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Open Access
Peer-reviewed
Research Article
Direct maternal morbidity and the risk of pregnancy-related deaths, stillbirths, and neonatal deaths in South Asia and sub-Saharan Africa: A population-based prospective cohort study in 8 countries
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Fahad Aftab,
Roles Writing – review & editing
Affiliation Centre for Public Health Kinetics (CPHK), New Delhi, Delhi, India
⨯ -
Imran Ahmed,
Roles Formal analysis, Writing – review & editing
Affiliation Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
⨯ -
Salahuddin Ahmed,
Roles Data curation, Writing – review & editing
Affiliation Projahnmo Research Foundation, Dhaka, Bangladesh
⨯ -
Said Mohammed Ali,
Roles Data curation, Writing – review & editing
Affiliation Public Health Laboratory-IdC, Pemba Island, Zanzibar, United Republic of Tanzania
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Seeba Amenga-Etego,
Roles Formal analysis, Writing – review & editing
Affiliation Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana
⨯ -
Shabina Ariff,
Roles Data curation, Methodology, Writing – review & editing
Affiliation Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
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Rajiv Bahl ,
Roles Conceptualization, Formal analysis, Methodology, Writing – original draft, Writing – review & editing
* E-mail: bahlr@who.int (RB); yoshidas@who.int (SY)
Affiliation Department of Maternal Newborn Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
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Abdullah H. Baqui,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliation Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
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Nazma Begum,
Roles Formal analysis, Writing – review & editing
Affiliation Projahnmo Research Foundation, Dhaka, Bangladesh
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Zulfiqar A. Bhutta,
Roles Methodology, Writing – review & editing
Affiliation Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
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Godfrey Biemba,
Roles Data curation, Writing – review & editing
Affiliation National Health Research Authority, Ministry of Health, Lusaka, Zambia
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Simon Cousens,
Roles Formal analysis, Writing – review & editing
Affiliation London School of Hygiene & Tropical Medicine, London, United Kingdom
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Vinita Das,
Roles Data curation, Writing – review & editing
Affiliation Department of Gynaecology & Obstetrics, King George’s Medical University, Lucknow, India
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Saikat Deb,
Roles Data curation, Writing – review & editing
Affiliations Centre for Public Health Kinetics (CPHK), New Delhi, Delhi, India, Public Health Laboratory-IdC, Pemba Island, Zanzibar, United Republic of Tanzania
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Usha Dhingra,
Roles Data curation, Formal analysis, Methodology, Writing – original draft, Writing – review & editing
Affiliation Centre for Public Health Kinetics (CPHK), New Delhi, Delhi, India
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Arup Dutta,
Roles Formal analysis, Writing – review & editing
Affiliation Centre for Public Health Kinetics (CPHK), New Delhi, Delhi, India
⨯ -
Karen Edmond,
Roles Data curation, Writing – review & editing
Affiliation King’s College London, London, United Kingdom
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Fabian Esamai,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliation Department of Child Health and Pediatrics, Eldoret, Moi University, Kenya
⨯ - Amit Kumar Ghosh,
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Peter Gisore,
Roles Data curation, Methodology, Writing – review & editing
Affiliation Department of Child Health and Pediatrics, Eldoret, Moi University, Kenya
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Caroline Grogan,
Roles Data curation, Writing – review & editing
Affiliation Ariadne Labs, Harvard T.H Chan School of Public Health, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America
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Davidson H. Hamer,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliations Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, United States of America, Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, United States of America
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Julie Herlihy,
Roles Methodology, Writing – review & editing
Affiliations Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, United States of America, Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, United States of America
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Lisa Hurt,
Roles Formal analysis, Methodology, Writing – review & editing
Affiliation Cardiff University School of Medicine, Cardiff, United Kingdom
⨯ -
Muhammad Ilyas,
Roles Data curation, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
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Fyezah Jehan,
Roles Methodology, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
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Mohammed Hamad Juma,
Roles Formal analysis, Writing – review & editing
Affiliation Public Health Laboratory-IdC, Pemba Island, Zanzibar, United Republic of Tanzania
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Michel Kalonji,
Roles Formal analysis, Writing – review & editing
Affiliation Department of Community Health, Kinshasa School of Public Health, Kinshasa, Demographic Republic of Congo
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Rasheda Khanam,
Roles Formal analysis, Writing – review & editing
Affiliation Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
⨯ -
Betty R. Kirkwood,
Roles Conceptualization, Formal analysis, Methodology, Writing – review & editing
Affiliation London School of Hygiene & Tropical Medicine, London, United Kingdom
⨯ -
Aarti Kumar,
Roles Data curation, Methodology, Writing – review & editing
Affiliation Community Empowerment Lab, Shivgarh, India
⨯ - Alok Kumar,
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Vishwajeet Kumar,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliation Community Empowerment Lab, Shivgarh, India
⨯ -
Alexander Manu,
Roles Data curation, Writing – review & editing
Affiliations School of Public Health, University of Ghana, Accra, Ghana, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
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Irene Marete,
Roles Data curation, Methodology, Writing – original draft, Writing – review & editing
Affiliation Department of Child Health and Pediatrics, Eldoret, Moi University, Kenya
⨯ -
Usma Mehmood,
Roles Data curation, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
⨯ -
Nicole Minckas,
Roles Writing – original draft, Writing – review & editing
Affiliation Department of Maternal Newborn Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
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Shambhavi Mishra,
Roles Formal analysis, Writing – original draft, Writing – review & editing
Affiliations Community Empowerment Lab, Shivgarh, India, Department of Statistics, Lucknow University, Lucknow, India
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Dipak K. Mitra,
Roles Data curation, Methodology, Writing – review & editing
Affiliation North South University, Dhaka, Bangladesh
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Mamun Ibne Moin,
Roles Formal analysis, Writing – review & editing
Affiliation Projahnmo Research Foundation, Dhaka, Bangladesh
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Karim Muhammad,
Roles Data curation, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
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Sam Newton,
Roles Data curation, Writing – review & editing
Affiliation Kwame Nkrumah University of Science & Technology, Kumasi Ghana
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Serge Ngaima,
Roles Data curation, Writing – review & editing
Affiliation Department of Community Health, Kinshasa School of Public Health, Kinshasa, Demographic Republic of Congo
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Andre Nguwo,
Roles Data curation, Writing – review & editing
Affiliation Department of Community Health, Kinshasa School of Public Health, Kinshasa, Demographic Republic of Congo
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Muhammad Imran Nisar,
Roles Methodology, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
⨯ -
John Otomba,
Roles Data curation, Methodology, Writing – review & editing
Affiliation Department of Community Health, Kinshasa School of Public Health, Kinshasa, Demographic Republic of Congo
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Mohammad Abdul Quaiyum,
Roles Methodology, Writing – review & editing
Affiliation Projahnmo Research Foundation, Dhaka, Bangladesh
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Sophie Sarrassat,
Roles Formal analysis, Writing – review & editing
Affiliation London School of Hygiene & Tropical Medicine, London, United Kingdom
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Sunil Sazawal,
Roles Conceptualization, Methodology, Writing – original draft, Writing – review & editing
Affiliation Centre for Public Health Kinetics (CPHK), New Delhi, Delhi, India
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Katherine E. Semrau,
Roles Formal analysis, Methodology, Writing – original draft, Writing – review & editing
Affiliations Ariadne Labs, Harvard T.H Chan School of Public Health, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America, Harvard Medical School, Department of Medicine, Boston, Massachusetts, United States of America, Brigham and Women’s Hospital, Division of Global Health Equity, Boston, Massachusetts, United States of America
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Caitlin Shannon,
Roles Data curation, Formal analysis, Methodology, Writing – original draft, Writing – review & editing
Affiliation CARE USA, Atlanta, United States of America
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Vinay Pratap Singh,
Roles Data curation, Writing – review & editing
Affiliation Community Empowerment Lab, Shivgarh, India
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Sajid Soofi,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliations Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan, Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
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Seyi Soremekun,
Roles Data curation, Writing – review & editing
Affiliation London School of Hygiene & Tropical Medicine, London, United Kingdom
⨯ -
Atifa Mohammed Suleiman,
Roles Formal analysis, Writing – review & editing
Affiliation Public Health Laboratory-IdC, Pemba Island, Zanzibar, United Republic of Tanzania
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Venantius Sunday,
Roles Formal analysis, Writing – review & editing
Affiliation Department of Child Health and Pediatrics, Eldoret, Moi University, Kenya
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Thandassery R. Dilip,
Roles Formal analysis, Writing – original draft, Writing – review & editing
Affiliation Department of Maternal Newborn Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
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Antoinette Tshefu,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliation Department of Community Health, Kinshasa School of Public Health, Kinshasa, Demographic Republic of Congo
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Yaqub Wasan,
Roles Data curation, Writing – review & editing
Affiliation Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
⨯ -
Kojo Yeboah-Antwi,
Roles Data curation, Writing – review & editing
Affiliation Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, United States of America
⨯ -
Sachiyo Yoshida ,
Roles Formal analysis, Writing – original draft, Writing – review & editing
* E-mail: bahlr@who.int (RB); yoshidas@who.int (SY)
Affiliation Department of Maternal Newborn Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
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Anita K. Zaidi,
Roles Conceptualization, Methodology, Writing – review & editing
Affiliation Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
⨯ - [ ... ],
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on behalf of The Alliance for Maternal and Newborn Health Improvement (AMANHI) maternal morbidity study group
¶‡ All authors contributed equally to the paper and all authors are listed in alphabetical order.
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Direct maternal morbidity and the risk of pregnancy-related deaths, stillbirths, and neonatal deaths in South Asia and sub-Saharan Africa: A population-based prospective cohort study in 8 countries
- Fahad Aftab,
- Imran Ahmed,
- Salahuddin Ahmed,
- Said Mohammed Ali,
- Seeba Amenga-Etego,
- Shabina Ariff,
- Rajiv Bahl,
- Abdullah H. Baqui,
- Nazma Begum,
- Zulfiqar A. Bhutta
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- Published: June 28, 2021
- https://doi.org/10.1371/journal.pmed.1003644