ABSTRACT
BACKGROUND: Despite advances in medical sciences and increased awareness of measures for safe child birth, unacceptably high maternal morbidity and mortality continues in developing countries like India. Ours being a tertiary care centre, draws a lot number of high risk pregnancies and referrals. By auditing the near miss cases2 i.e., a critically ill pregnant or recently delivered woman who was on the verge of death but survived a problem during pregnancy, childbirth, or within 42 days of the pregnancy's termination, we aim to identify the causes, factors leading to near miss2 and the management given to near miss2 and maternal deaths. The AIMS AND OBJECTIVES: present study aims to determine the magnitude, as well as to identify the pattern of Maternal Near Miss2 (MNM), at Siddhartha Medical College, Vijayawada, during the study period of two years. To anal OBJECTIVES: yse 1)Adverse events leading to a maternal near-miss2, 2) Disorders underlying these cases, 3)Sociodemographic factors and 4)Contributing factors A hospital based retros METHODOLOGY: pective observational study to assess the frequency and nature of maternal near miss2 events among the obstetric cases managed at Siddhartha Medical College, Vijayawada over a period of two years. The followi RESULTS: ng are the major causes identified leading to maternal near miss2 during our study Severe Eclampsia 17%, Post-partum Haemorrhage 17%, Pulmonary Edema due to severe pre eclampsia3 9%, Antepartum Eclampsia 9%, HELLP 9%, Ruptured ectopic pregnancy 7%, Cardiac failure 7%, Postpartum Eclampsia 7%, Imminent Eclampsia 4%, Abruption 4%, Rupture uterus 2%. In our study Maternal near miss2 ratio incidence: 0.0254, Severe maternal outcomes ratio : 3, Maternal near miss2 to mortality ratio: 0.433 CONCLUSION: We observed in majority of the cases level 1 and level 2 delays in reporting to our institution
ABSTRACT
Background- It is important to know various maternal risk factors which lead to adverse perinatal outcome and enable us to form some strategies to reach our goals to reduce the perinatal deaths. Aims and Objectives of the study: is to evaluate the causes and risk factor for perinatal deaths in a tertiary institute and form strategies and protocols in our hospital to reduce perinatal deaths Prospective study Material and Methods- Study design: This study was conducted at OBGYN department, Siddhartha Medical College, Vijayawada done during the period of 1.01.2021 to 31.12.2021. All antenatal women admitted in labor room and antenatal wards were studied by means of a preformed proforma and viewed their outcome. In all cases of perinatal deaths risk factors were analysed in detail. - Results Total number of deliveries in the hospital were 9698. Out of which the perinatal deaths studied were 568 [5.85%]. Among these 252 [44%] were IUFD/ Still births and 316 [56%] were early neonatal deaths. In these cases of deaths 121 cases were Respiratory distress syndrome mostly due to prematurity, 82 birth asphyxia, 79 sepsis. The results were presented as percentages, rates and proportions. The results are compared with 5 studies and WHO standards. All studies had similar percentage except Philippine study 3 showed very low PNMR. [3][1,2,47] Analysis of perinatal deaths is important as it is an important index of Conclusion: antenatal care and quality of new born care in an institution