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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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An Observational Study on Maternal Near Miss Cases in a Tertiary Care Hospital in Kolkata Draining Howrah and Hooghly Districts Between June 2023‐2024

Avishek Bhadra, Arup Chakraborty, Ramprasad Dey, Rumela Biswas and Subhojit Bagchi
Page: 285-289 | Received 20 Jul 2024, Published online: 20 Sep 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.10.285.289

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Abstract

Maternal Near Miss (MNM) refers to women who survive life‐threatening conditions during or after pregnancy, despite receiving medical intervention. Monitoring MNM is critical for assessing the quality of healthcare services and improving maternal outcomes. Although there has been a worldwide decline in Maternal Mortality Ratio (MMR), MNM still remains a significant concern, particularly in developing and under‐developed countries. This study aims to explore the leading causes of MNM, evaluate the maternal near miss ratio, and assess the effectiveness of the healthcare system's response to maternal emergencies. An observational, record‐based cross‐sectional study was conducted at a tertiary care centre in Kolkata from June 1, 2023‐30, 2024. MNM cases were identified based on the Government of India’s guidelines, with data collected from various records including admission registers and treatment notes. Statistical analyses were performed using SPSS software. Out of 6582 deliveries, 234 women were identified with MNM, with a final sample size of 228. The maternal near miss ratio was 34.65 per 1000 live births (3.465%). The two leading causes of MNM were identified to be postpartum haemorrhage (31.6%) and eclampsia (13.16%). 57.9% women required admission to Critical Care Units and 39.47% in High Dependency Units. The study highlighted that effective management protocols were already in place, but also identified gaps such as inadequate training, limited resources and deficiencies in the referral system. The study indicates that in spite of the tertiary healthcare centre having emergency protocols and resources in place, improvements are needed in terms of ongoing training, data utilization and resource availability. The maternal near miss ratio in this study is higher compared to developed countries, highlighting the challenges in managing severe maternal complications. Comparing these results with previous studies reveals variations in MNM rates, indicating the need for localized strategies and updated guidelines. MNM studies help us to understand the areas where healthcare system is lacking and also to formulate strategies to reduce maternal mortality and morbidity. Recommendations include enhancing antenatal care, improving management of severe complications and standardizing training and referral processes. A systematic approach to data collection and scope for proper utilisation, resource management and availability of psychological support for patients, is essential for improving maternal health outcomes in resource‐poor countries.

How to cite this article:

Avishek Bhadra, Arup Chakraborty, Ramprasad Dey, Rumela Biswas and Subhojit Bagchi. An Observational Study on Maternal Near Miss Cases in a Tertiary Care Hospital in Kolkata Draining Howrah and Hooghly Districts Between June 2023‐2024.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.285.289
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.285.289