Author(s): Ritanjali Behera1, Arpika Aparajita Behera2
Maternal mortality traditionally has been the indicator of maternal health. More recently the review of cases of near miss obstetric event is found to be useful to investigate maternal mortality. Cases of near miss are those, where a woman nearly died but survived a complication that occur during pregnancy or child birth.
Aim and Objective
1. To analyse near miss cases and maternal deaths.
2. To determine maternal near miss indicator and to analyse the cause and contributing factors for both of them.
MATERIALS AND METHODS
This prospective observational study conducted in M.K.C.G. medical college, Berhampur from 1st October 2015 to 30th September 2017. All the cases of maternal deaths and near miss cases defined by WHO criteria are taken. Information regarding demographic profile and reproductive parameters are collected and results are analysed using percentage and proportion.
Out of 17977 deliveries 201 were near miss cases and 116 were maternal deaths. MMR was 681, near miss incidence 1.18, maternal death to near miss ratio was 1:1.73. Hypertensive disorder of pregnancy (37.4%) was the leading cause followed by haemorrhage (17.4%). For near miss cases 101 cases fulfilled clinical criteria, 61 laboratory criteria and 131 cases management based criteria.
Hypertensive disorder of pregnancy and haemorrhage are the leading cause of maternal death and for near miss cases most common organ system involved was cardiovascular system. All the near miss cases should be interpreted as opportunities to improve the health care services