Research Article

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

Table 4

Organ dysfunction and maternal complications for cases with severe maternal outcomes at resource-poor and resource-rich hospitals in Hunan Province from 2012 to 2018.

Organ dysfunctionResource-poor hospitalsResource-rich hospitals
Maternal near miss ()Maternal deaths ()Severe maternal outcome ()Mortality indexMaternal near miss ()Maternal deaths ()%Severe maternal outcome ()Mortality index

Cardiovascular dysfunction221 (49.19)6 (20.69)227 (43.82)1.16233 (18.46)13 (27.66)246 (18.94)1.00
Respiratory dysfunction37 (7.57)7 (24.14)44 (8.49)1.3590 (7.13)8 (17.02)98 (7.54)0.62
Renal dysfunction19 (3.89)4 (13.79)23 (4.44)0.7727 (2.14)1 (2.13)28 (2.16)0.08
Coagulation dysfunction289 (59.10)8 (27.59)297 (57.34)1.541001 (79.32)20 (42.55)1021 (78.60)1.54
Hepatic dysfunction6 (1.23)4 (13.79)10 (1.93)0.7727 (2.14)1 (2.13)28 (2.16)0.08
Neurologic dysfunction89 (18.20)12 (41.38)101 (19.50)2.32120 (9.51)8 (17.02)128 (9.85)0.62
Uterine dysfunction82 (16.77)1 (3.45)83 (16.02)0.19172 (13.63)0 (0.00)171 (13.16)0.00
Maternal complications
Obstetric hemorrhage352 (71.98)3 (10.34)355 (68.53)0.52864 (68.46)7 (14.89)871 (67.05)0.54
Pregnancy-related infections42 (8.59)2 (6.90)44 (8.49)0.34109 (8.64)4 (8.51)113 (8.70)0.31
Hypertensive disorder146 (29.86)18 (62.07)164 (31.66)3.10290 (22.98)11 (23.40)302 (23.25)0.85
Heart disease12 (2.45)4 (13.79)13 (2.51)0.6958 (4.60)5 (10.64)63 (4.85)0.38
Embolism disease14 (2.86)5 (17.24)16 (3.09)0.8619 (1.51)7 (14.89)23 (1.77)0.54
Hepatopathy23 (4.70)3 (10.34)26 (5.02)0.5259 (4.68)3 (6.38)62 (4.77)0.23
Anemia350 (71.57)11 (37.93)361 (69.69)1.89877 (69.49)14 (29.79)891 (68.59)1.08
Diabetes mellitus37 (7.57)0 (0.00)37 (7.14)0.00202 (16.01)6 (12.77)208 (16.01)0.46
Nephropathy7 (1.43)3 (10.34)10 (1.93)0.5231 (2.46)0 (0.00)30 (2.31)0.00
Pulmonary disease2 (0.41)0 (0.00)2 (0.39)0.0028 (2.22)3 (6.38)31 (2.39)0.23
With other diseases275 (56.24)14 (48.28)289 (55.79)2.41746 (59.11)25 (53.19)783 (62.66)1.92