DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221267

Study of near miss maternal morbidities at a tertiary hospital

Balumuri Pooja Sai, P. S. Rashmi, Prema Prabhudev, Camelia Maitra

Abstract


Background: In health care literature NEAR MISS refers to a severe life-threatening condition that did not cause death-but had the potential to do so. But in 2009, WHO came up with a comprehensive criteria for identification of near miss. Present study was undertaken to analyse maternal near miss morbidity (MNMM) cases and associated morbidity in a local setting.

Methods: Present study was single-center, prospective, observational study, conducted in maternal near miss cases which met the comprehensive criteria of WHO, admitted during study period and survived.

Results: In present study, majority of cases were 20-29 years (78%), multigravida (52%), in third trimester and postpartum (52%), had phenotype as class I MNMM (maternal near miss with healthy infant) (36%), In near miss cases, near miss on arrival were 66% while 34% were near miss after admission, 8% had disorder on admission and became near miss and 26% had no disorder on admission but became near miss (26%).

Conclusions: Hypertensive disorders and Hemorrhage and COVID-19 related complications were the leading causes of near miss situations. Previous LSCS and Anemia seem to be risk factors for developing MNMM.

 


Keywords


Maternal near miss morbidity, Hypertensive disorders, Postpartum hemorrhage, Mortality index

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