Özge Tunçalp|João Paulo Souza|Michelle J. Hindin|Carolina de Sousa Américo Batista Santos|T.H.G. Oliveira|Joshua P. Vogel|Togoobaatar Ganchimeg|Do Quan Ha|Lale Say|A Metin Gülmezoglu
Education and severe maternal outcomes in developing countries: a multicountry cross?sectional survey
World Health Organization|World Health Organization|Johns Hopkins University|Universidade de São Paulo|Universidade de São Paulo|World Health Organization|University of Western Australia|National Center For Child Health and Development|National Hospital of Pediatrics|World Health Organization|World Health Organization
assess relationship education severe maternal outcomes among women delivering healthcare facilitiescrosssectional studytwentynine countries africa asia latin america middle eastpregnant women admitted 359 facilities period 24 months data collection 2010 2011data obtained hospital records stratification based human development index hdi values participating countries multivariable logistic regression analyses conducted assess association maternal morbidity education categorised quartiles based years formal education country coverage key interventions assessedsevere maternal outcomes near misses deatha significant association low education severe maternal outcomes adjusted odds ratio aor 207 95 confidence interval 95 ci 146295 maternal near miss aor 180 95 ci 125257 maternal death aor 562 95 ci 345916 observed relationship persisted countries medium hdis aor 236 95 ci 133417 low hdis aor 265 95 ci 154257 less educated women also increased odds presenting hospital severe condition ie organ dysfunction arrival within 24 hours aor 206 95 ci 136310 probability woman received magnesium sulphate eclampsia caesarean section significantly increased education level increased p 005women lower levels education greater risk severe maternal outcomes even adjustment key confounding factors particularly true women countries poorer markers social economic development