a high proportion of pregnant women at risk for mortality or morbidity. The CMDS is an evidence-based risk analysis tool that expands on this assessment by also estimating individual and community-level risk, which allows for more efficient mitigation and prevention strategies of maternal mortality. Public Library of Science 2022-09-29 /pmc/articles/PMC9521834/ /pubmed/36174030 http://dx.doi.org/10.1371/journal.pone.0275442 Text en © 2022 Bola et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bola, Rajan
Ujoh, Fanan
Lett, Ronald
Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title_full Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title_fullStr Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title_full_unstemmed Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title_short Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria
title_sort identification and mitigation of high-risk pregnancy with the community maternal danger score mobile application in gboko, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521834/
https://www.ncbi.nlm.nih.gov/pubmed/36174030
http://dx.doi.org/10.1371/journal.pone.0275442
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