Maternal Near Miss: A Valuable Contribution in Maternal Care

Singh, Abha; Shrivastava, Chandrashekhar; Dube, Sonal

doi:10.1007/s13224-015-0838-y

Cited by 20 publications

(16 citation statements)

References 11 publications

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“…Near miss death ratio was found to be 3.1:1 which means that for every three MNM women, one woman dies of complications. In the present study, near miss: death ratio was found somewhat similar to other studies,[51417] while in some other states, it was found to be higher. [41316] Higher near miss mortality ratio indicates a better quality of care at that facility.…”

Section: Discussionsupporting

confidence: 92%

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Analysis of maternal near miss at tertiary level hospitals, Ahmedabad: A valuable indicator for maternal health care

Mansuri

Mall

2019

Indian J Community Med

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Background:Complications during pregnancy and childbirth remain a leading cause of illness and death among women of reproductive age in India. In the recent years, the concept of the WHO maternal near miss (MNM) has been adopted by the tertiary level hospitals as it has an added advantage of offering a large number of cases for intervention and for the evaluation of the maternal healthcare being provided by the health-care system.Materials and Methods:In the present study, near miss criterion-based audit of MNM cases and maternal death (MD) cases, based on the WHO near miss approach and MD, was conducted from the record section of the four tertiary level hospitals. In the present study, the WHO MNM approach was adopted to assess the quality of maternal healthcare in tertiary level hospitals. Retrospective secondary data analysis from the records of record section and maternity wards pertaining to June 2015–May 2016, of the hospitals of Ahmedabad city, was conducted from January 2016 to November 2017.Results:The total number of live births of all the four hospitals under surveillance was 21,491. Severe maternal outcome cases were 326, of which 247 (75.8%) were of MNM cases and 79 (24.2%) were of MD. MNM mortality ratio was found to be 3.13:1. Eclampsia (29.45%) followed by preeclampsia (25.46%) and severe postpartum hemorrhage (22.39%) were the leading causes of potentially life-threatening conditions.Conclusion:Above finding suggests the development of a comprehensive framework for the assessment of MNM and further improvement in the quality of maternal health care.

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Section: Discussionsupporting

confidence: 92%

“…It was higher in other studies compared to the present study. [417] Higher the index, more women with life-threatening conditions will die. However, it was found to be lower in some states than the present study, which indicate more deaths of women at our study hospitals.…”

Section: Discussionmentioning

confidence: 99%

Analysis of maternal near miss at tertiary level hospitals, Ahmedabad: A valuable indicator for maternal health care

Mansuri

Mall

2019

Indian J Community Med

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“…Mortality index in our study is comparable to study done by Singh et al 16 with mortality index of 32.58, while study done by Madhvi et al 17 found the index of 8.3. The higher the index the more women with life threatening conditions die (low quality of care), whereas the lower the index the fewer women with life threatening conditions die (better quality of care).…”

Section: Discussionsupporting

confidence: 89%

Evaluation of maternal near miss cases in tertiary care centre

Ojha¹,

Chaurasia²,

Singh³

et al. 2019

OBGYN

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Objective: A study to analyze maternal near miss obstetrics event and maternal mortality in a tertiary care centre. Methods: This was a retrospective analysis of data, from January 2015 to December 2017. For each eligible patient, medical records were reviewed. Their socio-demographic features, mode of delivery, diagnosis on admission, surgical intervention, ICU admission, duration of hospital stay and outcome were collected and analyzed. Results: There were 159 maternal near miss cases and 83 maternal deaths. Maternal near miss to mortality ratio was 1.92. During the study maternal near miss incidence (MNM ratio) was found to be 47. 73 per 1000 live birth. Mortality index in our study was 34.29. There was more than one delay in most of the patients. Delays were primarily in seeking health care and delayed referral. Haemorrhage, hypertensive disorders and rupture uterus are most common cause of maternal near miss in our study. Conclusion: Investigating the maternal near miss cases are important tool to get the information about the causes, identify the gaps and corrective measures to be taken in the health care system.

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“…Hypertension and haemorrhage were the main cause of maternal near miss. 8 Similar study by Chhabra P, the leading cause of MNM were haemorrhage, hypertension and sepsis. 9 In a study by Kalra P et al, near miss incidence was 4.18/1000 LB.…”

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confidence: 52%

Obstetric near miss events and maternal deaths in a tertiary care hospital

Patil¹,

Kamath²,

Desai³

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal mortality is one of the important indicators of maternal health. Objectives of present study were to determine the frequency of maternal near miss, maternal near miss incidence ratio, maternal near miss to mortality ratio and mortality index and to study the risk factors associated with near miss events.Methods: A retrospective analysis of severe maternal morbidity from January 2015 to December 2015 was studied. Data was collected from women with pregnancy related life-threatening complications, near miss cases and maternal deaths.Results: The total number of deliveries were 5247. The numbers of maternal deaths were 12. Maternal mortality ratio was 228 per one lakh deliveries. There were 5.3 near miss events for every 1 maternal death. The nature and course of near miss cases were analysed. Severe maternal odds ratio was 14.48. Mortality index was 15.78%. Maternal near miss incidence ratio was 12.19.Conclusions: Near Miss Mortality indicator is helpful in identifying the life-threatening conditions and thus aiming to prevent maternal mortality. Hypertensive disorders and its complications are the leading causes of near miss events. Sepsis is the main cause of maternal death.

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Maternal Near Miss: A Valuable Contribution in Maternal Care

Cited by 20 publications

References 11 publications

Analysis of maternal near miss at tertiary level hospitals, Ahmedabad: A valuable indicator for maternal health care

Analysis of maternal near miss at tertiary level hospitals, Ahmedabad: A valuable indicator for maternal health care

Evaluation of maternal near miss cases in tertiary care centre

Obstetric near miss events and maternal deaths in a tertiary care hospital

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