Never Miss- A near Miss Audit

Résumé fourni par la source

Context: Near-miss cases that defines the patients who just escaped death, are a valuable source of scrutiny to describe the causes of maternal death.This in turn can help in estimating the quality of care in the institute and amount of facilities required for a given population.Aim: Evaluating the incidence and nature of near-miss events by calculating the near-miss indicators. Settings and Design: An observational study.Methods and Materials: A study of near-miss cases and maternal mortality cases for their demographic profile, causes of the near -miss condition, outcome of the near-miss condition and classification of these cases according to World Health Organization (WHO) criteria.Results: Among the sixty-four near-miss and mortality cases, fifty-two were referred and only twelve developed potentially life threatening conditions within the hospital.Postpartum hemorrhage was the most common cause of near-miss event (32%).Septicemia has the highest case fatality rates.No maternal mortality due to hypertensive disorders of pregnancy.Conclusion: Prevention is always better than cure but sometimes timely diagnosis intervention is as good as prevention.Hence decreasing the burden of near-miss and maternal mortality is more dependent on active intervention which is possible only if timely referrals are made.Thus the community health workers and other health related personnel must try to do their best to create awareness in the community about pregnancy related complications and the need for timely referrals.

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