A study to evaluate near miss obstetrics event and maternal deaths in tertiary care centre Bikaner
Journal Title: The New Indian Journal of OBGYN - Year 2017, Vol 4, Issue 1
Abstract
Objective: A study to evaluate near miss obstetrics event and maternal mortality in a tertiary care centre. Methodology: It was a prospective observational study conducted in the Department of Obstetrics & Gynaecology, Sardar Patel Medical College and PBM hospital Bikaner from January 2016 to December 2016. All patients fulfilling the WHO criteria of maternal near miss and all maternal deaths admitted during study period were included in the study. Result: During the study period there were 25875 admissions and 16071 deliveries with 15587 live births. There were 239 near miss events and 47 maternal deaths. The maternal death to near miss ratio was 1:5.08. Among the near miss cases 56.9% cases were multipara,47.3% case were in the age group of 21-25 years, and 58.6% cases belong to gestational age >28 weeks. The most common type of events in near miss was haemorrhage (51 %), severe hypertension (23%), and puerperal sepsis (7.1%). Similarly in maternal death group most common event were haemorrhage (40%), severe hypertension (25.5%) and sepsis (19.1%). Mortality index was 19.84%. Conclusion: Despite improvements in health care, haemorrhage, PIH, eclampsia, sepsis and severe anaemia remain the leading obstetrics cause of near miss and maternal mortality.
Authors and Affiliations
Anjana Mathur, Santosh Khajotiya, Swati Falodia, Parul Prakash, Suman Budania, Shruti Singh
Uterine artery pseudoaneurysm after caesarean section: a rare cause of massive secondary postpartum haemorrhage
Postpartum haemorrhage (PPH) is one of the major causes of maternal morbidity and mortality. A 24 years old woman came to hospital with complain of profuse vaginal bleeding after 45 days of caesarean section. Ultrasound...
Vault fistula after caesarean hysterectomy may be confused with Asherman syndrome
Complications are possible in all type of surgeries including caesarean hysterectomy irrespective of the experience of the operating surgeon or the presence of associated risk factors. If the surgeon is careful from the...
A rare case of uterine perforation due to gas gangrene of uterus caused by Clostridium Perfringens
Clostridium Perfringens infection is an extremely fatal condition which is difficult to diagnose in first instance. A 65 year old lady para 3, presented with acute abdominal pain and vomiting to the surgical emergency. S...
To study the efficacy of misoprostol compared with methyl ergometrine for prevention of postpartum haemorrhage
Objective: Present study was conducted to study the safety and efficacy of misoprostol and methyl ergometrine when used in the prevention of postpartum haemorrhage (PPH). Methodology: In a controlled trial, 100 pregnant...
Rupture uterus incidence and management in a tertiary centre in Assam
Objectives: The purpose of this study was to see the incidence of rupture uterus, the predisposing factors and the different modalities of management with outcome. Methodology: All patients of rupture uterus admitted dur...