A DESCRIPTIVE STUDY ON SAMM OR NEAR-MISS CASES WITH COMPARISON TO MATERNAL MORTALITIES AND IDENTIFICATION OF THE BARRIERS IN A TERTIARY CARE HOSPITAL IN SOUTH BENGAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 30
Abstract
BACKGROUND It is well known that SAMM cases or near-miss cases are defined as those very ill pregnant mothers who would have died, had it not been that luck and good care by her side.1 To fight the near-miss cases, prompt diagnosis, proper and meticulous vigilance for every minute is the corner stone of the success to bring the patient out from her death bed. MATERIALS AND METHODS This is a descriptive study, done in The Calcutta National Medical College and Hospital, Kolkata- a tertiary care hospital in South Bengal. The study of SAMM or Near-Miss cases done only on pregnant mothers from 1st June 2016 to 31st May 2017. RESULTS 135 cases were studied during the period. The main offence detected was the delays, where only 51.80% could be saved as nearmiss when the critically ill patients had reported after 12 hrs. of onset of symptoms. The number of organ system involvement was found directly proportional to the poor outcome. CONCLUSION The objective of this study was actually to identify the barriers responsible for transforming the near-miss cases to maternal mortalities. So that we the obstetricians, the care-givers along with the other resource people could be aware of the situation rightly and obviously in time to avoid the barriers with a determination of “No More Maternal Deaths.”
Authors and Affiliations
Sandhya Das, Dipankar Gupta, Nibedita Chattopadhyay
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