Maternal near miss is a newly arising concept with increasing popularity among maternal health care system. The purpose of this study is to find out the incidence and prognosis of near miss patients. This is a prospective observational study, conducted for 3 months period in a tertiary care centre. Near miss cases were identified according to operational guidelines published by Ministry of health and family welfare, Government of India in December 2014. This study will also compare the cause for maternal death occurred during the study period. Analysis of the data revealed that the incidence of near miss is 20 fold higher than the maternal death. Hypertensive disorder is the leading cause for near miss. Medical complications like heart disease carries higher mortality index than obstetric complications. Perinatal and neonatal mortality are significantly higher in near miss group when compared with general population. Maternal near miss is a potential indicator of maternal health. Notification and analysis of maternal near miss events will help in improving maternal health care system. It will also provide vital data for the policy makers to concentrate and strengthen the potential deficits so as to achieve safe mother hood.
Objectives: This study aims to assess the incidence of CVT at CMCH for a duration of 1 year. To study risk factors predisposing to CVT in pregnancy and puerperium and to assess their statistical signicance. To nd a correlation between Serum Homocysteine levels and risk factors affecting CVT in pregnancy and to study the outcome of CVT in pregnancy. Methodology: This prospective study was undertaken at Government Medical college hospital Coimbatore.30 consecutive patients admitted with CVT diagnosed on neuroimaging were evaluated. Data were collected after obtaining prior written consent by the interview method. Data was collected using a structured questionnaire Venous samples withdrawn from pregnant and those in the puerperal period diagnosed by neuroimagine with CVT and Serum Homocysteine levels were measured. In this s Result: tudy, among 8982 obstetric admissions over a period of 1 year, 30 cases were found to be diagnosed with CVT, with a prevalence of 0.3%. In the majority of the cases 26 out of 30 cases (86.7%) were presented during puerperium. Anaemia, lack of aseptic precautions during delivery and prolonged dehydration after delivery are the major causative factors. The majority of the patients belonged to low socio-economic group with 18 out of 30 patients ( 60% ) of them belonging to class V status. We also found that patients hailing from higher altitude areas are at a higher risk of developing CVT compared to the general population. Hyperhomocysteinemia was found in the majority of the patients studied and was found to have a signicant correlation with multi-parity. Conclusion: So in this present study, the analysis of risk factors, etiopathogenesis and outcome of cerebro venous accidents in pregnancy, Primary cerebral venous thrombosis (CVT) is a major cause of stroke in young women, with factors including anaemia, lack of aseptic precautions, prolonged dehydration and hyperhomocysteinemia.
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