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Maternal Near Miss Cases of a Tertiary Care Hospital of Central India: A Record Based Cross Sectional Study

Sushama Thakre, Professor, Department of Community Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra 440018, India. , Thakre S.S.1 , Patil C.R.2 , Thakre S.B.3 , Petkar P.B.4 , Inamdar A.5 , Agarwal S.6

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Indian Journal of Obstetrics and Gynecology 6(3):p 321-326, May-June 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6318.21

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Abstract

Introduction: Maternal mortality amounts for the tip of iceberg but many maternal near miss cases are present which can be prevented. So, this study was conducted to find the causes of maternal near miss and maternal deaths occurred and to estimate the indicators of severe maternal outcome and overall near miss indicators during the study period at a tertiary care hospital in Nagpur.

Methodology: A thorough review of the eligible records of the patients who got admitted in the year 2015 from January to June period was done and this data was collected in the period from September 2016 to March 2017. A modified version of WHO near miss tool was used to collect the data. 

Results: A total of 105 cases were included in the analysis. The mean age of near miss cases was 24.98±4.00 years and of the maternal deaths was 26.92±4.93 years. The severe maternal outcome ratio, maternal near miss ratio, maternal near miss mortality ratio and mortality index were 55.97 per 1000 live births, 49.57 per 1000 live births, 7.75% and 11.42% respectively. The data was collected, compiled and analysed using Epi Info version 7.2 and expressed in terms of percentages and means.

Conclusions: We found that hypertensive  disorders were the most common underlying cause and anaemia being the most common secondary cause of near miss and maternal death. Majority of the near miss cases were primiparous. Among the organ dysfunction, coagulation dysfunction was most common and neurological dysfunction was the least common.

Keywords: Near Miss; Maternal Deaths; Severe Maternal Outcome; Indicators.

 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6318.21

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