Maternal Near Miss Cases of a Tertiary Care Hospital of Central India: A Record Based Cross Sectional Study
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 3
Abstract
Introduction: Maternal mortality amounts for the tip of iceberg but many maternal near miss cases are present which can be prevented. So, this study was conducted to find the causes of maternal near miss and maternal deaths occurred and to estimate the indicators of severe maternal outcome and overall near miss indicators during the study period at a tertiary care hospital in Nagpur. Methodology: A thorough review of the eligible records of the patients who got admitted in the year 2015 from January to June period was done and this data was collected in the period from September 2016 to March 2017. A modified version of WHO near miss tool was used to collect the data. Results: A total of 105 cases were included in the analysis. The mean age of near miss cases was 24.98±4.00 years and of the maternal deaths was 26.92±4.93 years. The severe maternal outcome ratio, maternal near miss ratio, maternal near miss mortality ratio and mortality index were 55.97 per 1000 live births, 49.57 per 1000 live births, 7.75% and 11.42% respectively. The data was collected, compiled and analysed using Epi Info version 7.2 and expressed in terms of percentages and means. Conclusions: We found that hypertensive disorders were the most common underlying cause and anaemia being the most common secondary cause of near miss and maternal death. Majority of the near miss cases were primiparous. Among the organ dysfunction, coagulation dysfunction was most common and neurological dysfunction was the least common.
Authors and Affiliations
Thakre S. S.
Keywords
Related Articles
- EP ID EP549896
- DOI 10.21088/ijog.2321.1636.6318.21
- Views 85
- Downloads 0
Comparative Estimation of Fetal Weight in both Normal and High Risk Term Pregnancy by Clinical and Ultrasound Examination
Aim: To make a comparative estimation of fetal weight in both normal and high risk term pregnancy by clinical and ultrasound examination. Materials and Methods: This is a prospective hoapital based study on 100 antenatal...
A Basic Screening Approach for Detection of Premalignant Lesions of Cervix in Rural India: A Prospective Observational Study
Background: Cervical cancer is the second most common cancer of women in age group 15-44 years. Worldwide. Approximate 3/4th of patients are diagnosed in advanced stages leading to poor long term survival and cure rates....
Tests for Ovarian Reserve
Ovarian reserve tests are used for determination of the functional potential of ovary. They reûect the number and quality of oocytes in it. These tests are frequently used by the Gynecologist dealing with Infertility &...
Study of Feto-Maternal Outcome in Pregnant Females with Infective Hepatitis
Objectives: To study the clinical course, morbidity and mortality in the pregnant patients affected by the disease, To study the effect of Infective hepatitis on outcome of pregnancy. Material & Method: The present study...
A Study on Assessment of Blood Loss in Third Stage of Labour Using Vaccum Retraction Cannula
Objective: To compare the effects of AMTSL only, AMTSL without uterine massage, AMTSL with vacuum retraction cannula in prevention of post partum hemorrhage and to compare the effectiveness of vacuum retraction cannula w...