Indicators of maternal ‘near miss’ morbidity at different levels of health care in North India: A pilot study

Authors

  • Ravleen Kaur Bakshi Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand
  • Pradeep Aggarwal Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand
  • Debabrata Roy Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand
  • Ruchira Nautiyal Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand
  • Rakesh Kakkar Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

DOI:

https://doi.org/10.3329/bjms.v14i3.18453

Keywords:

near-miss, Potentially Life Threatening Conditions, PLTC

Abstract

Introduction: Maternal morbidity and mortality in India continues to remain high despite concerted efforts during the past decades. Objective of this study was to determine the prevalence and indicator of Potentially Lie Threatening Conditions (PLTC) and near miss obstetric cases at different tiers of health care.

Material and Methods: A cross-sectional epidemiological study was carried out over a period of 12 months as per the WHO criteria for near miss. Probability sampling was done to systematically and randomly select health facilities i.e. two primary health centers (PHC), one community health centre (CHC) and a tertiary hospital all from Doiwala block of Dehradun, Uttarakhand, India. The study included all the women attending health-care facilities, who were pregnant, in labour, or who had delivered or aborted up to 42 days ago arriving at the facility. A convenient sampling was done (a hundred percent enumeration of eligible study subjects) for the audit.

Result: A total of 937 pregnant women who accessed health care had 688 live births and 231 women had one or more of the Potentially Life Threatening Conditions (PLTC). Among them, 61 women had Severe Maternal Outcome (SMO) - 51 with maternal near-miss and 10 maternal deaths. The Severe Maternal Outcome Ratio (per 1000 live births) was 88.66. The Maternal near miss Mortality Ratio (MNM-MR) and Mortality Index (MI) were 5.1 and 16.39% respectively.

Conclusion: The WHO near miss approach has been found to be an effective measure to assess quality of care in maternal health across countries including India.

Bangladesh Journal of Medical Science Vol.14(3) 2015 p.254-257

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Author Biographies

Ravleen Kaur Bakshi, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

Post Graduate Resident, Department of Community Medicine

Pradeep Aggarwal, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

Associate Professor, Department of Community Medicine

Debabrata Roy, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

Professor, Department of Community Medicine

Ruchira Nautiyal, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

Associate Professor, Department of Obstetrics & Gynecology

Rakesh Kakkar, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Doiwala, Dehradun ? 248140 Uttarakhand

Associate Professor, Department of Community Medicine

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Published

2015-06-20

How to Cite

Bakshi, R. K., Aggarwal, P., Roy, D., Nautiyal, R., & Kakkar, R. (2015). Indicators of maternal ‘near miss’ morbidity at different levels of health care in North India: A pilot study. Bangladesh Journal of Medical Science, 14(3), 254–257. https://doi.org/10.3329/bjms.v14i3.18453

Issue

Vol. 14 No. 3 (2015)

Section

Original Articles

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