"near miss" obstetric events and maternal deaths in a tertiary care hospital: An audit

Roopa Ps, Shailja Verma, Lavanya Rai, Pratap Kumar, Murlidhar V. Pai, Jyothi Shetty

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objectives. (1) To determine the frequency of maternal near miss, maternal near miss incidence ratio (MNMR), maternal near miss to mortality ratio and mortality index. (2) To compare the nature of near miss events with that of maternal mortality. (3) To see the trend of near miss events. Design. Audit. Setting. Kasturba Hospital, Manipal University, Manipal, India. Population. Near miss cases & maternal deaths. Methods. Cases were defined based on WHO criteria 2009. Main Outcome Measures. Severe acute maternal morbidity and maternal deaths. Results. There were 7390 deliveries and 131 "near miss" cases during the study period. The Maternal near miss incidence ratio was 17.8/1000 live births, maternal near miss to mortality ratio was 5.6: 1, and mortality index was 14.9%. A total of 126 cases were referred, while 5 cases were booked at our hospital. Hemorrhage was the leading cause (44.2%), followed by hypertensive disorders (23.6%) and sepsis (16.3%). Maternal mortality ratio (MMR) was 313/100000 live births. Conclusion. Hemorrhage and hypertensive disorders are the leading causes of near miss events. New-onset viral infections have emerged as the leading cause of maternal mortality. As near miss analysis indicates the quality of health care, it is worth presenting in national indices.

Original languageEnglish
Article number393758
JournalJournal of Pregnancy
Volume2013
DOIs
Publication statusPublished - 19-07-2013

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Maternal Death
Tertiary Healthcare
Tertiary Care Centers
Obstetrics
Mothers
Maternal Mortality
Mortality
Live Birth
Hemorrhage
Quality of Health Care
Incidence
Virus Diseases
India
Sepsis
Outcome Assessment (Health Care)
Morbidity
Population

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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title = "{"}near miss{"} obstetric events and maternal deaths in a tertiary care hospital: An audit",
abstract = "Objectives. (1) To determine the frequency of maternal near miss, maternal near miss incidence ratio (MNMR), maternal near miss to mortality ratio and mortality index. (2) To compare the nature of near miss events with that of maternal mortality. (3) To see the trend of near miss events. Design. Audit. Setting. Kasturba Hospital, Manipal University, Manipal, India. Population. Near miss cases & maternal deaths. Methods. Cases were defined based on WHO criteria 2009. Main Outcome Measures. Severe acute maternal morbidity and maternal deaths. Results. There were 7390 deliveries and 131 {"}near miss{"} cases during the study period. The Maternal near miss incidence ratio was 17.8/1000 live births, maternal near miss to mortality ratio was 5.6: 1, and mortality index was 14.9{\%}. A total of 126 cases were referred, while 5 cases were booked at our hospital. Hemorrhage was the leading cause (44.2{\%}), followed by hypertensive disorders (23.6{\%}) and sepsis (16.3{\%}). Maternal mortality ratio (MMR) was 313/100000 live births. Conclusion. Hemorrhage and hypertensive disorders are the leading causes of near miss events. New-onset viral infections have emerged as the leading cause of maternal mortality. As near miss analysis indicates the quality of health care, it is worth presenting in national indices.",
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"near miss" obstetric events and maternal deaths in a tertiary care hospital : An audit. / Ps, Roopa; Verma, Shailja; Rai, Lavanya; Kumar, Pratap; Pai, Murlidhar V.; Shetty, Jyothi.

In: Journal of Pregnancy, Vol. 2013, 393758, 19.07.2013.

Research output: Contribution to journalArticle

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AU - Pai, Murlidhar V.

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