Analysis of the Severe Maternal Outcomes between Resource-Poor and Resource-Rich Hospitals in China’s Hunan Province from 2012 to 2018

Table 1

Summary of deliveries, severe maternal outcomes, and near miss indicators in women admitted to resource-poor and resource-rich hospitals in Hunan Province from 2012 to 2018.

Resource-poor hospitals	Total	2012	2013	2014	2015	2016	2017	2018
All hospitalized pregnant women (number)	296985	37227	40216	43523	43536	47883	47529	37071
Live births (number)	279407	36095	38085	40600	41237	45250	44566	33574
Pregnancy complications (number)	124791	4638	12007	18285	20061	23705	23317	22778
Severe maternal outcome cases (number)	518	75	86	68	76	54	82	77
Maternal near miss cases (number)	489	71	83	65	72	50	76	72
Maternal death cases (number)	29	4	3	3	4	4	6	5
Overall near miss indicators
Severe maternal outcome ratio (per 1000 live births) 95% CI	1.85 (1.70-2.02)	2.08	2.26	1.67	1.84	1.19	1.84	2.29
Maternal near miss ratio (per 1000 live births) 95% CI	1.75 (1.60-1.91)	1.97	2.18	1.60	1.75	1.10	1.71	2.14
Maternal mortality ratio (per 100000 live births) 95% CI	10.38 (6.95-14.90)	11.08	7.88	7.39	9.70	8.84	13.46	14.89
Maternal near miss mortality ratio (MNM : MD)	16.86	17.75	27.67	21.67	18.00	12.50	12.67	14.40
Mortality index (%)	5.60	5.33	3.49	4.41	5.26	7.41	7.32	6.49
Resource-rich hospitals	Total	2012	2013	2014	2015	2016	2017	2018
All hospitalized pregnant women (number)	244143	24659	26846	31675	35285	44175	43699	37804
Live births (number)	232386	24086	25604	30262	33684	42108	41383	35259
Pregnancy complications (number)	149997	4711	11426	19518	21912	29997	33091	29342
Severe maternal outcome cases (number)	1299	111	175	182	168	222	200	241
Maternal near miss cases (number)	1262	108	170	177	161	216	193	237
Maternal death cases (number)	37	3	5	5	7	6	7	4
Overall near miss indicators
Severe maternal outcome ratio (per 1000 live births) 95% CI	5.59 (5.29-5.90)	4.61	6.83	6.01	4.99	5.27	4.83	6.84
Maternal near miss ratio (per 1000 live births) 95% CI	5.43 (5.14-5.74)	4.48	6.64	5.85	4.78	5.13	4.66	6.72
Maternal mortality ratio (per 100000 live births) 95% CI	15.92 (11.51-21.95)	12.46	19.53	16.52	20.78	14.25	16.92	11.34
Maternal near miss mortality ratio (MNM : MD)	34.11	36.00	34.00	35.40	23.00	36.00	27.57	59.25
Mortality index (%)	2.85	2.70	2.86	2.75	4.17	2.70	3.50	1.66