“Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital

Obstetric near-miss or severe acute maternal morbidity is gaining interest internationally as a new indicator of the quality of obstetric care. This is a retrospective study conducted using “The WHO Near-Miss Approach” to provide insight into obstetric emergencies, near-miss cases, and maternal deat...

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Main Authors: Shravya Tallapureddy, Revathi Velagaleti, Himabindu Palutla, Chaitanya Venkata Satti
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=305;epage=308;aulast=Tallapureddy
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author Shravya Tallapureddy
Revathi Velagaleti
Himabindu Palutla
Chaitanya Venkata Satti
author_facet Shravya Tallapureddy
Revathi Velagaleti
Himabindu Palutla
Chaitanya Venkata Satti
author_sort Shravya Tallapureddy
collection DOAJ
description Obstetric near-miss or severe acute maternal morbidity is gaining interest internationally as a new indicator of the quality of obstetric care. This is a retrospective study conducted using “The WHO Near-Miss Approach” to provide insight into obstetric emergencies, near-miss cases, and maternal deaths in our hospital. The maternal near-miss ratio was 8.4/1000 live births, maternal near-miss to mortality ratio was 5.3:1. Hemorrhage was the leading cause (43.7%) of morbidity in near-miss cases while hypertensive disorders were the leading cause in maternal deaths (66.6%). Among women with potentially life-threatening conditions, severe preeclampsia was the most common complication (50.54%). The near-miss approach helps to evaluate and improve the quality of care provided by health system by identifying the pattern of severe maternal morbidity and mortality, strengths and weakness in the referral system and the clinical interventions available and the ways in which improvements can be made.
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spelling doaj.art-45735460edda4886868a0971eaea79452022-12-22T01:03:16ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2017-01-0161430530810.4103/ijph.IJPH_268_16“Near-Miss” Obstetric events and maternal mortality in a Tertiary Care HospitalShravya TallapureddyRevathi VelagaletiHimabindu PalutlaChaitanya Venkata SattiObstetric near-miss or severe acute maternal morbidity is gaining interest internationally as a new indicator of the quality of obstetric care. This is a retrospective study conducted using “The WHO Near-Miss Approach” to provide insight into obstetric emergencies, near-miss cases, and maternal deaths in our hospital. The maternal near-miss ratio was 8.4/1000 live births, maternal near-miss to mortality ratio was 5.3:1. Hemorrhage was the leading cause (43.7%) of morbidity in near-miss cases while hypertensive disorders were the leading cause in maternal deaths (66.6%). Among women with potentially life-threatening conditions, severe preeclampsia was the most common complication (50.54%). The near-miss approach helps to evaluate and improve the quality of care provided by health system by identifying the pattern of severe maternal morbidity and mortality, strengths and weakness in the referral system and the clinical interventions available and the ways in which improvements can be made.http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=305;epage=308;aulast=TallapureddyMaternal mortalityobstetric near-missWorld Health Organization near-miss approach
spellingShingle Shravya Tallapureddy
Revathi Velagaleti
Himabindu Palutla
Chaitanya Venkata Satti
“Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
Indian Journal of Public Health
Maternal mortality
obstetric near-miss
World Health Organization near-miss approach
title “Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
title_full “Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
title_fullStr “Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
title_full_unstemmed “Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
title_short “Near-Miss” Obstetric events and maternal mortality in a Tertiary Care Hospital
title_sort near miss obstetric events and maternal mortality in a tertiary care hospital
topic Maternal mortality
obstetric near-miss
World Health Organization near-miss approach
url http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=305;epage=308;aulast=Tallapureddy
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AT himabindupalutla nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital
AT chaitanyavenkatasatti nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital