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

Keywords

Related Articles

Increased resistance to the uterine artery blood flow in second trimester and pregnancy outcome

Objective: The aim of study was to observe the resistance of uterine artery blood flow in second trimester and its relation to pregnancy outcome. Methodology: This randomized observational study was carried out in 196 wo...

Large haematoma in uterovesical pouch following vaginal delivery

Puerperal haematomas following delivery pose a great threat to the patient and a challenge to the obstetricians. A 26 years old female with parity 2 attended at day 1 of puerperium following vaginal delivery in a periphe...

Parasitic dermoid cyst: obstructed labor

Dermoid cysts and cystadenoma are the most frequent organic benign ovarian tumors diagnosed during pregnancy. Dermoid cyst becoming parasitic and causing obstructed labor is one of the very rare phenomenon observed durin...

Rupture uterus - a cause of concern in rural medical college hospital in Assam

Objective: The study is undertaken to find out the incidence, the cause of it, and the line of management and outcome of rupture uterus. Methodology: The entire patient diagnosed and treated from 1st January, 2016 to 31s...

Assessment of pap smear and colposcopic findings in patients with vaginal discharge

Aim: Present study was performed with an aim to see the types of vaginal discharge with the pap smear and colposcopic findings. Material and Methods: This cross-sectional study was conducted in 68 women attending outpati...

Download PDF file
  • EP ID EP452491
  • DOI 10.21276/obgyn.2017.4.1.7
  • Views 132
  • Downloads 0

How To Cite

Anjana Mathur, Santosh Khajotiya, Swati Falodia, Parul Prakash, Suman Budania, Shruti Singh (2017). A study to evaluate near miss obstetrics event and maternal deaths in tertiary care centre Bikaner. The New Indian Journal of OBGYN, 4(1), 31-36. https://europub.co.uk/articles/-A-452491