DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20220172

Study of maternal near miss and mortality in obstetrics in a tertiary care hospital

Pallavi G. Ninama, Ronak D. Karnavat, Shivani T. Siddhpura, Jil P. Karia

Abstract


Background: Maternal health is an important aspect for the development of any country in terms of increasing equity and reducing poverty. In 2009, WHO came up with clinical, laboratory and management criteria for identification of the maternal near miss cases. Aim of the current study was to determine the level of near-miss maternal morbidity and mortality due to severe obstetrical complications or maternal disease in a tertiary care hospital. Objectives of the study were to compare the relation of near miss events with that of maternal mortality and to see the trend of near miss events.

Methods: Cases were defined based on WHO criteria 2009. Study was conducted at GMERS Medical College and Hospital, Sola, Ahmedabad from 2020 to 2021. The study population were near miss cases and maternal deaths.

Results: During the period of audit there were a total of 6776 deliveries, 6434 live birth, 145 near miss and 36 maternal deaths.

Conclusions: Haemorrhage and hypertension are the leading cause of maternal near miss and maternal mortality in our hospital. As near miss indices represent quality of health care it should be represented in the national indices.


Keywords


Maternal near miss, Maternal mortality, Obstetrics

Full Text:

PDF

References


Maternal and adolescent health care, annual report 2017-2018. Available at: https://main.mohfw.gov.in/ publications/annual-report-department-health-and-family-welfare-2017-18. Accessed on 20 November 2021.

Roopa PS, Verma S, Rai L, Kumar P, Pai MV. Near miss obstetric events maternal deaths in a tertiary care hospital: an audit. J Preg. 2013;2013:393-8.

Jayaratnam S, De Costa C, Howat P. Developing an assessment tool for maternal morbidity 'near-miss'- a prospective study in a large Australian regional hospital. Aust N Z J Obstet Gynaecol. 2011;51(5): 421-5.

Shrestha NS, Saha R, Karki C. Near miss maternal morbidity and maternal mortality at Kathmandu Medical College Teaching Hospital. Kathmandu Univ Med J (KUMJ). 2010;8(30):222-6.

Almerie Y, Almerie MQ, Matar HE, Shahrour Y, Al Chamat AA, Abdulsalam A. Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study. BMC Pregnancy Childbirth. 2010;10:65.

Oladapo OT, Sule-Odu AO, Olatunji AO, Daniel OJ. "Near-miss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005;2:9.

Ali AA, Khojali A, Okud A, Adam GK, Adam I. Maternal near-miss in a rural hospital in Sudan. BMC Pregnancy Childbirth. 2011;11:48.

Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy Childbirth. 2008;8:10.

Kumari S, Umuziranenge I, Small M, van Roosmalen J. Maternal near miss and mortality in a tertiary care hospital in Rwanda. BMC Pregnancy Childbirth. 2015;15:203.

Samarina K. A study of maternal near miss cases at tertiary medical college of Jharkhand, India. Int J Reprod Contracept Obstet Gynecol. 2017;6(6):2375-80.

Singh V, Barik A. Maternal near-miss as a surrogate indicator of the quality of obstetric care: a study in a tertiary care hospital in eastern India. Cureus. 2017;13(1): e12548.