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

Downloads

Download data is not yet available.
Abstract
1496
PDF
1279

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

Downloads

Additional Files

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

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.