فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Investigating severe maternal morbidity and near‑miss cases are appliedinternationally as a new indicator to examine the quality of maternal care and as an effective strategyto reduce maternal mortality. This study aimed to determine the root causes of severe maternalmorbidity in order to improve maternal health.MATERIALS AND METHODS: The present research is a descriptive case series study. The data wasobtained from the hospital and health records of mothers admitted to hospitals affiliated to IsfahanUniversity of Medical Sciences due to severe morbidity in the first 6 months of 2018, which wereselected randomly. The data collection was completed by interviews with the mentioned mothers and14 related health‑care staffs and that led to the development of the morbidity story. The compiledstory of each case was evaluated by the root analysis team’s opinion. Causes of morbidity weredetermined according to a root cause analysis checklist composing of factors such as health‑careservices (human and structural factors), family‑social status, and disease status of maternal morbidity.RESULTS: The findings indicated that human factors related to the health system led to severematernal morbidity more than any cause. Inadequate knowledge and skills of service providers,disregard for guidelines and protocols, lack of teamworking, and lack of considering competencywere the most important human factors. Disease condition, family, and social status were the otherrelated factors, respectively.CONCLUSION: Human factors are the most important cause of maternal morbidity based on theresults of this study. Therefore, modifying the health structure can be one of the most importantreducing factors for maternal mortality in order to improve the services for these individuals.