Missed Factors in Maternal Near Miss: A Critical Review of Maternal Near Miss in Tertiary Care Centre- An Observational Study
Authors/Creators
- 1. Assistant Professor, Department of Obstetrics and Gynaecology, Government Sivagangai Medical College, Tamilnadu, India
- 2. Consultant, Department of Obstetrics and Gynaecology, ARC Fertility Centre, Tamilnadu, India
Description
Introduction: Measuring maternal mortality is crucial for evaluating the effectiveness of healthcare services. Additionally, maternal near misses serve as important indicators of the quality of care provided to pregnant women by the healthcare system. Aim: This study aimed to review maternal near-misses in tertiary care centres. Methods: This prospective observational study was conducted on 59 patients over a year at the Department of Obstetrics and Gynaecology, Govt Sivagangai medical college. The patient’s history included age, age at first pregnancy, direct and indirect causes, risk factors, and presenting complaints. Assessments were conducted for each MNM case to evaluate the primary obstetric complications leading to a near miss. Results: Of the 59 patients, 49 were aged 20–34 years, five were aged < 20 years and five were aged > 35 years. Based on the stage of pregnancy, 32 and 27 patients were in the antenatal and perinatal stages, respectively. Based on obstetric parameters, 48 patients had no history of LSCS and 18 had a history of LSCS. Twenty-nine patients had a history of a second delay, 15 had a history of a first delay, and 15 had a third delay. Based on the factors influencing maternal near-misses, 39 patients were affected by haemorrhage and 19 were affected by indirect causes. Conclusion: Maternal near-miss morbidity is linked to factors such as maternal education, antenatal care, chronic medical conditions, prior caesarean section, and initial delay in seeking obstetric care.
Abstract (English)
Introduction: Measuring maternal mortality is crucial for evaluating the effectiveness of healthcare services. Additionally, maternal near misses serve as important indicators of the quality of care provided to pregnant women by the healthcare system. Aim: This study aimed to review maternal near-misses in tertiary care centres. Methods: This prospective observational study was conducted on 59 patients over a year at the Department of Obstetrics and Gynaecology, Govt Sivagangai medical college. The patient’s history included age, age at first pregnancy, direct and indirect causes, risk factors, and presenting complaints. Assessments were conducted for each MNM case to evaluate the primary obstetric complications leading to a near miss. Results: Of the 59 patients, 49 were aged 20–34 years, five were aged < 20 years and five were aged > 35 years. Based on the stage of pregnancy, 32 and 27 patients were in the antenatal and perinatal stages, respectively. Based on obstetric parameters, 48 patients had no history of LSCS and 18 had a history of LSCS. Twenty-nine patients had a history of a second delay, 15 had a history of a first delay, and 15 had a third delay. Based on the factors influencing maternal near-misses, 39 patients were affected by haemorrhage and 19 were affected by indirect causes. Conclusion: Maternal near-miss morbidity is linked to factors such as maternal education, antenatal care, chronic medical conditions, prior caesarean section, and initial delay in seeking obstetric care.
Files
IJPCR,Vol16,Issue2,Article234.pdf
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Additional details
Dates
- Accepted
-
2024-01-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article234.pdf
- Development Status
- Active
References
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