Maternal Near Miss and Death Among Women with Eclampsia Using WHO Near Miss Criteria.

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY
Debnath Ghosh, Snehamay Chaudhuri, Bheshna Sahu, Anwesha Chakraborty
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引用次数: 0

Abstract

Objective: The aim of the study was to estimate the prevalence of maternal near miss (MNM) and maternal death and to identify the factors associated with severe maternal outcome in women with eclampsia according to the World Health Organization (WHO) maternal near-miss criteria.

Method: A cross-sectional study was carried out over a period of 12 months incorporating pregnant women diagnosed as eclampsia during antepartum and postpartum period. The definition of maternal near miss was applied according to the WHO near-miss criteria. Data were collected in a case record form specially designed for the study and analyzed using statistical software.

Result: A total of 229 women with eclampsia included in the study over a period of 1 year. Among 229 women with eclampsia, 75 (32.75%) women diagnosed as maternal near miss (MNM), and 6 (2.62%) women had maternal death. Causes of near miss were neurological dysfunction (30.66%), respiratory dysfunction (24%), hematological dysfunction (18.67%), cardiological dysfunction (16%), hepatic dysfunction (10.67%) and uterine dysfunction (5.33%). Maternal near-miss ratio is 4.91 per 1000 live births, and severe maternal outcome ratio is 5.30 per 1000 live birth. Maternal near-miss mortality ratio (MNM:1MD) is 12.5:1, and mortality index is 7.40.

Conclusion: The study shows that there is scope to improve antenatal care and utilization of health facilities. Early diagnosis, good perinatal supervision and appropriate treatment can ameliorate many cases.

使用WHO近错过标准的子痫妇女的产妇近错过和死亡
目的:本研究的目的是根据世界卫生组织(世卫组织)产妇差点漏诊标准,估计产妇差点漏诊(MNM)和产妇死亡的发生率,并确定与子痫妇女严重产妇结局相关的因素。方法:对在产前和产后诊断为子痫的孕妇进行了为期12个月的横断面研究。根据世界卫生组织的差点漏诊标准,采用产妇差点漏诊的定义。数据以专门为研究设计的病例记录表收集,并使用统计软件进行分析。结果:在为期1年的研究中,共有229名子痫妇女纳入研究。229例子痫妇女中,75例(32.75%)被诊断为产妇近端漏诊(MNM), 6例(2.62%)发生产妇死亡。近漏诊原因依次为神经功能障碍(30.66%)、呼吸功能障碍(24%)、血液功能障碍(18.67%)、心功能障碍(16%)、肝功能障碍(10.67%)、子宫功能障碍(5.33%)。产妇未遂率为每千活产4.91例,严重产妇结局率为每千活产5.30例。产妇未遂死亡率(MNM:1MD)为12.5:1,死亡率指数为7.40。结论:研究表明,产前保健和卫生设施的利用仍有改善的余地。早期诊断,良好的围产期监护和适当的治疗可以改善许多病例。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
124
期刊介绍: Journal of Obstetrics and Gynecology of India (JOGI) is the official journal of the Federation of Obstetrics and Gynecology Societies of India (FOGSI). This is a peer- reviewed journal and features articles pertaining to the field of obstetrics and gynecology. The Journal is published six times a year on a bimonthly basis. Articles contributed by clinicians involved in patient care and research, and basic science researchers are considered. It publishes clinical and basic research of all aspects of obstetrics and gynecology, community obstetrics and family welfare and subspecialty subjects including gynecological endoscopy, infertility, oncology and ultrasonography, provided they have scientific merit and represent an important advance in knowledge. The journal believes in diversity and welcomes and encourages relevant contributions from world over. The types of articles published are: ·         Original Article·         Case Report ·         Instrumentation and Techniques ·         Short Commentary ·         Correspondence (Letter to the Editor) ·         Pictorial Essay
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