Maternal Near Miss: A Valuable Contribution in Maternal Care.
نویسندگان
چکیده
BACKGROUND MMR has always been recognized as an important indicator of quality of health services. The MMR in India has so far not reached up to the required MDG 2015. If we look into this matter with the eagle's eye view, then there are certain gray areas which need attention. For this, it is not the maternal mortality but the maternal near miss which has to be focused. OBJECTIVES To audit the maternal near miss in our institution and to review the pathways that lead to severe maternal morbidity and death. METHODS Prospective observational study from September 2013 to August 2015 in Dr. Bhim Rao Ambedkar Memorial Hospital, Raipur. Maternal near miss cases were identified based on WHO criteria 2009, recorded, and studied. RESULTS There were 13,895 live births, 211 maternal near miss, and 102 maternal deaths. Maternal near miss to mortality ratio was 2:1. Maternal near miss incidence ratio was 15.18/1000 live births. Mortality index was 32.58 %. Hemorrhage and hypertensive disorders of pregnancy toped the list of the leading causes of near miss morbidity. The near miss events were more common in the primipara (39 %), with age group 21-30 years and in the third trimester at the time of admission. CONCLUSION Auditing maternal near miss can help in reducing their morbidity and mortality in our institution. Similar audit between other institute, state, and countries may help to hasten the slow progress of reducing maternal mortality.
منابع مشابه
Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study
BACKGROUND Investigating severe maternal morbidity (near-miss) is a newly recognised tool that identifies women at highest risk of maternal death and helps allocate resources especially in low income countries. This study aims to i. document the frequency and nature of maternal near-miss at hospital level in Damascus, Capital of Syria, ii. evaluate the level of care at maternal life-saving emer...
متن کاملThe world health organization multicountry survey on maternal and newborn health: study protocol
BACKGROUND Effective interventions to reduce mortality and morbidity in maternal and newborn health already exist. Information about quality and performance of care and the use of critical interventions are useful for shaping improvements in health care and strengthening the contribution of health systems towards the Millennium Development Goals 4 and 5. The near-miss concept and the criterion-...
متن کاملSevere maternal morbidity and near misses in tertiary hospitals, Kelantan, Malaysia: a cross-sectional study
BACKGROUND Severe maternal conditions have increasingly been used as alternative measurements of the quality of maternal care and as alternative strategies to reduce maternal mortality. We aimed to study severe maternal morbidity and maternal near miss among women in two tertiary hospitals in Kota Bharu, Kelantan, Malaysia. METHODS A cross-sectional study with record review was conducted in 2...
متن کامل“Near Miss” Obstetric Events and Maternal Deaths in a Tertiary Care Hospital: An Audit
OBJECTIVES (1) To determine the frequency of maternal near miss, maternal near miss incidence ratio (MNMR), maternal near miss to mortality ratio and mortality index. (2) To compare the nature of near miss events with that of maternal mortality. (3) To see the trend of near miss events. DESIGN Audit. SETTING Kasturba Hospital, Manipal University, Manipal, India. POPULATION Near miss cases...
متن کاملMaternal near-miss in a rural hospital in Sudan
BACKGROUND Investigation of maternal near-miss is a useful complement to the investigation of maternal mortality with the aim of meeting the United Nations' fifth Millennium Development Goal. The present study was conducted to investigate the frequency of near-miss events, to calculate the mortality index for each event and to compare the socio-demographic and obstetrical data (age, parity, ges...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of obstetrics and gynaecology of India
دوره 66 Suppl 1 شماره
صفحات -
تاریخ انتشار 2016