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Prognostic factors of maternal near miss events and maternal deaths in a tertiary healthcare facility in India
Author(s) -
Khan Tabassum,
Laul Poonam,
Laul Anish,
Ramzan Mohammed
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12208
Subject(s) - medicine , anemia , maternal death , pregnancy , obstetrics , maternal morbidity , retrospective cohort study , pediatrics , population , environmental health , biology , genetics
Abstract Objective To study maternal near miss ( MNM ) and maternal mortality to identify rectifiable risk factors. Methods The present cross‐sectional retrospective study included pregnant women who experienced acute life‐threatening pregnancy‐related adverse events at Deen Dayal Upadhyay hospital, New Delhi, India, between September 1, 2009, and August 31, 2011. Patient data were analyzed to investigate factors associated with MNM events and maternal deaths. Results There were 369 patients included, and 302 MNM events and 67 maternal deaths were recorded. The recorded causes of MNM events included hemorrhage, hypertensive disorders, severe anemia with cardiac failure, organ failure, and infection in 192 (63.6%), 62 (20.5%), 13 (4.3%), 8 (2.6%), and 8 (2.6%) patients, respectively. Higher rates of anemia ( P= 0.007) and infection ( P= 0.007) were recorded among patients in the maternal death group than the MNMN group. Conclusion Hemorrhage and hypertension were major causes of MNM events and are likely major barriers to reducing maternal mortality in low‐income countries. Anemia and infection were significant prognostic factors of maternal death in the present study. MNM could be used as surrogate for maternal death in the provision of standard obstetric care.