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Indian Journal of Obstetrics and Gynecology Research


Clinical and Etiological Study of Maternal Near-Miss at a Tertiary Referral Hospital of Central India


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Author Details: Jyoti Bindal, Garima Solanki

Volume : 3

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 28

Article End Page : 31


Abstract

Background: Analyzing the maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in that area.
Objective: To study the clinicoetiological profile of severe maternal morbidity/near misses in a tertiary public maternity using WHO identification criteria.
Material and Methods: A prospective observational study included patients admitted to Obstetrical ICU of Kamla Raja Hospital, G R Medical College, Gwalior between April 2014 and October 2014. The patients who fulfilled the WHO criteria of maternal near miss were enrolled; their clinical and investigation parameters were recorded.
Results: Out of 4481 deliveries, 168 (3.74%) were near-miss cases. The mean age of the near-miss patients (168) was 28 ± 3.11 years. Near-miss incidence ratio was 37.65 per 1000 live birth. Most of the patients of near-miss were of multipara (71.42%).  The majority of the patients were unbooked (65.24%).The major causes of near miss were hypertensive disorders (44.04%), severe hemorrhage (26.19%) and severe anemia (10.71%).
Discussion: The study of maternal near miss provides an insight into the causes of maternal mortality in this region. The maternal morbidity and mortality can be reduced by providing proper antenatal care at primary and community health centre level and good intensive care at tertiary level.

Key words:
Near-miss, Maternal mortality, Maternal death