Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jul 2016
Multicenter StudyMaternal near-miss at university hospitals with cesarean overuse: an incident case-control study.
Cesarean section carries a substantial risk of maternal near-miss morbidity. The aim of this study was to determine the frequency, causes, risk factors, and perinatal outcomes of maternal near-miss at three university hospitals with a high rate of cesarean section in Tehran, Iran. ⋯ Overutilization of cesarean section clearly influenced the causes of maternal near-miss. A lack of health insurance had a measurable impact on near-miss morbidity. Tailored interventions for reducing unnecessary cesarean section and unrestricted insurance cover for emergency obstetric care can potentially improve maternal and perinatal outcomes.