Dr Deepthy Balakrishnan


Aim- To determine the prevalence and pattern of near miss cases/ severe acute maternal morbidity cases and maternal
deaths in a tertiary centre.
Materials and methods - WHO 2011 criteria was used for identication of near miss cases. Results- In the study period of 2 years, there were
131 cases of severe maternal outcome (105 near miss and 26 maternal deaths). Maternal near miss incidence ratio is 5.62/ 1000 live births.
Maternal near miss to mortality ratio is 4.03:1. The mortality index is 19.8%. Hemorrhage was the leading cause of near miss cases (44.76%)
followed by hypertension(27.6%) but indirect causes(42.3%) led to maximum number of maternal deaths followed by hemorrhage. Among the
indirect causes, cardiac and neurological disorder caused maximum mortality.
Conclusion - Hemorrhage and hypertension were the leading causes of near miss but maternal mortality was more due to indirect causes. So it's
important to involve specialist doctors from other departments to improve care of mothers and hence reduce maternal deaths further.

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