International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
Abstract
In health care literature NEAR MISS refers to a severe life threatening condition that did not cause death‐but had the potential to do so. Near miss cases review is a more reliable quantitative analysis can be carried out, which can provide a more comprehensive profile of health system functioning. Present study was aimed to study causes and management of maternal near miss cases at a tertiary hospital. This study was a Prospective Observational Study carried out in the cases that were given the diagnosis of maternal near miss, based on the criteria defined by WHO admitted during the study period. During study period, total number of live births were 17249, total maternal deaths were 23. Majority patients were from the age group of 20‐24 years (45.9%), were registered (89.54%), were immunized (95%), were referred from other hospitals (53.63%) and were admitted in the antepartum period (87.72%). Majority cases were primigravida (40.9%) followed by gravida two (20.45%) and gravida three cases (19.09%). 202 cases (91%) were delivered at a tertiary centre. One Hundred Twenty Eight cases (58.18%) underwent LSCS, 88 cases (40%) delivered vaginally. Common diagnosis observed in near‐miss cases were hypertensive disorders of pregnancy (53.18%), followed by anemia (19.09%), heart disease (9.09%), abruptio placentae (6.36%) and respiratory disease (5.45%). Near‐miss cases requiring blood transfusions were 93 patients (42.27%), 15% of near‐miss cases were on inotropes. Common interventions were required magnesium sulfate therapy (58%), required surgical intervention (3.18 %), emergency hysterectomy (1.36%), anti‐failure measures (15%) and intravenous antihypertensive (19.09%). ICU admission was required in 107 cases (48.63%) and mean ICU stay was 03.46±01.46 days. In present study, hypertensive disorders of pregnancy and anemia related complications were the leading causes of near miss situations.
How to cite this article:
Dhuldev Thengal, Drishti Doshi and Sanjay Khandekar. Study of Causes and Management of Maternal Near Miss Cases at a Tertiary Hospital.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.4.78.81
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.4.78.81