Snehamay Chaudhuri1,2,3, Sumana Nath1,4. 1. 1Department of Obstetrics and Gynecology, NRS Medical College, 138 AJC Bose Road, Kolkata, West Bengal India. 2. 2Present Address: Obstetrics and Gynecology, Midnapore Medical College, Midnapore, India. 3. Kolkata, India. 4. Present Address: Bankura Samiilani Medical College, Bankura, West Bengal India.
Abstract
OBJECTIVES: To test the application of a clinical definition of life-threatening complications in pregnancy and determine the level of near miss maternal morbidity and mortality. METHODS: A prospective observational study was conducted in the obstetrics and gynaecology department, NRS Medical College, Kolkata, India, to identify life-threatening complications using a modification of the Mantel's criteria. The main outcome measures were validity of identification criteria, main causes and incidence of life-threatening complications in pregnancy, maternal near miss: case fatality rates, morbidity-mortality index and use rate of effective interventions. RESULTS: In total, 177 maternal near miss and 23 maternal deaths were identified in the screened 4400 women. The incidence of near miss was 4.02%. Main causes of maternal mortality were hypertensive disorders (43%) and renal failure (21%). Main causes of near miss were hypertensive disorders (55%), ectopic pregnancy (19%). Near miss mortality index was 7.7:1. CONCLUSIONS: A high proportion of women with life-threatening complications and all women who died were referred from peripheral hospitals. This signals that there may have been important failures in the referral system relating to maternal care and there is a need for further investigation.
OBJECTIVES: To test the application of a clinical definition of life-threatening complications in pregnancy and determine the level of near miss maternal morbidity and mortality. METHODS: A prospective observational study was conducted in the obstetrics and gynaecology department, NRS Medical College, Kolkata, India, to identify life-threatening complications using a modification of the Mantel's criteria. The main outcome measures were validity of identification criteria, main causes and incidence of life-threatening complications in pregnancy, maternal near miss: case fatality rates, morbidity-mortality index and use rate of effective interventions. RESULTS: In total, 177 maternal near miss and 23 maternal deaths were identified in the screened 4400 women. The incidence of near miss was 4.02%. Main causes of maternal mortality were hypertensive disorders (43%) and renal failure (21%). Main causes of near miss were hypertensive disorders (55%), ectopic pregnancy (19%). Near miss mortality index was 7.7:1. CONCLUSIONS: A high proportion of women with life-threatening complications and all women who died were referred from peripheral hospitals. This signals that there may have been important failures in the referral system relating to maternal care and there is a need for further investigation.
Entities:
Keywords:
Life-threatening complications; Maternal mortality; Obstetric near miss; Severe acute maternal morbidity; Severe maternal morbidity
Authors: Ana Paula Pierre Moraes; Sandhi Maria Barreto; Valéria Maria Azeredo Passos; Patrícia Silva Golino; Janne Ayre Costa; Marina Xerez Vasconcelos Journal: Sao Paulo Med J Date: 2011-05 Impact factor: 1.044
Authors: A Karolinski; R Mercer; P Micone; C Ocampo; A Mazzoni; O Fontana; A Messina; R Winograd; M C Frers; J C Nassif; H C Elordi; A Lapidus; C Taddeo; M Damiano; R Lambruschini; C Muzzio; B Pecker; S Natale; D Nowacki; A Betular; G Breccia; L Di Biase; D Montes Varela; A Dunaiewsky; E Minsk; D Fernández; L Martire; M Huespe; C Laterra; R Spagnuolo; C Gregoris Journal: BJOG Date: 2013-08-13 Impact factor: 6.531
Authors: Samira Maerrawi Haddad; Jose Guilherme Cecatti; Joao Paulo Souza; Maria Helena Sousa; Mary Angela Parpinelli; Maria Laura Costa; Rodolfo C Pacagnella; Ione R Brum; Olímpio B Moraes Filho; Francisco E Feitosa; Carlos A Menezes; Everardo M Guanabara; Joaquim L Moreira; Frederico A Peret; Luiza E Schmaltz; Leila Katz; Antonio C Barbosa Lima; Melania M Amorim; Marilia G Martins; Denis J Nascimento; Cláudio S Paiva; Roger D Rohloff; Sergio M Costa; Adriana G Luz; Gustavo Lobato; Eduardo Cordioli; Jose C Peraçoli; Nelson L Maia Filho; Silvana M Quintana; Fátima A Lotufo; Carla B Andreucci; Márcia M Aquino; Rosiane Mattar Journal: Biomed Res Int Date: 2014-07-24 Impact factor: 3.411
Authors: Anke Heitkamp; Anne Meulenbroek; Jos van Roosmalen; Stefan Gebhardt; Linda Vollmer; Johanna I de Vries; Gerhard Theron; Thomas van den Akker Journal: Bull World Health Organ Date: 2021-08-30 Impact factor: 9.408