scholarly journals Erratum to “Severe Life-Threatening Pregnancy Complications, “Near Miss” and Maternal Mortality in a Tertiary Hospital in Southern Nigeria: A Retrospective Study”

2020 ◽  
Vol 2020 ◽  
pp. 1-1
Author(s):  
Ubong Bassey Akpan ◽  
Udeme Asibong ◽  
Ezukwa Omoronyia ◽  
Kazeem Arogundade ◽  
Thomas Agan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Maternal Mortality ◽  
Pregnancy Complications ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Southern Nigeria ◽  
Life Threatening

scholarly journals Severe Life-Threatening Pregnancy Complications, “Near Miss” and Maternal Mortality in a Tertiary Hospital in Southern Nigeria: A Retrospective Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Ubong Bassey Akpan ◽  
Udeme Asibong ◽  
Ezukwa Omoronyia ◽  
Kazeem Arogundade ◽  
Thomas Agan ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Pregnancy Complications ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Infant Survival ◽  
Maternal Deaths ◽  
Live Births ◽  
Mortality Ratio ◽  
Life Threatening

Background. Investigating severe life-threatening pregnancy complications that women encounter and the maternal morbidities (near miss) may help to evaluate the quality of care in health facility and recommend ways to improve maternal and infant survival especially in low-income countries. The aim of this review was to identify, classify, and determine the frequency and nature of maternal near miss events and the maternal and perinatal outcomes. Methods. A retrospective facility-based review of cases of near miss and maternal mortality occurring between 1st January 2012 and 31st December 2016 at the University of Calabar Teaching Hospital was conducted. Near miss case definition was based on the WHO disease specific criteria. The main outcomes included the maternal mortality ratio (MMR), maternal near miss ratio (MNMR), mortality index, maternal morbidities, and perinatal outcome. Results. There were 10,111 pregnancy-related admissions, 790 life-threatening pregnancy complications that resulted in 99 maternal deaths, and 691 near miss cases. The maternal mortality ratio was 979 maternal deaths per 100,000 live births, and the maternal near miss ratio was 6,834 per 100,000 maternities. The MMR to MNMR ratio was 1 : 8. Sepsis and severe anaemia had high case-specific mortality indices of 0.4 and 0.53, respectively. The perinatal outcome was poor compared to that of uncomplicated pregnancies: perinatal mortality rate (PMR) 266 per 1000 live births (OR 7.74); neonatal intensive care (NIC) admissions 11.6 percent (OR 1.83); and low birth weight (LBW) (<2.5 kg) 12.19 percent (OR 1.89). Conclusion. Antenatal care and early recognition of danger signs in pregnancy as well as prompt referral and early institution of essential obstetrics care are important for maternal and infant survival.

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

2018 ◽  
Vol 7 (2) ◽  
pp. 519
Author(s):  
Vrinda Patil ◽  
Vidya Kamath ◽  
Rathnamala M. Desai
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Mortality Index ◽  
Mortality Ratio ◽  
Life Threatening

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.

The complex Impact of Five Years of Stress Related to Life-Threatening Events on Pregnancy Outcomes: A Preliminary Retrospective Study

2015 ◽  
Vol 30 (2) ◽  
pp. 317-321 ◽  
Author(s):  
M. Keren ◽  
N. Keren ◽  
A. Eden ◽  
S. Tsangen ◽  
A. Weizman ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Pregnancy Outcomes ◽  
Pregnancy Complications ◽  
The Other ◽  
Late Period ◽  
Intermediate Period ◽  
Membrane Rupture ◽  
Middle Period ◽  
Life Threatening ◽  
The Impact

AbstractObjective:To study the impact of chronic, life-threatening stressors in the form of daily missile attacks, for five consecutive years, on pregnancy outcomes.Method:Charts of deliveries from two neighboring towns in the south of Israel, covering the years 2000 and 2003–2008, were reviewed retrospectively. One city had been exposed to missile attacks, while the other was not. For each year, 100 charts were chosen at random.Results:Significant association was found between exposure to stress and frequency of pregnancy complications (P = 0.047) and premature membrane rupture (P = 0.029). A more detailed analysis, based on dividing the stressful years into three distinct periods: early (2003–2004), intermediate (2005–2006) and late (2007–2008), revealed that preterm deliveries were significantly more frequent (P = 0.044) during the intermediate period, as was premature membrane rupture during the late period (P = 0.014).Conclusion:Exposure to chronic life-threatening stress resulted in more pregnancy complications and in particular more premature membrane ruptures. The impact was most significant during the middle period of the 5-year-exposure to the stressor. Hence it seems that factors of duration and habituation may play a role in the impact of chronic, life-threatening stressors on pregnancy.

scholarly journals Evaluation of severe acute maternal morbidity and mortality at a tertiary referral center of Uttarakhand, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1601
Author(s):  
Lipi Verma ◽  
Ruchira Nautiyal ◽  
Pradeep Aggarwal
Keyword(s):  
Maternal Mortality ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Tertiary Referral Center ◽  
Live Births ◽  
Life Threatening

Background: Maternal mortality is an area of concern for the Governments across the globe. India is signatory to millennium declaration and is committed to achieving the target of millennium development goals by reducing MMR to 100. Known obstacles to reducing the MMR in developing countries, include lack of material and human resources, as well as difficulties in accessing services due to financial, geographical, and cultural limitations.Methods: It was a descriptive cross-sectional study conducted at a tertiary care centre in Uttarakhand for a period of one year. WHO’s near-miss approach was implemented for evaluation of severe maternal outcomes and to assess the quality of maternal health care.Results: During the period of this study there were 2243 total antenatal admissions, 1675 deliveries, 1591 live births and 59 near miss cases. Prevalence of SAMM in the present study is 3.52%. Out of every 9-10 women who survived a life-threatening condition 1 died. Mortality Index is 10.17%. Maternal mortality ratio is 377.12 per 1 lakh live births. A total of 43 patients with potentially life-threatening conditions were admitted in ICU out of which 26 were near miss cases. The leading cause of near miss in this tertiary health facility is obstetric haemorrhage (45.8%).Conclusions: Prompt identification of complications and timed intervention remains the key determinant in making mothers survive a life-threatening complication.

scholarly journals Retrospective study of maternal mortality in a tertiary hospital in Egypt

2010 ◽  
Vol 4 (1) ◽  
pp. 29
Author(s):  
YasserM Amr ◽  
HeshamM Marouf ◽  
Manal Mostafa ◽  
AhmedA El Daba
Keyword(s):  
Retrospective Study ◽  
Maternal Mortality ◽  
Tertiary Hospital

Maternal mortality and ‘near miss’ morbidity at a tertiary hospital in Timor-Leste

2019 ◽  
Vol 59 (4) ◽  
pp. 567-572 ◽  
Author(s):  
Skandarupan Jayaratnam ◽  
Maria Lucia de Fatima Godinho Soares ◽  
Belinda Jennings ◽  
Amitha Pradan Thapa ◽  
Cindy Woods
Keyword(s):  
Maternal Mortality ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Timor Leste

scholarly journals Maternal Near-Miss Obstetric Events and Maternal Mortality

2021 ◽  
Vol 15 (5) ◽  
pp. 980-983
Author(s):  
Shehla Channa ◽  
Hina Akmal Memon ◽  
Nayab Qasim ◽  
Abdul Rauf Memon ◽  
Ikram Ahmed Tunio ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Live Birth ◽  
Maternal Death ◽  
Maternal Health Services ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Cross Sectional ◽  
Life Threatening

Aim: To know about the prevalence, characteristic and nature of near miss events and to relate the nature of near miss events with that of maternal mortality. Study design: Descriptive cross sectional study Place and duration of study: Department of Obstetrics & Gynecology Unit IV, LUMHS Jamshoro from 1st January 2020 to 31st December 2020 Methodology: Pregnancy outcomes segregated into maternal death, near-miss event, or live birth categories. Age, level of education, religion, and residence were socio demographic variables. Obstetrics characteristics and nature of maternal near-miss events also studied. Result: The prevalence of maternal near-miss event was 5.6%, and the maternal near-miss events were seen more in multigravida, pregnant women with the lack of antenatal care in referral cases. Live birth as fetal outcome was 75%. The maternal death to near-miss ratio in this study was 1:5. 44 (42.3%) postpartum haemorrhage and 28 (26.9%), hypertensive disorders cases were leading cause of maternal near-miss events. Conclusion: Every fifth women who survived life-threatening complications, one died. Maternal near-miss should be adopted as an indicator for evaluating maternal health services. Keywords: Maternal near-miss (MNM), Maternal mortality, Life-threatening complication

A STUDY OF NEAR MISS OBSTETRICAL EVENTS AT A TERTIARY CARE CENTRE AT MADHYA PRADESH

2021 ◽  
pp. 35-37
Author(s):  
Nisha Panwar ◽  
Sheetal Achale ◽  
Neha Khatik
Keyword(s):  
Maternal Mortality ◽  
Live Birth ◽  
Community Action ◽  
Near Miss ◽  
Mortality Data ◽  
Case Report Form ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening

Background: Maternal mortality is the major indicator used to monitor maternal health. For every women, who dies, however, many suffer serious life threatening complications of pregnancy. Yet relatively little attention has been given to identifying a general category of morbidities that could be called near misses. Characterising near miss morbidity is valuable for monitoring the quality of hospital based case and for assessing incidence of life-threatening complications. Besides mortality data, the identication and accurate documentation of "near-miss" morbidity (a more sensitive index) is extremely important to assess the quality of health care systems. It can suitably guide to adopt appropriate measures to reduce maternal mortality and morbidity. Methods: A cross sectional observational study was conducted in department of obstetrics and gynecology, MGM medical college Indore (M.P.) over apeiod of 2 years. Out of all obstetric inpatients cases of near miss were taken, identied by WHO 2009 criteria. In all cases the demographic characteristics, frequency of near miss in each criteria, direct and indirect obstetric causes of maternal morbidity & mortality were noted .This study was approved by institutional ethical committee. The data was recorded in predesign coded case report form and statistical analysis was performed using the STATA12.1. Result: in the present study incidence of Near miss was 65.6, Maternal mortality ratio=558(2017) 590(2018) per 1 lakh live birth and Near miss to maternal death ratio was 11.4 Severe maternal outcome ratio=71.3 per 1000 live birth Conclusion: Maternal near miss reviews provide evidence of where the main problem in overcoming maternal mortality and morbidity may lie, and analysis can be done in practical terms and highlight the key areas requiring recommendations for health sector and community action as well as guidelines for improving clinical outcomes.

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