Analysis of Near Miss Cases as a Reflection of Emergency Obstetric Services and Need of Obstetric ICCU

Sahijwani, Disha; Desai, Ajesh; Kansara, Vijay; Malhotra, Narendra

doi:10.5005/jp-journals-10006-1237

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Following hemorrhage, hypertensive disorders in pregnancy, including HELLP syndrome, account for 32.47%, unlike the study from Sahijwani et al 6 which had preeclampsia as the most common cause. Earlier studies had higher proportions of eclampsia versus preeclampsia, but this study, including recent studies, 7,8 has a higher proportion of preeclampsia over eclampsia probably because of the enrolment of the ANC cases at the possible nearby health centers and their prompt referral has reduced the incidence of eclampsia, hence reaffirming that timely initiation of treatment reduced the morbidity and mortality.…”

Section: Discussionmentioning

confidence: 63%

Analytical Study of Near-miss Cases at Tertiary Care Center

Bavdekar,

Lewis,

Gundaiah

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Background: "Childbirth is a rebirth for the mother"-an ancient saying summarizes the unpredictable life-threatening conditions that might occur during pregnancy. Maternal deaths form only the tip of the iceberg, while a large part of it is the maternal comorbid conditions that remain largely undescribed. Materials and methods: A retroprospective observational study was conducted in the Department of Obstetrics and Gynaecology in collaboration with ICU, including the COVID-ICU in a Tertiary Care Hospital. The audit involves all women who are very ill, pregnant or recently delivered women who nearly died but survived a complication during pregnancy, and childbirth or within 42 days of termination of pregnancy, fulfilling the WHO criteria admitted at the tertiary center at the study period of 18 months. Results: The audit revealed MNM incidence ratio of 34/1,000 live births and mortality ratio of 1,261/1,00,000 live births with maternal nearmiss: maternal mortality ratio of 2.7:1 in 3,604 deliveries. The most common factor leading to near-miss is found to be hemorrhage followed by hypertensive disorders. Most of them were between 26 and 30 years, multigravida. Type-II delay is most commonly seen due to a lack of facilities at the peripheral centers. Conclusion: Setting up "High-risk pregnancy clinics" at the taluka level for early recognition and referral of high-risk patients, upgrading the infrastructure of peripheral centers, and need of increase in tertiary care hospitals in every district for provision of quality care. Encouraging blood donation from a family member of every patient registering their pregnancy.

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Section: Discussionmentioning

confidence: 63%

Analytical Study of Near-miss Cases at Tertiary Care Center

Bavdekar,

Lewis,

Gundaiah

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…This is comparable with the studies conducted by Bansal et al, Behera et al, Kamal et al, and Sahijwani et al 7 Most of the near miss cases belong to the age group of 18-24 years, which coincides with the studies of Sharma et al, and Bansal et al, because most of the ladies in this part of the country get married of at an early age and also bears children early. 8 Majority of the women were from rural areas (86.66%) as there is lack of sufficient facilities in the health centres of the rural areas, thus most of the patients were coming to this tertiary hospital for seeking medical help whenever there is an obstetric emergency. This is in concordance with the study of Behera et al, where 93% of the cases were from rural areas.…”

Section: Discussionmentioning

confidence: 99%

Determinants of maternal near miss at tertiary care hospital: a retrospective study

Kumari,

Prasad,

Dalmia

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Premature rupture of membranes (PROM) is one of the complications of pregnancy that poses serious maternal, fetal, and neonatal health risks. The prevalence varies in different populations and countries and the etiology is multifactorial. The aim and objective of the study was to find out the association between various presumed etiologies and to establish their significance as risk factors for premature rupture of membranes. Methods: A hospital based observational study carried out on 60 pregnant women attending emergency and OPD with complaints of leaking per vaginum. Detailed history was taken from all the patients followed by thorough examination. All the data was obtained and results analyzed and conclusions made. Results: In the present study, out of the 60 women, 38 had PROM and among those, 73.1% belonged to lower socio-economic status, 71.1% were multigravida, the mean BMI was 19.12 kg/m2, mean hemoglobin was 9.98 g/dl, 30 had a history of vaginosis and 13 had a history of threatened abortion in this pregnancy. Conclusions: The present study showed that lower socioeconomic status, multiparity, low BMI, anemia, history of vaginosis and threatened abortions are risk factors for premature rupture of membranes.

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Analysis of Near Miss Cases as a Reflection of Emergency Obstetric Services and Need of Obstetric ICCU

Cited by 2 publications

References 6 publications

Analytical Study of Near-miss Cases at Tertiary Care Center

Analytical Study of Near-miss Cases at Tertiary Care Center

Determinants of maternal near miss at tertiary care hospital: a retrospective study

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