DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184158

The study of eclampsia as a cause of severe acute maternal morbidity

Yoga Lakshmi S. K., Suvarna R.

Abstract


Background: “SAMM” refers to the morbidity a woman actually suffers1. The identification of Eclampsia as a cause of severe maternal morbidity has emerged as a promising complement or alternative to the investigation of maternal deaths. The most common tool used to identify SAMM is by WHO criteria. Incorporation of near-misses into maternal death enquiries would improve the quality of care and its standardization.

Methods: A descriptive study of SAMM in the department of OBG in KIMS hospital done between Jan 2013 to June 2014. The total number of deliveries during this period were 2786. There were 43 cases of Eclampsia as a cause of SAMM. Among this, 1 case was admitted in ICU due to peripartum cardiomyopathy, MODS, HELLP syndrome. Data were collected as per Performa (facility based Maternal Near Miss Review Form [MNM-R FORM] and statistical analysis was performed.

Results: The cases of near miss have 2 or more factors responsible for it. In this study,23% of SAMM are due to lack of resources and Lack of transport from home to health care facility. 20% due to lack of human resources.11% due to lack of awareness. Other responsible for minor contributory factors.

Conclusions: SAMM can be decreased by identifying factors responsible for it and steps taken to resolve them. Step by step improvement to be done as all the factors are modifiable.


Keywords


Eclampsia, Maternal mortality, SAMM

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References


Yelikar KA, Deshpande SS, Deshmukh SF. Severe Acute Maternal Morbidity in a tertiary care centre with Basic Intermediate Respiratory Care Units Setup. Int J Sci Stud 2015;3(5):36-40.

World Health Organization. A draft proposal for a classification system for cause-identification of maternal deaths and severe acute maternal morbidity for use a quality care tool. Unpublished document, Geneva: WHO,2008.

Lale Say, Robert C Pattinson, A Metin Gulmezoglu. WHO systematic review of maternal morbidity and mortality. Reproductive Health 2004,1(1):3.

Siddiqui SA, Soomro N, Shabih-ul-Hasnain F. Severe obstetric morbidity and its outcome in patients presenting in a tertiary care hospital of Karachi. J Pak Med Assoc. 2012;62(3):226-31.

Upadhyaya I, Chaudhary P. Severe acute maternal morbidity and intensive care in Paropkar maternity and women’s hospital. NJOG. 2013;8(2):38-41.

Moraes AP, Barreto SM, Passos VM, Golino PS, Costa JA, Vasconcelos MX. Incidence and main causes of severe maternal morbidity in São Luís, Maranhão, Brazil: A longitudinal study. Sao Paulo Med J. 2011;129(3):146-52.

Huseyin C, Cihan K, Ramazan A, Ziya YY, Murat E, Levent Y. Near miss obstetric cases: 4 years experience of a tertiary center. Gynecol Obstet Reprod Med. 2013;19(1):19-22.

Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Br J Obstet Gynaecol. 1998;105(9):985-90.

Oladapo OT, Sule-Odo AO, Olatunji AO, Daniel OJ: “Near miss” obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health 2005;2(1):9.

Shrestha NS, Saha R, Karki C. Near miss maternal morbidity and maternal mortality at Kathmandu Medical College Teaching Hospital. Kathmandu University Med J. 2010;8(2):222-6.

Ali AA, Khojali A, Okud A, Adam GK, Adam I. Maternal near-miss in a rural hospital in Sudan. BMC Pregnancy and childbirth 2011;11(1):48.

PS R, Verma S, Rai L, Kumar P, Pai MV, Shetty J.,” Near Miss” Obstetric Events and Maternal deaths in a Tertiary Care Hospital: An Audit, J Preg, 2013.

Lawton B, MacDonald EJ, Brown SA, Wilson L, Stanley J, Tait JD et al. Preventability of severe acute maternal morbidity. Am J Obstet Gynecol 2014;210(6):557-6.