Background Constant decline in maternal mortality ratio has given rise to the need of a new indicator. This search has motivated investigation of severe maternal morbidity-''maternal near-miss'' (MNM) event. World Health Organization (WHO) defines MNM as ''a woman who, being close to death, survives a complication that occurred during pregnancy, delivery or up to 42 days after the end of her pregnancy''. Methodology A hospital-based cross-sectional study was carried out at Sir Sayajirao General Hospital (SSGH), a tertiary care referral hospital in Vadodara, Central Gujarat, from May to September 2012. MNM events were identified according to either WHO or Mantel et al. criteria or both. Results During study period, 1929 live births, 18 maternal deaths and 46 ''near-miss'' cases were recorded. Among these 46 near-miss cases, 57 near-miss events were identified. Calculated MNM ratio was 23.85/1000 live births, MNM rate was 20.6/1000 obstetric admissions, the ratio of maternal death to MNM event was 1:2.6, and overall Mortality index was 28.1 %. Among near-miss cases, percentage of preterm delivery was 42 % and stillbirth rate was 35 % (16/46). Out of 46 MNM, pregnancies were continued in 3 while 43 pregnancies were terminated. (25 live births, 16 stillbirths, 2 abortions). 123Conclusion Identification of preventable factors and special preventive actions should be taken for management of complications in such near-miss cases.
Background: Increased family planning helps to reduce maternal mortality and infant mortality. Unmet need is spacing of birth for younger women and is the limitation of births for older women; both of which can be fulfilled by rigorous counseling. so the present study was conducted to measure the proportion of targeted women adopting family planning methods after postpartum counseling and to find out the type and timing of adoption.Methods: A Non-randomized control trial was conducted. The study was carried out at the postpartum delivery ward of the obstetrics and gynecology department of SSG Hospital. 103 participants in the intervention group and 103 participants in the control group were interviewed.Counseling and leaflet were given to the intervention group. The washout period was kept for one week. In the next week in the control group usual counseling was given by the counselor (standard of care). Second interview of the same participants was done telephonically or home visits after the 6 months to see the adoption of family planning method.Results: Within six months of delivery, acceptance of contraceptive methods was more in intervention group (72.85%) than in control group (48.52%). Condom was the most common type of contraceptive intervention used in both interventional group (51.45%) and control group (36.76%) followed by Copper T use which was 14.21% in interventional group and 8.82% in control group. Majority of the women adopted contraceptives within two months of intervention.Conclusions: Counseling may help in adoption of family planning methods among postpartum women.
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