PREVALENCE OF NEAR MISS AND MATERNAL DEATHS AND ITS MATERNAL AND PERINATAL OUTCOMES: A RETROSPECTIVE STUDY

ANITA MADAN; PALLAVI SHARMA; JAGDEEP KAUR; ANISHA PURI

doi:10.22159/ajpcr.2021.v14i8.41893

Authors

ANITA MADAN Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab.
PALLAVI SHARMA Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab.
JAGDEEP KAUR Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab.
ANISHA PURI Department of Anaesthesiology and Critical Care, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India.

DOI:

https://doi.org/10.22159/ajpcr.2021.v14i8.41893

Keywords:

Maternal near miss, Maternal mortality, Maternal near miss incidence ratio

Abstract

Objectives: The objective of the study was to determine maternal mortality ratio (MMR), maternal near miss incidence ratio (MNM IR), MNM to mortality ratio (MNM: MD), and mortality index (MI) and to know the prevalence, demographic distribution, causes and feto-maternal outcome of maternal near miss and maternal deaths.

Methods: A retrospective review of near miss and maternal mortality over a period of 20 months in a tertiary teaching hospital in Punjab.

Results: MMR was 998 MNM IR was 24.20/1000 live births. Maternal near miss mortality ratio was 2.4:1. MI was 29.21%. The most common cause of maternal mortality was hypertension, which was seen in 14 (53.84%) women. Among near miss cases, the most common complication noted was hemorrhage, seen in 40 (63.49%) cases. Among maternal deaths, 7 (26.92%) women delivered vaginally, 6 (23.07%) women underwent emergency cesarean section. Among near miss cases, 20 (31.74%) women delivered vaginally, 13 (20.63%) women underwent cesarean section while 7 (11.11%) had cesarean hysterectomy. Laparotomy for ruptured ectopic pregnancy was done in 6 (9.52%) women, 7 (11.11%) women had dilatation and evacuation, 3 (4.76%) had exploration of Uterovaginal canal. Preterm birth has seen in 8 (12.69%) in maternal deaths and 23(36.50%) in maternal near miss. Intrauterine fetal demise occurred in 4 (6.34%) in maternal deaths and 2 (4.87%) in near miss.

Conclusion: The review of near miss cases is important to identify response of health care system to medical emergencies and provides opportunities to improve the quality of service.

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