A comprehensive study of maternal near-miss and maternal mortality at a rural tertiary care centre in north India

Vishal Sharma, Shipra Misra, Ravi Dutt Wad

Department of Obstetrics & Gynaecology, SHKM Government Medical College, Nalhar, Nuh, Haryana, India

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Vishal Sharma, Shipra Misra, Ravi Dutt Wadhwa, 2022. A comprehensive study of maternal near-miss and maternal mortality at a rural tertiary care centre in north India. Journal of medical pharmaceutical and allied science V 11 - I 5, Pages - 5217 – 5220. doi: 10.55522/jmpas.V11I5.3791.

ABSTRACT

Proper monitoring of maternal near miss as proposed by World Health Organisation provides a good opportunity for checking the quality of obstetric care and forming new strategies for the improvement of maternal health across the globe. The objective of present study was to assess and analyse the incidence of Maternal Near Miss and maternal mortality by using evaluation criteria of World Health Organisation. The present study was prospective observational study conducted at SHKM Government Medical College, Nalhar (Mewat), Haryana from the time period of January 2019 to December 2020. The study population included all the pregnant females who fulfilled the World Health Organisation criteria of maternal near miss were enrolled; their clinical and investigation parameters were recorded. In the present study, a total 7691 obstetric cases were admitted and 7219 were live births. The Maternal Near Miss cases were 292, and 48 were maternal deaths. Majority of patients were post natal and underwent vaginal delivery. The leading cause of near miss in current study was Post Partum Hemorrhage, followed by severe pre-eclampsia/eclampsia. Maternal Near Miss and Maternal Death cases have common pathology with a different outcome. So, monitoring a larger volume of Maternal Near Miss cases helps in identifying the causes of maternal adverse events and finding out the gaps in the management more effectively than auditing only the maternal deaths. This approach helps to overcome this issue and ultimately lead to an improved health system, thus decreasing maternal mortalityrate.

Keywords:

Maternal near miss, Maternal death, Obstetrics care, severe morbidity

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