Maternal near miss events: a prospective observational study in a tertiary care centre

Yasmin, Gazala; Najam, Rehana; Ghazi, Shahreyar; Lalwani, Astha

doi:10.18203/2320-1770.ijrcog20162991

Cited by 8 publications

(12 citation statements)

References 14 publications

(33 reference statements)

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“…On the other hand, the incidence ratio was comparatively higher in some studies. [ 14 15 16 ] In this study, SMOR is 5 per 1000 LB which is similar to studies done by Jabir et al . [ 17 ] and Ranatunga et al .…”

Section: Discussionsupporting

confidence: 88%

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A review of maternal near miss cases in selected Hospitals in North-East India

Visi

Akoijam

2021

Indian J Community Med

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Section: Discussionsupporting

confidence: 88%

“…These findings are similar to studies done by Yasmin et al . [ 16 ] Kamal et al . [ 26 ] and Doreswamy et al .…”

Section: Discussionmentioning

confidence: 99%

A review of maternal near miss cases in selected Hospitals in North-East India

Visi

Akoijam

2021

Indian J Community Med

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“…Other important causes were Peripartum cardiomyopathy-3 cases (1.82%) and severe anemia (non-hemorrhagic-10 cases (6.09%). [14][15][16][17] In the study, the near-miss to maternal death ratio is 1.46:1. This indicates that for almost every 2 women who survived life threatening complications, one died.…”

Section: Resultsmentioning

confidence: 99%

“…However, in other studies, majority were multipara. 13,14 This is because of early marriages common in this belt and women entering pregnancy in sub optimal health, often being malnourished and moderately to severely anaemic. Also lack of assertiveness in young women means they are at the mercy of their family members in seeking medical aid.…”

Section: Resultsmentioning

confidence: 99%

“…All studies including present study concluded that maternal near miss events were more prevalent in the last trimester and rural population who didn't get any antenatal checkups. 13,14 This reflects that community is still unaware about pregnancy related complications. This fact is reported by the present study too in which 98.78% had not taken any antenatal care.…”

Section: Resultsmentioning

confidence: 99%

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Maternal near miss events: a retrospective observational study in a tertiary care centre of central India

Dadhich

Guin

Rawat

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Clinically women who have survived complications during pregnancy and childbirth termed as Maternal Near Miss. The major reasons and causes are the same for both Maternal Near Miss and Maternal Death, so review of MNM cases is likely to yield valuable information regarding severe morbidity, which could lead to death of the mother, if not intervened properly and in time. Investigating the instances of severe morbidity may be less threatening to providers because the woman survived.Methods: It was a retrospective study conducted at the Department of Obstetrics & Gynaecology NSCB Medical College Jabalpur, Madhya Pradesh, India. Data of maternal death and maternal near miss was collected from the previous records from 1st January 2017 to December 2017 according to WHO 2009 criteria.Results: Total number of near miss cases was 164 and total number of Maternal Death was 111. Maternal Near Miss incidence ratio was 28.70 per 1000 live births. Maternal Near Miss to Maternal Mortality Ratio was 1.46 and Mortality index was 40.36%. Common cause of Near Miss events was hypertensive disorders of pregnancy - 85 cases (51.82%), followed by hemorrhage - 39 cases (23.78%). heart disease- 9 cases (5.48%) was also common during pregnancy.Conclusions: In summary, this study shows that besides 111 cases who died, there were another 164 cases who survived due to the prompt diagnosis and treatment received in our set- up However, the overall high incidence of near-miss to maternal mortality (1.46) indicates that a significant proportion of critically ill patient still die of these complications. Maternal near miss reviews will be the best tool for the betterment of community and health care systems.

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