MATERNAL NEAR MISS- A REVIEW FROM TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 47
Abstract
BACKGROUND Maternal mortality is one of the important indicators used for the measurement of maternal health. Although, maternal mortality ratio remains high, maternal deaths in absolute numbers are rare in a community. To overcome this challenge, maternal near miss has been suggested as a compliment to maternal death and it will help in identifying gaps in health service provision. Objectives- The objectives of this study were to determine the frequency of maternal near miss cases and to analyse the nature of near miss events. MATERIALS AND METHODS The present cross-sectional observational type of study was done in 2 years’ duration in the Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Nagpur. Out of total deliveries, women with severe complications of pregnancy and maternal near miss cases are identified using WHO near miss criteria were included in the study. RESULTS Total 13186 deliveries were conducted during the study period. Out of these 2437 women were identified with severe maternal complications, and out of this 137 were identified as maternal near miss cases. The prevalence of maternal near miss was 1.03. In this study, hypertensive disorders of pregnancy (0.56) followed by haemorrhagic disorders of pregnancy (0.24) was the leading cause of near miss events. CONCLUSION Maternal near miss review serves as a complementary method for auditing the quality of maternal health. The ultimate purpose of the near miss approach is to improve clinical practice and reduce preventable morbidity and mortality through the use of best evidence based practices and emphasis on proper antenatal care.
Authors and Affiliations
Preeti Omprakash Chandak, Kshama Vivek Kedar
Keywords
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- EP ID EP217718
- DOI 10.14260/Jemds/2017/783
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