Open AccessMATERNAL NEAR MISS AND MATERNAL DEATHS IN KERALA, INDIA - A REVIEW
Author(s) -
Deepthy Balakrishnan
Publication year - 2020
Publication title -
indian journal of applied research
Language(s) - English
DOI - 10.36106/ijar/7206503
Subject(s) - medicine , near miss , incidence (geometry) , pediatrics , standardized mortality ratio , maternal morbidity , maternal death , obstetrics , pregnancy , mortality rate , population , surgery , environmental health , physics , forensic engineering , optics , biology , engineering , genetics
Aim- To determine the prevalence and pattern of near miss cases/ severe acute maternal morbidity cases and maternaldeaths in a tertiary centre.Materials and methods - WHO 2011 criteria was used for identication of near miss cases. Results- In the study period of 2 years, there were131 cases of severe maternal outcome (105 near miss and 26 maternal deaths). Maternal near miss incidence ratio is 5.62/ 1000 live births.Maternal near miss to mortality ratio is 4.03:1. The mortality index is 19.8%. Hemorrhage was the leading cause of near miss cases (44.76%)followed by hypertension(27.6%) but indirect causes(42.3%) led to maximum number of maternal deaths followed by hemorrhage. Among theindirect causes, cardiac and neurological disorder caused maximum mortality.Conclusion - Hemorrhage and hypertension were the leading causes of near miss but maternal mortality was more due to indirect causes. So it'simportant to involve specialist doctors from other departments to improve care of mothers and hence reduce maternal deaths further.