Title: A One Year Audit of Maternal Near Miss and Maternal Death at Tertiary Care Hospital
Authors: Khushpreet Kaur, Sambli Garg*, Sargun Singh Walia
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.120
Abstract
Objective: The present study aims at to determine various Maternal Near Miss indicators as focus is shifting from maternal mortality to maternal morbidity now a days.
Material and Method: The present study was conducted on retrospective basis in all women fulfilling WHO MNM criteria with inclusion of maternal deaths for a period of one year from January 2017 to December 2017.
Results: During the study period, there were 4599 deliveries and 4387 live births with 96 near miss cases and 62 maternal deaths. The maternal near miss mortality ratio came out to be 1.5: 1 with 39.2% mortality index. As per WHO criteria; shock (14.6%), acute severe thrombocytopenia (17.7%) and multiple transfusion of blood or red cells (≥5 units) (62.5%) were the commonest parameters among clinical criteria , laboratory marker and management based proxies respectively. The main cause of maternal morbidity was obstetric hemorrhage (41.6%) whereas hypertensive disorders of pregnancy (43.5%) was primary causative factor for maternal mortality.
Conclusion: A developing countries like India carry high burden of maternal mortality and morbidity. Despite increase in instrumental deliveries and various policies and programmes started by Government , most pregnant women do not receive any antenatal care due to lack of knowledge and are at high risk of obstetric complications. So, near miss audit aids maternal mortality audit in identification of factors contributing to high maternal morbidity and mortality.
Keywords: maternal mortality; maternal morbidity; maternal near miss; mortality index ; near miss audit.
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