A study to evaluate near miss obstetrics event and maternal deaths in tertiary care centre - Bikaner

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.