International Journal of Clinical Obstetrics and Gynaecology
2020, Vol. 4, Issue 2, Part B
A study of near miss cases in obstetrics at a tertiary care centre
Author(s): Dr. Swetha Shivaram and Dr. Annie Rajaratnam
Abstract: Maternal mortality data in practical terms is the tip of an iceberg and the maternal near miss data is invisible and which is very important tool to reduce the maternal mortality. The aim of this study was to determine the frequency and etiology of near miss events. This prospective observational study was done at a tertiary care institute from June 2017-May 2019. The data was collected from obstetric emergency patients as per criteria defined by the WHO including clinical, laboratory & management criteria. The incidence ratio, aetiology and timings of these near miss events were analyzed.Of the 35 maternal near miss cases with an incidence ratio of 7.5 per 1000 live births, obstetric hemorrhage was the most common cause of near miss events accounting for (57%), followed by hypertensive disorders of pregnancy (17%), cardiac disease in pregnancy (11.4%), sepsis (8.5%) and indirect causes (2.8%). 40% of the near miss events occurred in the post-partum period followed by 1st trimester of 28.5%. The 3rd trimester had 20% cases, 8.5% in 2nd trimester and 2.8% during the intra partum period.An awareness of near miss events helps us to know its leading causes, take appropriate preventive measures and decrease maternal morbidity and mortality.