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.

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

scholarly journals Acute Total Uterine Inversion: A Life Threatening Obstetrics Emergency

2018 ◽  
Vol 12 (1) ◽  
pp. 62-63
Author(s):  
Reena Shrestha ◽  
SD Shrestha ◽  
AP Malla ◽  
R Pradhan ◽  
B Pradhan ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Normal Delivery ◽  
Mortality And Morbidity ◽  
Obstetric Emergency ◽  
Uterine Inversion ◽  
Aggressive Management ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening ◽  
Term Baby ◽  
Prompt Diagnosis

Acute total uterine inversion is a rare and life threatening obstetric emergency. Prompt diagnosis and aggressive management reduces maternal mortality and morbidity .We report a case of 28 year old primi, who had total uterine inversion immediately after normal delivery of full term baby weighing 3150gm. Immediate manual repositioning was done by Johnson’s maneuver under general anesthesia. She recovered well and was discharged after 5 days.

scholarly journals Maternal Mortality and Morbidity in the United States: Where Are We Now?

2014 ◽  
Vol 23 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Andreea A. Creanga ◽  
Cynthia J. Berg ◽  
Jean Y. Ko ◽  
Sherry L. Farr ◽  
Van T. Tong ◽  
...  
Keyword(s):  
United States ◽  
Maternal Mortality ◽  
The United States ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity

IMPACT OF GOVERNMENT SCHEMES ON MATERNAL HEALTH: AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL IN NORTH INDIA

2021 ◽  
pp. 63-65
Author(s):  
Neena Gupta ◽  
Uruj Jahan ◽  
Subhashini Singh
Keyword(s):  
Maternal Health ◽  
Observational Study ◽  
Maternal Mortality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
North India ◽  
Care Hospital ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity

BACKGROUND: Maternal health is an important aspect for the development of any country in terms of increasing equity and reducing poverty. For reduction of maternal mortality and morbidity Government of India launched National health mission (NHM). Some of the major initiatives under NHM are– ASHA (Accredited Social Health Activist), JSY/JSSK (Janani Suraksha Yojana / Janani Shishu Suraksha Karyakaram), National mobile medical units, National ambulance services. METHODS: A retrospective observational study was performed in department of Obstetrics and Gynaecology, G.S.V.M Medical College, Kanpur, Uttar Pradesh which is a low performing state, during the period of 2018 to 2019. A total of 5134 obstetric patients including 1032 low general condition patients were included over duration of 20 months since January 2018 to august 2019. This observational study collected information regarding number of deliveries in different years in this tertiary care hospital, effect on availability of health facilities and antenatal care to the antenatal women after introduction of JSY, ASHA and ambulance services. CONCLUSIONS: After JSY there is major difference in OPD admission and institutional delivery rate. Ambulance services had major contributory role in reducing maternal mortality and morbidity. There is need to improve performance of ASHA by proper supervision and monitoring.

Obstetrics

2019 ◽  
pp. 741-786
Author(s):  
Benjamin Oren Black ◽  
Susan Ann O’Toole
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Medical Management ◽  
Postnatal Care ◽  
Mortality And Morbidity ◽  
Humanitarian Settings ◽  
Cultural Considerations ◽  
Maternal Mortality And Morbidity

This chapter provides the fundamental principles of care in obstetrics, taking into account important cultural considerations in humanitarian settings. The chapter lays out the general strategies to reduce maternal mortality and morbidity, and provides specific guidance for antenatal care, the medical management of the stages of labour, and postnatal care.

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