scholarly journals Incidence and Correlates of Maternal Near Miss in Southeast Iran

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Tayebeh Naderi ◽  
Shohreh Foroodnia ◽  
Samaneh Omidi ◽  
Faezeh Samadani ◽  
Nouzar Nakhaee
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Care ◽  
Termination Of Pregnancy ◽  
Near Miss ◽  
High Rate ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Live Births ◽  
Referral Hospitals ◽  
Set Up

This prospective study aimed to estimate the incidence and associated factors of severe maternal morbidity in southeast Iran. During a 9-month period in 2013, all women referring to eight hospitals for termination of pregnancy as well as women admitted during 42 days after the termination of pregnancy were enrolled into the study. Maternal near miss conditions were defined based on Say et al.’s recommendations. Five hundred and one cases of maternal near miss and 19,908 live births occurred in the study period, yielding a maternal near miss ratio of 25.2 per 1000 live births. This rate was 7.5 and 105 per 1000 in private and tertiary care settings, respectively. The rate of maternal death in near miss cases was 0.40% with a case:fatality ratio of 250 : 1. The most prevalent causes of near miss were severe preeclampsia (27.3%), ectopic pregnancy (18.4%), and abruptio placentae (16.2%). Higher age, higher education, and being primiparous were associated with a higher risk of near miss. Considering the high rate of maternal near miss in referral hospitals, maternal near miss surveillance system should be set up in these hospitals to identify cases of severe maternal morbidity as soon as possible.

Monitoring Maternal Near Miss/Severe Maternal Morbidity: A Systematic Review

2019 ◽  
Author(s):  
Natalie England ◽  
Julia Madill ◽  
Amy Metcalfe ◽  
Laura Magee ◽  
Stephanie Cooper ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e44129 ◽  
Author(s):  
Joao Paulo Souza ◽  
Jose Guilherme Cecatti ◽  
Samira M. Haddad ◽  
Mary Angela Parpinelli ◽  
Maria Laura Costa ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severity Index ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Index Model

scholarly journals MATERNAL NEAR MISS AND MATERNAL DEATHS IN KERALA, INDIA - A REVIEW

2020 ◽  
pp. 1-2
Author(s):  
Deepthy Balakrishnan
Keyword(s):  
Neurological Disorder ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Maternal Deaths ◽  
Live Births ◽  
Tertiary Centre ◽  
Mortality Index ◽  
Severe Maternal Outcome ◽  
Mortality Ratio

Aim- To determine the prevalence and pattern of near miss cases/ severe acute maternal morbidity cases and maternal deaths in a tertiary centre. Materials and methods - WHO 2011 criteria was used for identication of near miss cases. Results- In the study period of 2 years, there were 131 cases of severe maternal outcome (105 near miss and 26 maternal deaths). Maternal near miss incidence ratio is 5.62/ 1000 live births. Maternal near miss to mortality ratio is 4.03:1. The mortality index is 19.8%. Hemorrhage was the leading cause of near miss cases (44.76%) followed by hypertension(27.6%) but indirect causes(42.3%) led to maximum number of maternal deaths followed by hemorrhage. Among the indirect causes, cardiac and neurological disorder caused maximum mortality. Conclusion - Hemorrhage and hypertension were the leading causes of near miss but maternal mortality was more due to indirect causes. So it's important to involve specialist doctors from other departments to improve care of mothers and hence reduce maternal deaths further.

scholarly journals Correction: The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
Author(s):  
Joao Paulo Souza ◽  
Jose Guilherme Cecatti ◽  
Samira M. Haddad ◽  
Mary Angela Parpinelli ◽  
Maria Laura Costa ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severity Index ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss ◽  
Index Model

scholarly journals Monitoring maternal near miss/severe maternal morbidity: A systematic review of global practices

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233697 ◽  
Author(s):  
Natalie England ◽  
Julia Madill ◽  
Amy Metcalfe ◽  
Laura Magee ◽  
Stephanie Cooper ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals Incidence of maternal near-miss in Kenya in 2018: findings from a nationally representative cross-sectional study in 54 referral hospitals

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Onikepe Owolabi ◽  
Taylor Riley ◽  
Kenneth Juma ◽  
Michael Mutua ◽  
Zoe H. Pleasure ◽  
...  
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Obstetric Care ◽  
Near Miss ◽  
World Health ◽  
Maternal Near Miss ◽  
Live Births ◽  
Management Of Complications ◽  
Referral Hospitals ◽  
Nationally Representative

Abstract Although the Kenyan government has made efforts to invest in maternal health over the past 15 years, there is no evidence of decline in maternal mortality. To provide necessary evidence to inform maternal health care provision, we conducted a nationally representative study to describe the incidence and causes of maternal near-miss (MNM), and the quality of obstetric care in referral hospitals in Kenya. We collected data from 54 referral hospitals in 27 counties. Individuals admitted with potentially life-threatening conditions (using World Health Organization criteria) in pregnancy, childbirth or puerperium over a three month study period were eligible for inclusion in our study. All cases of severe maternal outcome (SMO, MNM cases and deaths) were prospectively identified, and after consent, included in the study. The national annual incidence of MNM was 7.2 per 1,000 live births and the intra-hospital maternal mortality ratio was 36.2 per 100,000 live births. The major causes of SMOs were postpartum haemorrhage and severe pre-eclampsia/eclampsia. However, only 77% of women with severe preeclampsia/eclampsia received magnesium sulphate and 67% with antepartum haemorrhage who needed blood received it. To reduce the burden of SMOs in Kenya, there is need for timely management of complications and improved access to essential emergency obstetric care interventions.

Severe maternal morbidity and maternal near miss in a tertiary hospital of Delhi

2019 ◽  
Vol 32 (5) ◽  
pp. 270
Author(s):  
Pragti Chhabra ◽  
Kiran Guleria ◽  
SanjivKumar Bhasin ◽  
Komal Kumari ◽  
Shalini Singh ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals Study of the cases of severe acute maternal morbidity at a tertiary care centre

2018 ◽  
Vol 7 (5) ◽  
pp. 1852
Author(s):  
Shehla Jamal ◽  
Ruchi Srivastava ◽  
Arpit Jain ◽  
Nimmi Chutani ◽  
Shelly Agarwal ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Care ◽  
Near Miss ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Live Births ◽  
Severe Acute Maternal Morbidity ◽  
Mortality Index ◽  
Study Results

Background: Reduction in the maternal morbidity has been the key strategy towards achievement of Millennium Development Goal. Despite exhaustive measures at all levels, the decline has been slow. WHO in 2007 established a technical working group to identify cases of severe acute maternal morbidity. It served dual goals to identify the causes and pointing out delays leading to SAMM. SAMM is now an established superior indicator of surviving women’s health and allows uniform comparisons. The present study was conducted with an aim to identify cases of SAMM at our centre. The objective is to determine the frequency of maternal near miss and conduct an epidemiological survey.Methods: This retrospective study was conducted in the department of Obstetrics and Gynecology and ICU of School of Medical Sciences and Research, Greater Noida, from November 2014 to October 2017. All the cases identified as SAMM, as per WHO 2009 criteria (modified according to the local protocol), were included in the study.  Results: During the study period there were a total of 2252 delivery, out of which 2051 were live births. There were 123 SAMM cases and 47 were excluded out of study. So, study was done on 76 cases of SAMM, and on 11 maternal deaths in the study period. Calculated MNM incidence ratio was 37.05 per 1000 live births. A mortality index of 12.64% was calculated. MNM to maternal death ratio was 6.9:1. Major identifiable cause for SAMM was hypertension (35.5%)), followed by haemorrhage (18.4%). Haematologic system was the commonest organ system involved. 67.8% of the admissions were done in critical condition.Conclusions: Maternal mortality and SAMM cases shared characteristics, and study of SAMM cases can provide an insight into the causative etiology and give time for early intervention.

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