Prognostic factors of maternal near miss events and maternal deaths in a tertiary healthcare facility in India

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Tabassum KhanMohammed Ramzan

Abstract

To study maternal near miss (MNM) and maternal mortality to identify rectifiable risk factors. The present cross-sectional retrospective study included pregnant women who experienced acute life-threatening pregnancy-related adverse events at Deen Dayal Upadhyay hospital, New Delhi, India, between September 1, 2009, and August 31, 2011. Patient data were analyzed to investigate factors associated with MNM events and maternal deaths. There were 369 patients included, and 302 MNM events and 67 maternal deaths were recorded. The recorded causes of MNM events included hemorrhage, hypertensive disorders, severe anemia with cardiac failure, organ failure, and infection in 192 (63.6%), 62 (20.5%), 13 (4.3%), 8 (2.6%), and 8 (2.6%) patients, respectively. Higher rates of anemia (P=0.007) and infection (P=0.007) were recorded among patients in the maternal death group than the MNMN group. Hemorrhage and hypertension were major causes of MNM events and are likely major barriers to reducing maternal mortality in low-income countries. Anemia and infection were significant prognostic factors of maternal death in the present study. MNM could be used as surrogate for maternal death in the provision of standard obstetric care.

References

Oct 8, 1998·British Journal of Obstetrics and Gynaecology·G D MantelR C Pattinson
Mar 16, 2000·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A H KhoslaK Sangwan
May 5, 2001·BMJ : British Medical Journal·M WaterstoneC Wolfe
Jan 9, 2004·British Medical Bulletin·R C Pattinson, M Hall
Feb 14, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Rani A BangVeronique Filippi
Oct 7, 2004·American Journal of Obstetrics and Gynecology·Stacie E GellerSarah J Kilpatrick
Nov 3, 2005·Reproductive Health·Olufemi T OladapoOlusoji J Daniel
Jun 19, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tippawan LiabsuetrakulSirirat Chaipinitpan
Mar 24, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Lale SayUNKNOWN WHO working group on Maternal Mortality and Morbidity classifications
May 23, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·M RööstB Essén
Feb 9, 2010·Annals of African Medicine·Abubakar Ali KullimaAbdulkarim G Mairiga
Jan 7, 2011·Kathmandu University Medical Journal (KUMJ)·N S ShresthaC Karki

❮ Previous
Next ❯

Citations

Jun 28, 2018·Reproductive Health·Stacie E GellerBeverley Lawton
Aug 7, 2021·Curēus·Mayela G Cuesta-GalindoAlejandro Rosas-Cabral

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Hamda A AbdillahiKerstin Erlandsson
Reproductive Health
Elvira ZanetteBrazilian Network for Surveillance of Severe Maternal Morbidity Group
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Syeda B MazharShireen Bhutta
PloS One
Felipe F CampanharoBrazilian Network for Surveillance of Severe Maternal Morbidity Study Group
© 2022 Meta ULC. All rights reserved