Severe acute maternal morbidity: sociodemographic analysis of intensive care unit admission in pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250871Keywords:
Near Miss, Severe acute maternal morbidity, Socio-demographyAbstract
Background: Severe acute maternal morbidity also known as “Near Miss”. SAMM occurs 5 times more frequently than maternal death. Therefore auditing women with SAMM allows rapid collection of data and this may create a rapid diagnostic tool for evaluating current standard of maternal care in an area.
Maternal NEAR MISS refers to a woman who nearly died but survived a complication that occurred during pregnancy, child birth or within 42 days of termination of pregnancy. To have a more accurate picture of life threatening obstetrical conditions. To analyze various socio demographic factors associated with SAMM.
Methods: Retrospective study over a period of one year (November 2014 to October 2015) conducted in Kamla Raja Hospital, Gwalior, department of obstetrics and gynaecology. Analysis of various socio demographic factors done.
Results: During the study period, a total of 159 near-miss cases were identified, with 43 of those patients ultimately succumbing to maternal mortality. The maternal mortality ratio was 561 per 100,000 live births and the Maternal Near-Miss Incidence Ratio was 20 per 1,000 live births. The Maternity Near-Miss to Maternal Death ratio was 3.69:1.
Conclusions: Average MNMIR in ICU was 20 per 1000 live births. Hypertensive disorders of pregnancy and postpartum haemorrhage were the main obstetric causes of MNM in ICU. These findings would guide to improve professional skills of primary health care providers and encourage vaginal birth in the absence of medical indications for caesarean birth.
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References
Bhutta ZA, Cabral S, Chan CW, Keenan WJ. Reducing maternal, newborn and infant mortality globally: an integrated action agenda. Int J Gynaecol Obstet. 2012;119(1):13-7. DOI: https://doi.org/10.1016/j.ijgo.2012.04.001
Ross AB, DeStigter KK, Rielly M, Souza S, Morey GE, Nelson M, et al. A low-cost ultrasound program leads to increased antenatal clinic visits and attended deliveries at a health care clinic in rural Uganda. PLoS One. 2013;8(10):78450. DOI: https://doi.org/10.1371/journal.pone.0078450
Dako-Gyeke P, Aikins M, Aryeetey R, McCough L, Adongo PB. The influence of socio-cultural interpretations of pregnancy threats on health-seeking behavior among pregnant women in urban Accra, Ghana. BMC Pregnancy Childbirth. 2013;13:211. DOI: https://doi.org/10.1186/1471-2393-13-211
Oppong SA, Bakari A, Bell AJ, Bockarie Y, Adu JA, Turpin CA, et al. Incidence, causes and correlates of maternal near-miss morbidity: a multi-centre cross-sectional study. BJOG. 2019;126:755–62. DOI: https://doi.org/10.1111/1471-0528.15578
Okonofua F, Imosemi D, Igboin B, Adeyemi A, Chibuko C, Idowu A, et al. Maternal death review and outcomes: An assessment in Lagos State, Nigeria. PLoS One. 2017;12(12):188392. DOI: https://doi.org/10.1371/journal.pone.0188392
Timóteo NL da S, Rufino AC, Madeiro A. Mortalidade materna em Teresina, Piauí, Brasil: um estudo caso-controle. J Health Biol Sci. 2021;9(1):1-9. DOI: https://doi.org/10.12662/2317-3076jhbs.v9i1.3615.p1-9.2021
Gebrehiwot Y, Tewolde BT. Improving maternity care in Ethiopia through facility based review of maternal deaths and near misses. Int J Gynaecol Obstet. 2014;127(1):29-34. DOI: https://doi.org/10.1016/j.ijgo.2014.08.003
Vandana, Krishnaswamy P. A Prospective Study of Severe Acute Maternal Morbidity and Maternal Near Miss in a Tertiary Care Hospital. J Obstet Gynaecol India. 2022;72(1):19-25. DOI: https://doi.org/10.1007/s13224-021-01514-w
Karlsen, S., Say, L., Souza, JP. The relationship between maternal education and mortality among women giving birth in health care institutions: Analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health. BMC Public Health. 2011;11:606. DOI: https://doi.org/10.1186/1471-2458-11-606
Norhayati MN, Hazlina NH, Asrenee AR, Emilin WM. Magnitude and risk factors for postpartum symptoms: a literature review. J Affect Disord. 2015;175:34-52. DOI: https://doi.org/10.1016/j.jad.2014.12.041
Mahajan M, Soni A, Sharma CD, Moudgil S. A prospective observational study on maternal near miss cases in a rural teaching hospital. Int J Reprod Contracept Obstet Gynecol. 2021;10:4448-53. DOI: https://doi.org/10.18203/2320-1770.ijrcog20214640
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