A near-miss case of obstetric haemorrhage managed successfully
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20164694Keywords:
Maternal near-miss, Maternal mortality, Postpartum haemorrhageAbstract
Functioning of health systems with respect to maternal health were previously audited using indicators like maternal mortality ratio. However, maternal morbidity as a consequence of pregnancy-related complications is not accounted for in these indicators. Thus, the World Health Organization (WHO) has formulated a maternal near-miss approach to pregnancy complications for a more thorough evaluation of health care systems across the world. In practical terms, women are said to be maternal near-miss cases when they survive lethal conditions during pregnancy or in the postpartum period. We report one such case of traumatic variety of postpartum haemorrhage subsequent to a lower segment caesarean section with immediate post-operative removal of cervical cerclage threads that resulted in a maternal near-miss case.
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References
Sivalingam N, Looi KW. Clinical experience with management of “near-miss” cases in obstetrics. Medical Journal of Malaysia. 1999;54(4):496-503.
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;1(1):10-9.
Pattinson RC, Say L, Souza JP, van den Broek N, Rooney C. WHO maternal death and near-miss classifications. Bull World Health Organ. 2009;87:733-804.
Say L, Souza JP, Pattinson RC. WHO working group on Maternal Mortality and Morbidity classifications. Maternal near miss-towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol. 2009;23(3):287-96.
Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. British Journal of Obstetrics and Gynaecology. 1998;105(9):985-90.
Waterstone M, Wolfe C, Bewley S. Incidence and predictors of severe obstetric morbidity: case-control study. British Medical Journal. 2001;322(7294):1089-93.
Singh A, Shrivastava C, Dube S. Maternal Near Miss: A Valuable Contribution in Maternal Care. The Journal of Obstetrics and Gynecology of India. 2016;66(S1):S217-22.
Geller SE, Rosenberg D, Cox S, Brown M, Simonson L, Kilpatrick S. A scoring system identified near-miss maternal morbidity during pregnancy. J Clin Epidemiol. 2004;57:716-2.
