Obstetric near miss morbidity and maternal mortality in a Tertiary Care Centre in Western Rajasthan

• Main Authors: Priyanka Kalra, Chetan Prakash Kachhwaha
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Public Health
• Subjects: Five factor scoring system; Maternal mortality; Near-miss obstetric morbidity
• Online Access: http://www.ijph.in/article.asp?issn=0019-557X;year=2014;volume=58;issue=3;spage=199;epage=201;aulast=Kalra

Obstetric near-miss (ONM) describes a situation of lethal complication during pregnancy, labor or puerperium in which the woman survives either because of medical care or just by chance. In a cross-sectional observational study, five factor scoring system was used to identify the near-miss cases from all the cases of severe obstetric morbidity. Assessment of the causes of maternal mortality and near-miss obstetric cases was done. The ONM rate in this study was 4.18/1000 live births. Totally 54 maternal deaths occurred during this period, resulting in a ratio of 202 maternal deaths per 100,000 live births. Hemorrhage, hypertension and sepsis were major causes of near-miss maternal morbidity and mortality, respectively in descending order.