A study to evaluate near miss obstetrics event and maternal deaths in tertiary care centre Bikaner
Journal Title: The New Indian Journal of OBGYN - Year 2017, Vol 4, Issue 1
Abstract
Objective: A study to evaluate near miss obstetrics event and maternal mortality in a tertiary care centre. Methodology: It was a prospective observational study conducted in the Department of Obstetrics & Gynaecology, Sardar Patel Medical College and PBM hospital Bikaner from January 2016 to December 2016. All patients fulfilling the WHO criteria of maternal near miss and all maternal deaths admitted during study period were included in the study. Result: During the study period there were 25875 admissions and 16071 deliveries with 15587 live births. There were 239 near miss events and 47 maternal deaths. The maternal death to near miss ratio was 1:5.08. Among the near miss cases 56.9% cases were multipara,47.3% case were in the age group of 21-25 years, and 58.6% cases belong to gestational age >28 weeks. The most common type of events in near miss was haemorrhage (51 %), severe hypertension (23%), and puerperal sepsis (7.1%). Similarly in maternal death group most common event were haemorrhage (40%), severe hypertension (25.5%) and sepsis (19.1%). Mortality index was 19.84%. Conclusion: Despite improvements in health care, haemorrhage, PIH, eclampsia, sepsis and severe anaemia remain the leading obstetrics cause of near miss and maternal mortality.
Authors and Affiliations
Anjana Mathur, Santosh Khajotiya, Swati Falodia, Parul Prakash, Suman Budania, Shruti Singh
Incidence of maternal near miss and mortality cases in central India tertiary care centre and evaluation of various causes
Background: Analysis of maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in this area. Objective: Incidence of maternal near miss and mortality cases in central...
A review on hormonal complications of gastrointestinal system and its treatment during prenatal period
The endocrine system of human pregnancy involves hormonal and metabolic changes that result from physiological alterations at the boundary between mother and fetus. Initially, the ovaries, and then later, the placenta, a...
Impact of maternal serum calcium levels on severity of hypertensive disorder of pregnancy: A cross sectional study
Objectives: Assess relationship between maternal serum calcium levels, severity of disease and overall perinatal and maternal outcome in women with hypertensive disorders of pregnancy. Methods: Present prospective cross...
Optimising management of oligohydramnios
Objectives: This study is carried out to observe the feto-maternal outcome with optimal management of oligohydramnios after 28 weeks of gestation. Methodology: The present study was conducted on 50 pregnant women with o...
Conservative surgical or interventional management of fibromyoma
No abstract