
Obstetric near miss morbidity and maternal mortality in a Tertiary Care Centre in Western Rajasthan
Author(s) -
Priyanka Kalra,
Chetan Prakash Kachhwaha
Publication year - 2014
Publication title -
indian journal of public health/indian journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 26
eISSN - 2229-7693
pISSN - 0019-557X
DOI - 10.4103/0019-557x.138635
Subject(s) - medicine , maternal morbidity , near miss , pregnancy , observational study , tertiary care , obstetrics , sepsis , pediatrics , maternal mortality rate , complication , mortality rate , emergency medicine , population , surgery , health services , environmental health , genetics , forensic engineering , pathology , engineering , biology
Obstetric near-miss (ONM) describes a situation of lethal complication during pregnancy, labor or puerperium in which the woman survives either because of medical care or just by chance. In a cross-sectional observational study, five factor scoring system was used to identify the near-miss cases from all the cases of severe obstetric morbidity. Assessment of the causes of maternal mortality and near-miss obstetric cases was done. The ONM rate in this study was 4.18/1000 live births. Totally 54 maternal deaths occurred during this period, resulting in a ratio of 202 maternal deaths per 100,000 live births. Hemorrhage, hypertension and sepsis were major causes of near-miss maternal morbidity and mortality, respectively in descending order.