Factors associated with maternal near miss: A study from Kerala
Severe life-threatening situations leading to a “near-miss” event may arise unexpectedly in pregnancy. Delay in seeking help, delayed access to care, and poor quality of emergency obstetric services can lead to undesirable outcomes. Women meeting the WHO “near-miss” criteria were assessed using a cr...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | Indian Journal of Public Health |
Subjects: | |
Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2018;volume=62;issue=1;spage=58;epage=60;aulast=Reena |
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author | R P Reena K R Radha |
author_facet | R P Reena K R Radha |
author_sort | R P Reena |
collection | DOAJ |
description | Severe life-threatening situations leading to a “near-miss” event may arise unexpectedly in pregnancy. Delay in seeking help, delayed access to care, and poor quality of emergency obstetric services can lead to undesirable outcomes. Women meeting the WHO “near-miss” criteria were assessed using a cross-sectional study design. These women were interviewed to evaluate the circumstances leading to a near-miss event. Reasons for delays in getting proper care were studied using the “3 delays’ model.” Thirty-two women met the criteria for “near miss” during the 15-month study period, with a maternal near-miss incidence ratio of 9.27/1000 live births. One or more delays were identified in 21 (65.6%) near-miss cases. Delayed access to care was the most important factor for delay. A review of near-miss cases can be used to improve and optimize the existing obstetric services. |
first_indexed | 2024-12-21T21:24:48Z |
format | Article |
id | doaj.art-6bef7f14da8b42319cc70b38c4c4d178 |
institution | Directory Open Access Journal |
issn | 0019-557X |
language | English |
last_indexed | 2024-12-21T21:24:48Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Public Health |
spelling | doaj.art-6bef7f14da8b42319cc70b38c4c4d1782022-12-21T18:49:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2018-01-01621586010.4103/ijph.IJPH_20_16Factors associated with maternal near miss: A study from KeralaR P ReenaK R RadhaSevere life-threatening situations leading to a “near-miss” event may arise unexpectedly in pregnancy. Delay in seeking help, delayed access to care, and poor quality of emergency obstetric services can lead to undesirable outcomes. Women meeting the WHO “near-miss” criteria were assessed using a cross-sectional study design. These women were interviewed to evaluate the circumstances leading to a near-miss event. Reasons for delays in getting proper care were studied using the “3 delays’ model.” Thirty-two women met the criteria for “near miss” during the 15-month study period, with a maternal near-miss incidence ratio of 9.27/1000 live births. One or more delays were identified in 21 (65.6%) near-miss cases. Delayed access to care was the most important factor for delay. A review of near-miss cases can be used to improve and optimize the existing obstetric services.http://www.ijph.in/article.asp?issn=0019-557X;year=2018;volume=62;issue=1;spage=58;epage=60;aulast=ReenaMaternal mortalitynear missobstetric hysterectomyplacenta accretaprevious cesarean section |
spellingShingle | R P Reena K R Radha Factors associated with maternal near miss: A study from Kerala Indian Journal of Public Health Maternal mortality near miss obstetric hysterectomy placenta accreta previous cesarean section |
title | Factors associated with maternal near miss: A study from Kerala |
title_full | Factors associated with maternal near miss: A study from Kerala |
title_fullStr | Factors associated with maternal near miss: A study from Kerala |
title_full_unstemmed | Factors associated with maternal near miss: A study from Kerala |
title_short | Factors associated with maternal near miss: A study from Kerala |
title_sort | factors associated with maternal near miss a study from kerala |
topic | Maternal mortality near miss obstetric hysterectomy placenta accreta previous cesarean section |
url | http://www.ijph.in/article.asp?issn=0019-557X;year=2018;volume=62;issue=1;spage=58;epage=60;aulast=Reena |
work_keys_str_mv | AT rpreena factorsassociatedwithmaternalnearmissastudyfromkerala AT krradha factorsassociatedwithmaternalnearmissastudyfromkerala |