Parameswari, M (2014) Maternal Near Miss Morbidity: An Analysis of 50 cases. Masters thesis, Madras Medial College, Chennai.
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Abstract
AIMS AND OBJECTIVES: To analyse, in a local context, the incidence of MNMM,ADVERSE EVENTS and DISORDERS underlying MNMM (as per WHO criteria),sociodemographic variables, contributing factors and patterns of near miss situations and maternal deaths. DESIGN: Facility- based observational study STUDY POPULATION: All women with MNMM as identified by WHO comprehensive criteria.(2009) MAIN OUTCOME MEASURES: MNMM incidence ratio, Mortality index RESULTS: In the KGH study, 76% of MNMM were in late pregnancy (> 28 weeks),90% of MNMM patients were educated;52% of MNMM were multigravida while 34% were primigavida; 64% came directly to the hospital; 32% had one referral between health facilities; and 4% had two referrals between health facilities. 66% were near miss at the time of arrival; majority of this group had Hypertensive disorders of pregnancy as the adverse event; 34.% became near miss after admission to hospital. The most common adverse event in this group of patients was Hemorrhage. The Cesarean Section Rate In KGH was 52.52% Of All Hospital Deliveries while the Cesarean Section Rate Among Near Miss Women Delivering At KGH Was 88% Multiparity, anemia ,diabetes and previous caesarean section seem to be risk factors for developing MNMM. Hypertensive disorders of pregnancy(52%) , Major obstetric Hemorrhage(42%) and Cardiac causes (6%) were the common causes. CONCLUSION: The MNMM INCIDENCE RATIO in this study is 0.8 per 1000 live births.This is comparable to High income developed countries where it is between 0.6 and 1%. The Mortality Index is low;at 0.05,it reflects good quality of care.The causes of Near Miss reflect the causes of maternal death. Near miss analysis is worth presenting in national indices as a surrogate for maternal death.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Maternal near miss morbidity ; hypertensive disorders of pregnancy ; obstetric hemorrhage ; maternal near miss morbidity incidence ratio. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Nov 2017 02:54 |
| Last Modified: | 25 Nov 2017 02:54 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/4028 |
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