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Original Research 
RMJ. 2020; 45(3): 677-681


Maternal Near Miss Events at a tertiary care center

Farhat Karim, Jahan Ara Rafiq, Nabila Amin, Tehreem Yazdani.

Abstract
Objective: To study the types and frequency of maternal near miss event cases at a tertiary care center.
Methodology: This descriptive study was conducted at Combined Military Hospital, Sialkot which is a tertiary care set up. Patients undergoing a major morbidity or mortality event from 1st December 2016 to 31st October 2017 fulfilling the WHO severity criteria were included in the study. Cases were identified based on laboratory findings, clinical assessments, or management procedures. Frequencies and types of near misses were noted, and the data were used to calculate maternal mortality ratio, maternal near miss incidence ratio per 1000 live births, maternal near miss to mortality ratio and mortality index.
Results: Total patients attended at the outpatient during study period were 25900. There were 3372 deliveries and 3360 live births; 64 patients fitted the WHO severity criteria. Patients surviving a major morbidity event were 54. Morbidly adherent placentation accounted for 25.92%. Deaths were 8 during due to eclampsia followed by hemorrhage. The maternal mortality ratio and near miss incidence ratio per 100,000 live births was 238 and16.07, respectively. Maternal near miss to mortality ratio came out as 6.75: 1. Mortality index was 12.90.
Conclusion: Eclampsia and hemorrhage remain the main cause of morbidity and mortality. Documentation, registrations of maternal mortalities and audits of near miss events must be made mandatory for all medical facilities, as analyzing them can overcome their shortcomings and raise its standard of care by learning from the deficiencies.

Key words: Maternal mortality, maternal near miss, eclampsia, post-partum hemorrhage.


 
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How to Cite this Article
Pubmed Style

Karim F, Rafiq JA, Amin N, Yazdani T. Maternal Near Miss Events at a tertiary care center. RMJ. 2020; 45(3): 677-681.


Web Style

Karim F, Rafiq JA, Amin N, Yazdani T. Maternal Near Miss Events at a tertiary care center. http://www.rmj.org.pk/?mno=95182 [Access: September 02, 2020].


AMA (American Medical Association) Style

Karim F, Rafiq JA, Amin N, Yazdani T. Maternal Near Miss Events at a tertiary care center. RMJ. 2020; 45(3): 677-681.



Vancouver/ICMJE Style

Karim F, Rafiq JA, Amin N, Yazdani T. Maternal Near Miss Events at a tertiary care center. RMJ. (2020), [cited September 02, 2020]; 45(3): 677-681.



Harvard Style

Karim, F., Rafiq, . J. A., Amin, . N. & Yazdani, . T. (2020) Maternal Near Miss Events at a tertiary care center. RMJ, 45 (3), 677-681.



Turabian Style

Karim, Farhat, Jahan Ara Rafiq, Nabila Amin, and Tehreem Yazdani. 2020. Maternal Near Miss Events at a tertiary care center. Rawal Medical Journal, 45 (3), 677-681.



Chicago Style

Karim, Farhat, Jahan Ara Rafiq, Nabila Amin, and Tehreem Yazdani. "Maternal Near Miss Events at a tertiary care center." Rawal Medical Journal 45 (2020), 677-681.



MLA (The Modern Language Association) Style

Karim, Farhat, Jahan Ara Rafiq, Nabila Amin, and Tehreem Yazdani. "Maternal Near Miss Events at a tertiary care center." Rawal Medical Journal 45.3 (2020), 677-681. Print.



APA (American Psychological Association) Style

Karim, F., Rafiq, . J. A., Amin, . N. & Yazdani, . T. (2020) Maternal Near Miss Events at a tertiary care center. Rawal Medical Journal, 45 (3), 677-681.








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