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...

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Main Authors: R P Reena, K R Radha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
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.
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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