Study of cases of double mishap in a tertiary care teaching hospital

Authors

  • Fasiha Tasneem Department of Obstetrics and Gynecology, Dr. SCGMC, Nanded, Maharashtra, India
  • Vijayalakshmi Shanbhag Department of Obstetrics and Gynecology, Dr. SCGMC, Nanded, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20191236

Keywords:

Maternal mortality, Near miss, Perinatal mortality, Preeclampsia

Abstract

Background: “Make every mother and child count”- the slogan for World health day 2005 reflects the reality and need of the society even today. In India, many women die due to pregnancy-related complications and those who survive suffer from severe maternal morbidity. Authors have been impressed that the same obstetric conditions that kill mothers are also responsible for most of the stillbirths and many of the neonatal deaths as well. This is the study to identify the risk factors that has an effect on the health of both mother and baby, to evaluate the complications leading to maternal and perinatal morbidity or mortality so that timely interventions to prevent maternal and perinatal morbidity and mortality can be made.

Methods: All the cases getting admitted in Dr SCGMC Nanded are analysed for maternal and foetal outcome over the study period of 18 months. The cases with both maternal and perinatal morbidity or mortality are included in the study. The associating factors and comorbidities if associated with the cases of double mishap are studied.

Results: During the study period of 18mths, there were 21905 deliveries conducted in the study hospital and 742 reffered cases of outside hospital deliveries, it was found that there were 204 cases of double mishap. Out of 204 cases of double mishap, 71.56% had preeclampsia, 29.41% were anaemic, 6.86% had febrile illness, 4.41% were of placenta praevia, 33.33% had abruptio placenta.

Conclusions: Authors can conclude by stating that through better antenatal care, early detection and proper management of risk factors like pre-eclampsia, anaemia and active management of third stage of labour with careful feto maternal monitoring the absolute goal of Obstetrics of having a healthy mother and healthy baby at the end of delivery can be achieved.

References

World health organization (2005) attending to 136 million births, every year. Make every mother and child count. The world report 2005. World health organization, Geneva.2005: 62-63. Available at: https://www.scirp.org/(S(vtj3fa45qm1ean45vvffcz55))/reference/ReferencesPapers.aspx?ReferenceID=1569984.

Khosla AH, Mehra R, Dua D, Gupta P. Maternal morbidity and mortality: an assessment of prevalence and aetiological factors. Obs Gynae Today. 2006;11:447-9.

Stones W, Lim W, Al-Azzawi F, Kelly M. An investigation of maternal morbidity with identification of life-threatening'near miss' episodes. Health Trends. 1991;23(1):13-5.

Sivalingam N, Looi KW. Clinical experience with management of near-miss cases in obstetrics. Med J Malaysia. 1999;54(4):496-503.

Ramos S, Karolinski A, Romero M, Mercer R. A comprehensive assessment of maternal deaths in Argentina: translating multicentre collaborative research into action. Bullet World Health Org.2007;85(8):615-22.

Maternal near miss review, operational guidelines, December, 2014. Maternal Health Division. Ministry of health and family welfare, GOI.

Goldenberg RL, McClure EM, Bhutta ZA. Beliz an JM, Reddy UM, Rubens CE, et al. Stillbirths: the vision for 2020. Lancet. 2011;377:1798-805.

Gardosi J, Madurasinghe V, Williams M, Malik A, Francis A. Maternal and fetal risk factors for stillbirth: population-based study. BMJ. 2013;346:f108.

Ashok V, Santosh M, Anupa S. A study on maternal mortality. J Obstet Gynecol India. 2008;58(3):226-229.

Mustafa R, Hashmi H. Near-miss obstetrical events and maternal deaths. J Coll Physic Surg Pak. 2009;19(12):781-5.

Roopa PS, 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;2013.

Bansal M, Lagoo J, Pujari K. Study of near miss cases in obstetrics and maternal mortality in Bastar, Chhattisgarh, India. Int J Reprod Contracept Obstet Gynecol. 2016;5(3):620-3.

Panda S, Das BB, Patnaik A. An investigation into maternal mortality. Paper presented at the 44th all India congress of obstetricians and gynaecologists, Ahmedabad; 2000:28-31.

Purandare N, Chandock AS, Upadhya S, Sanjanwala SM, Saraogi RM. Maternal mortality at a referral centre: a five year study. J Obstet Gynecol India 2007;57:248-50.

Mlambo C, Chinamo C, Zingwe T. An investigation of the causes of maternal mortality in Zimbabwe. Med J Social Sci. 2013;4(14):615.

Rathod AD, Chavan RP, Bhagat V, Pajai S, Padmawar A, Thool P. Analysis of near-miss and maternal mortality at tertiary referral centre of rural India. J Obstet Gynecol India.2016;66(1):S295-300.

Rose M pembeni NM, Jonathan R, Mughamba J. Perinatal mortality and associated factors among deliveries in three municipal hospitals of Dar Es Salaam. Tanzania. J Pediatr Neonatal Care. 2014;1(4):00022.

Fallahian M, Emadolsadaty N. Effects of maternal hypertension on the taleghani hospital’s neonates in 1378. J Reprod Infertil. 2001;1380(2):48-53.

Vogel JP, Souza JP, Mori R, Morisaki N, Lumbiganon P, Laopaiboon M, et al. Maternal complications and perinatal mortality: findings of the world health organization multicountry survey on maternal and newborn health. BJOG: An Int J Obstetr Gynaecol. 2014;121:76-88.

Allanson ER, Muller M, Pattinson RC. Causes of perinatal mortality and associated maternal complications in a South African province: challenges in predicting poor outcomes. BMC pregnancy and childbirth.2015;15(1):37.

Iwuh IA, Fawcus S, Schoeman L. Maternal near-miss audit in the Metro West maternity service, Cape Town, South Africa: A retrospective observational study. South African Med J. 2018;108(3):171-5.

Downloads

Published

2019-03-26

Issue

Section

Original Research Articles