Maternal Near Miss in Minia maternity & children University hospital in 2018: A prospective study | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 2, April 2020, Page 128-133 PDF (266.16 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.220850 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed R. El-Adawy; Saad A. Ahmed El Gelany ; Ayman M. Yousef Elsayed; Fouly H. Fouly Abdelzaher
| ||||
| Department of Obstetrics and Gynecology, El-Minia Faculty of Medicine | ||||
| Abstract | ||||
| Introduction: The maternal mortality ratio in developing countries in 2013 was 230 per 100 000 live births versus 16 per 100 000 live births in developed countries. There are large disparities within countries, between women with high and low income and between women living in rural and urban areas. Aim of the Work: To study the three delays of maternal mortality cases in Minia Maternity & Children University Hospital a tertiary teaching hospital in 2018 and comparing it with the previous 3 years (2015 & 2016-2017). Patients and Methods: Project title: Maternal Near Miss in Minia maternity & children University hospital in 2018: A prospective study. Study funding: There are no costs for this study; Patients‟ data were collected with the intent to review cases of maternal mortality and severe morbidity (near miss). Data was collected by reviewing the patients' admission files of the Obstetric Department at Minia University hospital and tracing questionnaires of maternal mortality cases at Minia Directorate of health after getting the official approval from the Ministry of health and maternal morbidity at Minia University. Results: Frequency distribution of different risk factors among studied sample (n=981) total no of cases of near miss sever preeclampsia 244 eclampsia 186 sever hemorrhage 505 sever sepsis 69 uterine rupture71 admission to icu 365 obstetric hysterectomy 85 massive blood transfusion 509 intubation and ventilation 466 shock 223 cardiac arrest 8 acute cyanosis 4 gasping 0 sever tachycardia 20 sever bradycardia 5 respiratory dysfunction 20 neurological dysfunction 11 hepatic dysfunction 21 multiorgan failure 24 non responding oliguria 21 jaundice 2 DIC 5 prolonged uncons more than 12h 11 status epilepticus 2 stroke 2 global paralysis 3 sever acute thrombocytopnea 21 sever hyperbilirubinemia 3 vasoactive drugs 5 cardiac resus 6 dialysis for ARF 18. Summary: W.H.O defined maternal death as follows: The death of any woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. | ||||
| Keywords | ||||
| maternal; mortality ratio; rural and urban areas | ||||
|
Supplementary Files
|
||||
|
Statistics Article View: 66 PDF Download: 68 |
||||
