An audit of maternal near-miss and mortality cases in a tertiary care rural teaching hospital in Eastern India: A 2-year retrospective analytical case–control study

Authors

  • Nishat Parveen Begg Senior Resident, Department of Obstetrics and Gynaecology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India https://orcid.org/0000-0001-5158-9298
  • Subhankar Dasgupta Associate Professor, Department of Obstetrics and Gynaecology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India https://orcid.org/0000-0001-8856-7711
  • Swarup Chowdhury Assistant Professor, Department of Obstetrics and Gynaecology, Rampurhat Government Medical College and Hospital, Rampurhat, West Bengal, India https://orcid.org/0000-0001-7616-283X

DOI:

https://doi.org/10.3126/ajms.v13i10.44734

Keywords:

Audit; Maternal mortality; Near-miss; Rural hospital

Abstract

Background: Maternal near-miss and mortality patients provide firsthand knowledge of remote and immediate factors linked to morbidity and mortality.

Aims and Objectives: The objectives of this study were to evaluate the characteristics of maternal near-miss and mortality cases in a tertiary care hospital.

Materials and Methods: The present study is a retrospective analytical case–control study analyzing the different factors associated with maternal near-miss and mortality and comparing the same with a control group having mothers with normal outcome. Data were obtained from record section of Rampurhat Medical College from January 2019 to December 2020.

Results: During the study period, maternal mortality ratio was 223 and near-miss cases were 501/lakh live births. Critical care unit admission rate was 2.1% of the total admitted obstetric cases. The maternal near-miss mortality ratio was 2.25. Most women in our study group were anemic teenagers or multigravidas from rural areas with poor educational status and irregular antenatal check-ups as compared to the control group. The most common primary diagnosis in the near-miss group was obstetric hemorrhage (47.47%), while in the mortality group was eclampsia and pre-eclampsia (29.5%), obstetric h emorrhage (20.45%), and heart disease (15.9%). About 81.8% of the participants in the study group had fulfilled the near-miss criteria at the time of admission itself, while 4.5% were brought dead.

Conclusion: The underlying risk factors have to be corrected. There should be strict screening protocols from first antenatal visit itself, and earlier referral to higher centers.

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Published

2022-10-01

How to Cite

Nishat Parveen Begg, Subhankar Dasgupta, & Swarup Chowdhury. (2022). An audit of maternal near-miss and mortality cases in a tertiary care rural teaching hospital in Eastern India: A 2-year retrospective analytical case–control study. Asian Journal of Medical Sciences, 13(10), 146–151. https://doi.org/10.3126/ajms.v13i10.44734

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Original Articles