31Jan 2017

A STUDY OF NEAR MISS OBSTETRIC EVENTS AND MATERNAL DEATHS IN A TERTIARY CARE HOSPITAL

  • Associate Professor, NDMC Medical College and Hindu Rao Hospital, Delhi.
  • Director Professor and Unit Head, Lady Hardinge Medical College and SSK Hospital, New Delhi.
  • Visiting Consultant Fortis Hospital Vasant Kunj, New Delhi and Eye Care Centre, C6/9,Safdarjung Development Authority, New Delhi.
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Introduction: Maternal Near Miss refers to a women who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Aims and Objective: To use the new WHO near miss criteria to investigate maternal morbidity and mortality. To determine the Maternal Near Miss Incidence ratio, maternal near miss to mortality ratio and to calculate the mortality index for each event. Methods: Women showing the presence of any one of the markers in WHO near miss criteria and all maternal deaths from October 2012 to March 2014 were included in the study. The study was conducted in department of Obstetrics and Gynaecology at Lady Hardinge Medical College and SSK Hospital, New Delhi, India. Observation: There were 19,077 deliveries, 18,631 live births, 161 near miss cases and 35 maternal deaths during the study period. Haemorrhage accounted for most common near miss event (39%) followed by infection (28.5%), anemia (19.2%) and eclampsia (13.3 %). The Mortality Index were 33.8%, 12.5%, 6% and 4.5 % for infection, hypertensive disorder, anemia and haemorrhage respectively. Near miss to maternal death ratio was 4.6:1 and maternal mortality ratio was 188 per 1,00,000 live birth. Conclusion: The quality of care received by critically ill obstetric patients in this centre is optimal for near miss events like haemorrhage and anemia as the mortality index were lowest for both events but needs to be improved for infections and hypertensive disorders of pregnancy.

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[Shilpa Dhingra, Reena Yadav and Chitra Raghudandan. (2017); A STUDY OF NEAR MISS OBSTETRIC EVENTS AND MATERNAL DEATHS IN A TERTIARY CARE HOSPITAL Int. J. of Adv. Res. 5 (Jan). 2172-2178] (ISSN 2320-5407). www.journalijar.com

SHILPA DHINGRA
NDMC Medical College and Hindu Rao Hospital, Delhi

DOI:

Article DOI: 10.21474/IJAR01/2992      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2992

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