“A Cross Sectional Study of Maternal Near Miss Associated with Obstetric Haemorrhage and Hypertensive Disorders of Pregnancy at a Tertiary Care Centre”

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Manuja.N, Rashmi Kumar Karning, Chaithra Ramachandra, Sanjana

Abstract

Back ground: Near miss, the assessment will help in the accurate epidemiological analysis of maternal morbidity. This will help in increasing awareness among people regarding the importance of seeking health care before, during and after child birth.


Objectives:  To determine the frequency and evaluate near-miss cases associated with obstetric hemorrhage and hypertensive disorders of pregnancy.


Materials and methods: A cross-sectional study is done to identify near-miss cases caused by ante and postpartum hemorrhage and Hypertensive Disorders of Pregnancy (HDP), evaluate contributing clinic-social factors. Women who suffered a maternal near-miss associated with obstetric haemorrhage and HDP, from pregnancy, labour or puerperal complications, coming to department of OBG, BMCRI who meet Maternal Near Miss Review inclusion criteria were included in the study.


Results: Among the study population, clinico-social factors responsible for maternal near-miss events were lack of awareness in participants(98.52%), lack of transport between facilities for participants(26.67%), lack of communication network for participants(92.59%), infrastructural issues at a referral facility and lack of medications, instruments, equipment or consumables at referral facility for participants (36.29%) each and lack of blood/ blood products


at referral facility for participants(24.44%).


Conclusion: The study concluded that hemorrhage and  HDP are leading causes of maternal near-miss events, and the main socioeconomic determinant for the maternal near-miss event is identified as the absence of antenatal care.

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