Study of Maternal Near Miss and Maternal Mortality in a Tertiary Care Hospital

Kumari, Sanju; Kapoor, Garima; Sharma, Mukut; Bajaj, Bindu; Dewan, Rupali; Nath, Banashree

doi:10.7860/jcdr/2020/42710.13634

Cited by 4 publications

(5 citation statements)

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“…During the study period, maternal deaths were observed at different stages of pregnancy. Maximum deaths [11] were reported in females who were post-natal with vaginal delivery, followed by six deaths during labor and one death occurred post-natal LSCS. No deaths were reported due complications related to abortion (Fig.…”

Section: Resultsmentioning

confidence: 97%

“…In our study, 10 (56%) women who died were multigravida, and 8 (44%) were multigravida. A study by Sanju Kumari et al, Garg et al, and Lamba et al have also reported more deaths in multigravida women [11][12][13]. More deaths in multigravida or second pregnancy can be due to shorter time between pregnancies, and the health status of the female is not recovered completely.…”

Section: Discussionmentioning

confidence: 98%

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Assessment of Causes of Maternal Death in 1 Year at a Tertiary Center of Central India

Naagar

SHRIVASTAVA

Shrivastava

et al. 2022

Asian J Pharm Clin Res

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Background: According to the definition of maternal mortality, it is the “death of a woman while pregnant or within 42 days following termination of pregnancy, irrespective of the site and duration of pregnancy, from any cause connected to or aggravated by the pregnancy or its management but not by accidental or incidental cause.” Studying maternal mortality and factors contributing to maternal deaths at Bundelkhand Medical College for 1 year from January 2021 to December 2021 to identify causes that can be avoided and use the knowledge, thereby produced to lower maternal mortality. Methods: A retrospective cross-sectional study of all maternal deaths from January to December 2021. The causes of death and the time between admission and death for each maternal death were thoroughly examined. Results: The Maternal mortality ratio in the present study was found to be 357.7/100,000 live births for the year 2021. Antepartum eclampsia was found most prevalent cause of maternal mortality in 39% cases. Other causes were pregnancy induced hypertension, severe anemia, retained placenta, hepatitis with multi organ failure, septic shock, and ruptured uterus. Conclusion: Maternal mortality is indicator of health-care services of a nation. Better awareness and early referral can help in reducing maternal mortality significantly.

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Section: Resultsmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

Assessment of Causes of Maternal Death in 1 Year at a Tertiary Center of Central India

Naagar

SHRIVASTAVA

Shrivastava

et al. 2022

Asian J Pharm Clin Res

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“…87.30% and 96.43% respectively. Sanju Kumari et al [15] in a study on the incidence and cause of MNM cases and Maternal deaths in a tertiary care hospital observed unbooked cases as 91.2% and 93.95 in MNM and MD cases respectively. This was in accordance to present study.…”

Section: Discussionmentioning

confidence: 98%

“…Early diagnosis of hypertension by proper antenatal care and timely management with Magnesium sulfate must be made universally available to prevent this condition [11] . [15] (2020) New Delhi 53.8% 31.2% Jyoti Ramesh Chandran [13] et al (2016) Kozhikode 46% -Anuradha et al (2017) [18] Visakhapatnam. 41% 44.3% Present study (2021) Nagpur 33.33% 48.81%…”

Section: Discussionmentioning

confidence: 99%

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Study of maternal near miss and maternal mortality in tertiary care teaching hospitals: An observational prospective study

Humane¹,

Jhunjhunwala²

2022

Int. J. Clin. Obstet. Gynaecol.

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Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

Alipour,

Payandeh,

Karimi

2023

BMC Pregnancy Childbirth

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Background Maternal mortality is a universal public health challenge. ICD-Maternal Mortality (ICD-MM) was introduced in 2012 to facilitate the gathering, analysis, and interpretation of data on maternal deaths worldwide. The present study aimed to estimate the global prevalence of maternal death causes through a systematic review and meta-analysis. Methods A systematic literature search was conducted using various databases, including Web of Science, PubMed, Scopus, ScienceDirect, Cochrane Library, as well as Persian databases such as MagIran and Scientific Information Database (SID). The search encompassed articles published until August 21, 2022. Thirty-four eligible articles were included in the final analysis. Analysis was performed using a meta-analysis approach. The exact Clopper-Pearson confidence intervals, heterogeneity assessment, and random effects models with Mantel-Haenszel methods were employed using the STATA software version 14.2. Results The most prevalent causes of maternal deaths, listed in descending order from highest to lowest prevalence, were non-obstetric complications (48.32%), obstetric hemorrhage (17.63%), hypertensive disorders of pregnancy, childbirth, and the puerperium (14.01%), other obstetric complications (7.11%), pregnancy with abortive outcome (5.41%), pregnancy-related infection (5.26%), unanticipated complications of management (2.25%), unknown/undetermined causes (2.01%), and coincidental causes (1.59%), respectively. Conclusion Non-obstetric complications, obstetric hemorrhage, and hypertensive disorders of pregnancy, childbirth, and puerperium were the most common causes of maternal deaths. To reduce the burden of maternal mortality causes, increasing awareness and promoting self-care management among women of reproductive age, and implementing effective screening mechanisms for high-risk mothers during pregnancy, childbirth, and the puerperium can play a significant role. ICD-MM enables the uniform collection and comparison of maternal death information at different levels (local, national, and international) by facilitating the consistent collection, analysis, and interpretation of data on maternal deaths. Our findings can be utilized by policymakers and managers at various levels to facilitate necessary planning aimed at reducing the burden of maternal mortality causes.

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Study of Maternal Near Miss and Maternal Mortality in a Tertiary Care Hospital

Cited by 4 publications

References 0 publications

Assessment of Causes of Maternal Death in 1 Year at a Tertiary Center of Central India

Assessment of Causes of Maternal Death in 1 Year at a Tertiary Center of Central India

Study of maternal near miss and maternal mortality in tertiary care teaching hospitals: An observational prospective study

Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

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