“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...
Main Authors: | , , , |
---|---|
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 |
_version_ | 1828770845385818112 |
---|---|
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. |
first_indexed | 2024-12-11T14:13:40Z |
format | Article |
id | doaj.art-45735460edda4886868a0971eaea7945 |
institution | Directory Open Access Journal |
issn | 0019-557X |
language | English |
last_indexed | 2024-12-11T14:13:40Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Public Health |
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 |
work_keys_str_mv | AT shravyatallapureddy nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital AT revathivelagaleti nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital AT himabindupalutla nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital AT chaitanyavenkatasatti nearmissobstetriceventsandmaternalmortalityinatertiarycarehospital |