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Original Research Article

Year: 2020 | Month: February | Volume: 7 | Issue: 2 | Pages: 462-466

Maternal Deaths and Near Miss Obstetrics Events in a Tertiary Care Centre: A Five Year Retrospective Study

Divya Dwivedi Tripathi¹, Neena Gupta², Ankita Bais³, Pavika Lal¹, Garima Gupta¹

¹Assistant Professor, ²Professor, ³Senior Resident,
Department Of Obstetrics and Gynaecology, UISE Maternity Hospital, GSVM Medical College, Kanpur.

Corresponding Author: Ankita Bais

ABSTRACT

Background:Mother is the pillar of family and maternal death is a great loss to new born, family, society and country. Death of a mother during a process of giving birth to a new life is deplorable, especially when it is largely preventable.
Objectives:

• Determine maternal mortality ratio (MMR), maternal near miss incidence ratio (MNM IR), maternal near miss to mortality ratio (MNM :MD)& mortality index (MI).
• Study various demographic factors responsible for maternal mortality.
• Analyse causes of maternal mortality.

Methods: a retrospective study done at a tertiary care centre over a period of 5 years from October 2013 to September 2018. Data collected from case records and maternal death audit registers.
Results: 334 maternal mortality and 2039 maternal near miss events in 5 years with 18236 deliveries. MMR is 1831, MNM IR is 111.8, MNM: MD is 6.1& MI is 14. Demographic features of maternal mortalities and near miss maternal events were comparable. Hemorrhage and hypertensive disorders were the leading contributors along with sepsis. Anemia indirectly contributed to more than 70% maternal deaths. Higher incidence of maternal mortality ratio is seen in association with rural background, anemia, higher parity and gestational age, unbooked emergency cases and those not accompanied by ASHA.
Conclusion: High maternal mortality ratio can be attributed to it being a tertiary care centre receiving critically ill and moribund patients from peripheries. Near miss maternal events are >6 times higher, depicting patient load and need of more tertiary care centres.

Keywords: Maternal Mortality Ratio, Maternal Near Miss Incidence Ratio, haemorrhage, anemia, ASHA, unbooked cases

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