A Prospective Study on Maternal Near Miss Cases at a Tertiary Care Hospital in Visakhapatnam
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
In many developed countries, maternal mortality has fallen to single digits whereas near miss cases are more and hence useful in evaluation of the present system. A maternal near miss case is defined as a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Objective: To study the various causes leading to the severe acute maternal morbidity, maternal near miss and Maternal near miss incidence rates among high risk cases. Study setting: A Prospective hospital based Study was conducted. Study period: Study was conducted for a period of 18 months from January 2016 to June 2017 Methodology: Detailed history, clinical examination, various investigations done to identify pregnant women who fulfilled the WHO selection criteria of maternal near miss were included in the study. Various indices like MNM, MNMIR have been calculated. Higher ratio indicates bettercare. Results: Majority were primiparas and complications were seen in 3 rd trimester. Haemorrhage was a major life threatening cause identified (41%) followed by hypertensive disorders (39%). Ventilatory support was required in 46% of the cases. Massive blood transfusion in 40% of the cases. Laparotomy was performed in 27% of cases.
Authors and Affiliations
Anuradha. J, Srinivas. P. J, Manjubhashini. S
Keywords
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