Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Obstetrics and Gynecology

Volume  6, Issue 3, May-June 2018, Pages 321-326
 

Original Article

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

Thakre S.S.1, Patil C.R.2, Thakre S.B.3, Petkar P.B.4, Inamdar A.5, Agarwal S.6

1Professor 3Third Year Resident 6Incharge, Department of Record Section and Assistant Professor, Department of Community Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra 440018, India. 2Clinical Fellow, Department of Palliative Medicine, Tata Medical Center, Kolkata, West Bengal 700156, India.4Professor and Head, Department of Community Medicine, Government Medical College, Gondia, Maharashtra 441601, India. 5Assistant District Health Officer, Department of Family and Heal

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

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

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.

 


Corresponding Author : Sushama Thakre, Professor, Department of Community Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra 440018, India.