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Published in: The Journal of Obstetrics and Gynecology of India 6/2019

01-12-2019 | Original Article

Impact of Training on Awareness and Knowledge of Service Providers About Maternal Near-Miss Events in Maharashtra, India

Authors: Ragini Kulkarni, Sanjay Chauhan, Anushree Patil, Poonam Shivkumar, Surekha Tayade, Namrata Dohate, Archana Patil, Aniruddh Deshpande, Madhusudan Karnataki

Published in: The Journal of Obstetrics and Gynecology of India | Issue 6/2019

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Abstract

Objective

To improve the awareness and knowledge regarding Maternal Near Miss (MNM) among health service providers in the selected districts and women’s hospitals in Maharashtra, India.

Methods

A one-day training programme on MNM was conducted at four Family Welfare Training Centres in the state of Maharashtra, India, for the health service providers, viz. gynaecologists, pathologists, anaesthesiologists, medical officers, staff nurses, other paramedical workers of the selected 29 districts/women’s hospitals in Maharashtra. A total of 147 participants participated in the training programme. The participants filled a questionnaire before (pretest) and after the training (post-test) with the same set of questions pertaining to knowledge on the basic and operational aspects of MNM.

Results

There was a significant improvement in the level of knowledge (post-test responses vs pretest responses) about the correct definition and classification of MNM, as per the instructions in the MNM-R guidelines by the Government of India. The service providers informed regarding the challenges in the implementation of the MNM-R guidelines at their hospitals such as shortage of manpower in terms of specialists and need of quality assurance.

Conclusion

The training programme improved the knowledge of the service providers about MNM, which would help them to implement the MNM-R guidelines effectively at their hospitals. This training effectively upgraded the knowledge level, and therefore, such trainings should be organized for all obstetricians, high-dependency unit (HDU) personnel and critical care teams.
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Literature
2.
go back to reference Geller SE, Rosenberg D, Cox SM. The continuum of maternal morbidity and mortality: factors associated with severity. Am J Obstet Gynecol. 2004;191:39–944.CrossRef Geller SE, Rosenberg D, Cox SM. The continuum of maternal morbidity and mortality: factors associated with severity. Am J Obstet Gynecol. 2004;191:39–944.CrossRef
3.
go back to reference Evaluating the quality of care for severe pregnancy complications. The WHO near-miss approach for maternal health. World Health Organization; 2011. pp. 1–34 Evaluating the quality of care for severe pregnancy complications. The WHO near-miss approach for maternal health. World Health Organization; 2011. pp. 1–34
4.
go back to reference Oladapo OT, Sule-odu AO, Olatunj AO, et al. “Near miss” Obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health J. 2005;2(9):1–9. Oladapo OT, Sule-odu AO, Olatunj AO, et al. “Near miss” Obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health J. 2005;2(9):1–9.
5.
go back to reference Souza JP, Cecatti JG, Parpineli MA, et al. Appropriate criteria for identification of near miss maternal morbidity in tertiary care facilities: a cross-sectional study. BMC Pregnancy Childbirth. 2007;7(20):1–8. Souza JP, Cecatti JG, Parpineli MA, et al. Appropriate criteria for identification of near miss maternal morbidity in tertiary care facilities: a cross-sectional study. BMC Pregnancy Childbirth. 2007;7(20):1–8.
6.
go back to reference Operational Guidelines on Maternal Near Miss Review, Ministry of Health and Family Welfare. Government of India; 2014 Operational Guidelines on Maternal Near Miss Review, Ministry of Health and Family Welfare. Government of India; 2014
7.
go back to reference Kumar R, Floor S, Tewari A. Burdwan district in West Bengal. Indian J Public Heal. 2018;62:235–43.CrossRef Kumar R, Floor S, Tewari A. Burdwan district in West Bengal. Indian J Public Heal. 2018;62:235–43.CrossRef
8.
go back to reference Kalhan M, Singh S, Punia A, et al. Maternal near-miss audit: Lessons to be learnt. Int J Appl Basic Med Res. 2017;7:85–7.CrossRef Kalhan M, Singh S, Punia A, et al. Maternal near-miss audit: Lessons to be learnt. Int J Appl Basic Med Res. 2017;7:85–7.CrossRef
9.
go back to reference Chhabra P. Maternal near miss: an indicator for maternal health and maternal care. Indian J Community Med. 2014;39:132–7.CrossRef Chhabra P. Maternal near miss: an indicator for maternal health and maternal care. Indian J Community Med. 2014;39:132–7.CrossRef
10.
go back to reference Lazzerini M, Richardson S, Ciardelli V, et al. Effectiveness of the facility-based maternal near-miss case reviews in improving maternal and newborn quality of care in low-income and middle-income countries: a systematic review. BMJ Open. 2018;8:e019787.CrossRef Lazzerini M, Richardson S, Ciardelli V, et al. Effectiveness of the facility-based maternal near-miss case reviews in improving maternal and newborn quality of care in low-income and middle-income countries: a systematic review. BMJ Open. 2018;8:e019787.CrossRef
11.
go back to reference Liyew EF, Yalew AW, Afework MF, et al. Incidence and causes of maternal near-miss in selected hospitals of Addis Ababa. Ethiopia. PLoS ONE. 2017;12:e0179013.CrossRef Liyew EF, Yalew AW, Afework MF, et al. Incidence and causes of maternal near-miss in selected hospitals of Addis Ababa. Ethiopia. PLoS ONE. 2017;12:e0179013.CrossRef
13.
go back to reference Manjunatha G 2018 A study of maternal near miss at a district teaching hospital: a retrospective observational study. Int J Reprod Contracept Obs Gynecol. 7(4):1421–6. 10.18203/2320–1770.ijrcog20181328 Manjunatha G 2018 A study of maternal near miss at a district teaching hospital: a retrospective observational study. Int J Reprod Contracept Obs Gynecol. 7(4):1421–6. 10.18203/2320–1770.ijrcog20181328
14.
go back to reference Marwah G 2017 Maternal near miss review: a brief appraisal. Int J Reprod Contracept Obs Gynecol 6(5):1703–6. 10.18203/2320–1770.ijrcog20171928CrossRef Marwah G 2017 Maternal near miss review: a brief appraisal. Int J Reprod Contracept Obs Gynecol 6(5):1703–6. 10.18203/2320–1770.ijrcog20171928CrossRef
15.
go back to reference Maswime S, Buchmann E. A systematic review of maternal near miss and mortality due to postpartum haemorrhage. Int J Gynaecol Obstet. 2017;137:1–7.CrossRef Maswime S, Buchmann E. A systematic review of maternal near miss and mortality due to postpartum haemorrhage. Int J Gynaecol Obstet. 2017;137:1–7.CrossRef
16.
go back to reference O’Malley EG, Popivanov P, Fergus A, et al. Maternal near miss: What lies beneath? Eur J Obstet Gynecol Reprod Biol. 2016;199:116–20.CrossRef O’Malley EG, Popivanov P, Fergus A, et al. Maternal near miss: What lies beneath? Eur J Obstet Gynecol Reprod Biol. 2016;199:116–20.CrossRef
17.
go back to reference Tura AK, Stekelenburg J, Scherjon SA, et al. Adaptation of the WHO maternal near miss tool for use in sub-Saharan Africa: an international Delphi study. BMC Pregnancy Childbirth. 2017;17:445.CrossRef Tura AK, Stekelenburg J, Scherjon SA, et al. Adaptation of the WHO maternal near miss tool for use in sub-Saharan Africa: an international Delphi study. BMC Pregnancy Childbirth. 2017;17:445.CrossRef
20.
go back to reference David E, Machungo F, Zanconato G, et al. Maternal near miss and maternal deaths in Mozambique: a cross-sectional, region-wide study of 635 consecutive cases assisted in health facilities of Maputo province. BMC Pregnancy Childbirth. 2014;14:401.CrossRef David E, Machungo F, Zanconato G, et al. Maternal near miss and maternal deaths in Mozambique: a cross-sectional, region-wide study of 635 consecutive cases assisted in health facilities of Maputo province. BMC Pregnancy Childbirth. 2014;14:401.CrossRef
Metadata
Title
Impact of Training on Awareness and Knowledge of Service Providers About Maternal Near-Miss Events in Maharashtra, India
Authors
Ragini Kulkarni
Sanjay Chauhan
Anushree Patil
Poonam Shivkumar
Surekha Tayade
Namrata Dohate
Archana Patil
Aniruddh Deshpande
Madhusudan Karnataki
Publication date
01-12-2019
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 6/2019
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-019-01259-7

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