A prospective study of maternal near-miss and maternal mortality cases in FAAMCH, Barpeta; with special reference to its aetiology and management: First 4 months report.
Hem Kanta Dev Sarma, Hem Kanta Sarma, Arup Kumar Kalita
Objective: To know the age, parity, gestational age, causes, and feto-maternal outcome of maternal near miss cases with respect to the mortality cases. Methodology: It was a prospective observational study conducted in the Department of Obstetrics & Gynaecology, Fakhruddin Ali Ahmed Medical College & Hospital (FAAMCH), Barpeta from 16th June, 2014 to 15th October 2014. The WHO maternal near miss case definition and their inclusion criteria were used in the study. Results: There were 1729 numbers of deliveries during the study period. Out of them; 1567 were live births and 162 were stillbirths. There were 66 near miss events and 17 maternal deaths during the period. The maternal death to near miss ratio was 1 / 3.9. Among near miss cases, 59% cases were primipara and 37.8% cases were in the age group of 15 – 20 years. The most common type of near miss events were eclampsia (39.4%) whereas severe anaemia was responsible 47.1% of all maternal death. Mortality index was 20.4%. 53% of the near-miss cases and 47% of the death cases had live birth. Conclusion: The study showed that for almost every 4 woman who survived life threatening complications, one died. Evaluating the disease process at an early stage and then early referral from the primary health care level is of utmost important to save life of both the baby and mother.