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The Journal of Obstetrics and Gynecology of India

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01-08-2016 | Original Article

Implementation of WHO Near-Miss Approach for Maternal Health at a Tertiary Care Hospital: An Audit

Authors: Shilpa Venkatesh, Chinmayi, Vani Ramkumar, C. N. Sheela, Annamma Thomas

Published in: The Journal of Obstetrics and Gynecology of India | Issue 4/2016

Abstract

Objective

The objective of this study was to evaluate severe maternal outcomes (including maternal deaths and maternal near-miss cases).

Materials & Methods

A prospective study of severe maternal outcomes (including maternal deaths and maternal near-miss cases) from May 2012 to April 2013 was performed. For each woman, data were collected on the occurrence of selected severe pregnancy-related complications, the use of critical interventions, and admissions to intensive care unit

Results

The total number of deliveries were 2340. The number of maternal deaths was three. The natures of the near-miss cases during the study period were recorded. Prevalence of SAMM (severe acute maternal morbidity) was 2.025 %.

Conclusion

In areas where the maternal mortality is low, there is a need to shift focus to maternal near-miss cases or SAMM, which is a useful adjunct to maternal death enquiries

Pattinson RC, Hall M. Near Misses: a useful adjunct to maternal death enquiries. Br Med Bull. 2003;67:231–43.CrossRefPubMed

Say L, Souza JP, Pattinson RC. WHO working group on Maternal mortality and morbidity classifications. Maternal near misses towards a standard tool for monitoring the quality of maternal health care. Best Pract Res Clin Obstet Gynecol. 2009;23(3):375–88.CrossRef

Say L, Pattinson RC, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of SAMM (near miss). Reprod Health. 2004;1(1):3.CrossRefPubMedPubMedCentral

Agdi M, Tulandi T. Surgical treatment of ectopic pregnancy. Best Pract Res Clin Obstet Gynecol. 2009;23(4):519–27.CrossRef

World Health Organization. WHO recommendations for prevention of postpartum hemorrhage. Geneva: WHO; 2007.

Duley L, Gülmezoglu AM, Henderson-Smart Magnesium sulfate and other anticonvulsants for women with preeclampsia. Cochrane Database Syst Rev, 2007, 4.

Smaill F, Hofmeyr GJ Antibiotic prophylaxis for cesarean section. Cochrane Database Syst Rev, 2007, 4.

Title: Implementation of WHO Near-Miss Approach for Maternal Health at a Tertiary Care Hospital: An Audit
Authors: Shilpa Venkatesh
Chinmayi
Vani Ramkumar
C. N. Sheela
Annamma Thomas
Publication date: 01-08-2016
Publisher: Springer India
Published in: The Journal of Obstetrics and Gynecology of India / Issue 4/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI: https://doi.org/10.1007/s13224-015-0684-y

At a glance: The STEP trials

Springer Medicine

Implementation of WHO Near-Miss Approach for Maternal Health at a Tertiary Care Hospital: An Audit

Abstract

Objective

Materials & Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Materials & Methods

Results

Conclusion

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