A study to assess the occurrence and factors of maternal near-miss among women admitted in maternal unit in selected hospitals of Kolkata, India

Dipti Das; Sujata Mitra; Saraswati Barui

doi:10.18203/2320-1770.ijrcog20214338

Authors

Dipti Das Department of Obstetrics and Gynaecology , R.G.Kar Medical College & Hospital, The West Bengal University Of Health Sciences , Kolkata , West Bengal,India. http://orcid.org/0000-0003-3351-3358
Sujata Mitra Department of Obstetrics and Gynaecology, College of Nursing, R. G. Kar Medical College and Hospital, The West Bengal University of Health Sciences, Kolkata, West Bengal, India
Saraswati Barui Department of Obstetrics and Gynaecology, College of Nursing, R. G. Kar Medical College and Hospital, The West Bengal University of Health Sciences, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214338

Keywords:

Maternal near-miss, Occurrence, Maternal mortality, Maternity unit, Maternal delay

Abstract

Background: Assessment of the occurrence of maternal near-miss (an event in which a woman comes close to maternal death, but survive), identify the factors of maternal near-miss and to find out the association between determining factors and selected sample characteristics of maternal near-miss women.

Methods: A descriptive survey is carried out among purposively selected women admitted in the maternity unit of two tertiary hospitals of Kolkata. Data are collected by face-to-face interview using valid and reliable semi-structured interview schedule to identify factors of maternal near-miss. WHO selected maternal near-miss proforma (2011) is used for assessment of occurrence of maternal near-miss by using record analysis.

Results: The occurrence of maternal near-miss is identified as 100 out of 1669 women admitted in maternity unit. Eclampsia occurred maximum (27%) followed by severe pre-eclampsia (19%), severe PPH (6%) among potentially life-threatening conditions. Multigravida (65%), multipara (54%), non-booked cases (5%), duration of labour more than 18 hours (65%), caesarean section (78%), referred cases (79%), maternal type 1 delay (53%) and type 2 delay (67%) all are the factors mainly responsible for developing maternal near-miss. Significant association present between reproductive and obstetrical factors and maternal education, marital age (p<0.01). Significant association is also present between maternal delay factors and residence, maternal education, monthly family income, marital age (p<0.01).

Conclusions: Exploring the factors of maternal near-miss may help to identify the factors early, which in turn will prevent the condition. Lesson can be learned from cases of near-miss which can serve as a useful tool in reducing maternal mortality ratio.

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Author Biography

Dipti Das, Department of Obstetrics and Gynaecology , R.G.Kar Medical College & Hospital, The West Bengal University Of Health Sciences , Kolkata , West Bengal,India.

NURSING OFFICER , AIIMS BHUBANESWAR ,ODISHA

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