Maternal Near-miss in Tertiary Referral Center: A Prospective Observational Study from Urban Bengaluru

Monika Bhaskar; Sudha Hittamadu Chikkasiddaiah; Radhika Chethan; Tejeswini Kolige Krishnappa; Sukanya Suresh; Savitha Chandraiah; Anitha Gabbalkaje Shiva

doi:10.5005/jp-journals-10006-2341

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Maternal Near-miss in Tertiary Referral Center: A Prospective Observational Study from Urban Bengaluru

Monika Bhaskar, Sudha Hittamadu Chikkasiddaiah, Radhika Chethan, Tejeswini Kolige Krishnappa, Sukanya Suresh, Savitha Chandraiah, Anitha Gabbalkaje Shiva

Keywords : Maternal mortality, Maternal near-miss, Near miss indicators, Severe maternal outcome

Citation Information : Bhaskar M, Chikkasiddaiah SH, Chethan R, Krishnappa TK, Suresh S, Chandraiah S, Shiva AG. Maternal Near-miss in Tertiary Referral Center: A Prospective Observational Study from Urban Bengaluru. J South Asian Feder Obs Gynae 2023; 15 (6):683-685.

DOI: 10.5005/jp-journals-10006-2341

License: CC BY-NC 4.0

Published Online: 04-12-2023

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Abstract

Introduction: Severe maternal morbidity or maternal near-miss (MNM) is now recommended as a better indicator for the quality of maternity care as compared to maternal mortality rates or ratios. Methods: All patients fulfilling the criteria of “Near-miss” admitted in the Department of Obstetrics and Gynaecology, Bangalore Medical College and Research Institute, Bengaluru, between September 2018 and August 2019 were included in this hospital-based prospective study. The results were tabulated and analyzed using SPSS version 21. Results: Severe preeclampsia/impending eclampsia/eclampsia/HELLP was the leading cause for both maternal near-miss (57, 26.15%) and maternal mortality (13, 8.84%). In 287 cases of severe maternal outcomes, 218 cases were MNM and 69 cases were MD. Mortality index was highest with peripartum cardiomyopathy (66.67%), followed by metabolic encephalopathy (50%). Conclusion: The current study was a prospective 1-year study in a tertiary care hospital. While maternal deaths are now in a downward trend, this study on MNM shows that pregnancy-induced hypertension, PPH, sepsis, and anemia continue to prevail. Maternal near-miss continues to burden the healthcare system and the pregnant women with long duration of hospitalization, interventions, and resources. This calls for consistent efforts to strengthen the maternal healthcare services at all levels.

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