STUDY OF NEAR MISS AND MATERNAL MORTALITY IN GGH,KADAPA,ANDHRA PRADESH.

Dr. T.Lakshmi Suseela; Dr. Kolala Ravali; Dr. Rabbani Begum

Volume : IX, Issue : II, February - 2020

STUDY OF NEAR MISS AND MATERNAL MORTALITY IN GGH,KADAPA,ANDHRA PRADESH.

Dr. T. Lakshmi Suseela, Dr. Kolala Ravali, Dr. Rabbani Begum

Abstract :

As we aim to reduce the maternal mortality, there is necessity to evaluate the preceding events and acute morbidities to evaluate and improve the health care system. Hence obstetric near miss previously known by the term Severe acute maternal morbidity (SAMM) has been considered as a better indicator than mortality indicators. According to WHO 2009,a maternal near miss is defined as a woman who nearly died but survived a complication that occurred during pregnancy, child birth or within 42 days of delivery. This is a retrospective study done between May 2017 and April 2018 at the Department of OBG, GGH, kadapa.Near miss cases are identified by WHO, 2009, near miss identification criteria. Among 7854 deliveries, near miss cases were 38, among which 16 cases (42%) were due to haemorrhage and severe anemia, 12 cases (37%) due to complications of severe preeclampsia/eclampsia,5 cases (13%) due to sepsis,4 cases(10%) due to rupture uterus. Among 12 cases of maternal death 33% were due to complications of severe preeclampsia, 25% due to haemorrhage and severe anemia, 16% due to sepsis, and 8% due to cardiovascular complications. Near miss to maternal mortality ratio being 3.15: 1.