Near miss maternal mortality, who is responsible? Administration, healthcare system or the people themselves

Authors

  • Smita Tyagi Department of Obstetrics and Gynecology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174194

Keywords:

Critical interventions, Life threatening conditions, Near miss maternal mortality, Severe maternal complications

Abstract

Background: The concept of maternal near miss is assumed to be a better indicator than maternal mortality alone for designing, monitoring, follow up and evaluation of safe motherhood programmes. Objective of present study was to find out the causes of near miss maternal mortality according to WHO and to prevent it.

Methods: It is a prospective study of one year. Cases of maternal near miss were diagnosed and treated according to WHO definitions, which included severe maternal complications, life threatening conditions and critical interventions.

Results: In present study hemorrhage (53%) was the leading cause of maternal near miss followed by hypertension (26%) rupture uterus (13%) and obstructed labour (6.6%). Anemia is the major contributory factor (93%) of near miss in present study.

Conclusions: To reduce near miss cases there should be major policy changes at the administrative level, it should be well implemental at the health care level and last but not the least people should be made aware of these schemes specialty by TV. Internet and smart phones in this high tech 21st century.

References

Ronsmans C, Fillipe V. Beyond the numbers reviewing maternal deaths and complications to make pregnancy safer, Geneva, Switzerland: world organization: Reviewing severe maternal morbidity: learning from survivors from life threatening complications: 2004:103-24.

Pattinson RC, Buchmann E, Mantel G, Schoon M, Rees H. Can enquiries into severe acute maternal morbidity act as a surrogate for maternal death enquiries BJOG. 2003;110:889-93.

Filippi V, Brugha R, Browen E, Gohou V, Bacci A, De Brouwere V. Obstetric audit in resourse-poor settings: Lessons from a multi-country projest auditing near miss obstetrical. Health Policy Plan. 2004 Jan;19(1):57-66.

Evaluating the quality of care for severe pregnancy complication. WHO near miss approach for maternal health: journals. Plos.Org>Plosone>article>. 2011. Available at http://apps.who.int/iris/bitstream/10665/44692/1/9789241502221_eng.pdf

Say L. WHO working group on maternal mortality and morbidity classifications. Maternal near miss forwards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynecol. 2009,23:287-296.

Report on the world health organization working group on the classification of maternal deaths and severe maternal morbidities. Geneva, world health organization.

Say L, Pattinson RC, Gülmezoglu AM. WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reproductive Health. 2004 Aug 17;1(1):3.

Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367(9516):1066-74.

Rajaram P, Agrawal A, Swain S, Determinants of maternal mortality. A hospital based study from south india. Indian J Matern Child Health. 1995;6:7-10.

Halder A, Jose R, Vijayselvi R. Maternal mortality and derivations from the WHO near-miss tool: An institutional experience over a decade in Southern India. J Turk Ger Gynecol Assoc. 2014;15(4):222-7.

Souza JP, Gulmezoglu AM, Vogel J, Carroli G, Lumbiganon P, Ourseshiz. Moving beyond essential interventions for reduction of maternal mortality. (the WHO multi country survey on maternal and new born health): a cross sectional study. Lancet. 2013;381:1747-55.

Tuncalp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: A systematic review. BJOG. 2012;119:653-61.

Downloads

Published

2017-09-23

Issue

Section

Original Research Articles