Open Access“Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
Author(s) -
Shravya Tallapureddy,
Revathi Velagaleti,
P. Himabindu,
Chaitanya Venkata Satti
Publication year - 2017
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/ijph.ijph_268_16
Subject(s) - medicine , near miss , referral , maternal morbidity , maternal death , psychological intervention , tertiary referral hospital , retrospective cohort study , pregnancy , eclampsia , pediatrics , preeclampsia , obstetrics , medical emergency , emergency medicine , population , family medicine , environmental health , surgery , nursing , forensic engineering , biology , engineering , genetics
Obstetric near-miss or severe acute maternal morbidity is gaining interest internationally as a new indicator of the quality of obstetric care. This is a retrospective study conducted using "The WHO Near-Miss Approach" to provide insight into obstetric emergencies, near-miss cases, and maternal deaths in our hospital. The maternal near-miss ratio was 8.4/1000 live births, maternal near-miss to mortality ratio was 5.3:1. Hemorrhage was the leading cause (43.7%) of morbidity in near-miss cases while hypertensive disorders were the leading cause in maternal deaths (66.6%). Among women with potentially life-threatening conditions, severe preeclampsia was the most common complication (50.54%). The near-miss approach helps to evaluate and improve the quality of care provided by health system by identifying the pattern of severe maternal morbidity and mortality, strengths and weakness in the referral system and the clinical interventions available and the ways in which improvements can be made.