STUDY OF MATERNAL NEAR MISS CASES AT A TERTIARY CARE HOSPITAL AT AHMEDABAD

Dr Tejal L Patel, Dr Jayprakash Patel

Abstract


BACKGROUND: Maternal mortality has always been an indicator of health status of a country. Near miss is a serious
adverse event that leads to morbidity in the mother, but from which she survives. Transfusion of blood and blood product
(40%) and ventilator support (32.22%) main intervention in management of near to miss case.
METHODS: This was a prospective observational study carried out over a period of 12 months at a Tertiary Care Institute- B.J.Medical collage
Ahmedabad, Gujarat. As per WHO criteria based on primary near miss event, 90 cases were included for the study.
RESULTS: Near miss incidence ratio was 13.34 per1000 live births. Maternal near miss to mortality ratio was 1.11:1. Mortality index was
52.63%. Transfusion of blood and blood product (40%) and ventilator support (32.22%) main intervention in management of near to miss case.
CONCLUSION: Effort geared towards improvement in management of near miss morbidities would definitely go a long way in reducing the
present maternal mortality ratio.


Keywords


Maternal near miss, PPH and Eclampsia

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References


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