Obstetric near miss events and maternal deaths in a tertiary care hospital

Abstract

Background: Maternal mortality is one of the important indicators of maternal health. Objectives of present study were to determine the frequency of maternal near miss, maternal near miss incidence ratio, maternal near miss to mortality ratio and mortality index and to study the risk factors associated with near miss events.Methods: A retrospective analysis of severe maternal morbidity from January 2015 to December 2015 was studied. Data was collected from women with pregnancy related life-threatening complications, near miss cases and maternal deaths.Results: The total number of deliveries were 5247. The numbers of maternal deaths were 12. Maternal mortality ratio was 228 per one lakh deliveries. There were 5.3 near miss events for every 1 maternal death. The nature and course of near miss cases were analysed. Severe maternal odds ratio was 14.48. Mortality index was 15.78%. Maternal near miss incidence ratio was 12.19.Conclusions: Near Miss Mortality indicator is helpful in identifying the life-threatening conditions and thus aiming to prevent maternal mortality. Hypertensive disorders and its complications are the leading causes of near miss events. Sepsis is the main cause of maternal death.

A study of maternal and fetal outcomes in critically ill obstetric patients

“…The study by Patil V showed severe preeclampsia being risk factor in 54.4%, eclampsia in 6%, antepartum hemorrhage in 7.73% and postpartum hemorrhage in 7.56% of their cases, 3 cases had rupture uterus as risk factors. 15 The study done by Appinabhavi A, showed that 8 patients had hepatic encephalopathy, 9 patients had acute lung injury, 22 patients had MODS as complications. 16…”

Nurse’s knowledge about maternal near miss cases at Woman's Health Hospital, Assiut University.

“…The sample size was calculated using Epi-info statistical package, version 3.3 with power 80% value of 2.5%, is chosen as the acceptable limit of precision (D) at a 95% level of confidence (CI), with expected prevalence 50% and worst acceptable 16%. Pilot study A pilot study was carried out before starting data collection on 10% of nurses (15) in order to test the clarity and applicability of including questions and statement content, feasibility, and consistency of the tool to detect any ambiguity in the study tools. The pilot study also served to estimate the time required to fill the form.there was no modification in the tool and the pilot study was included in the sample.…”