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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Maternal near miss events: a retrospective observational study in a tertiary care centre of central India
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Maternal near miss events: a retrospective observational study in a tertiary care centre of central India

机译：孕产妇未命中事件：在印度中部三级护理中心进行的一项回顾性观察研究

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Background: Clinically women who have survived complications during pregnancy and childbirth termed as Maternal Near Miss. The major reasons and causes are the same for both Maternal Near Miss and Maternal Death, so review of MNM cases is likely to yield valuable information regarding severe morbidity, which could lead to death of the mother, if not intervened properly and in time. Investigating the instances of severe morbidity may be less threatening to providers because the woman survived. Methods: It was a retrospective study conducted at the Department of Obstetrics & Gynaecology NSCB Medical College Jabalpur, Madhya Pradesh, India. Data of maternal death and maternal near miss was collected from the previous records from 1st January 2017 to December 2017 according to WHO 2009 criteria. Results: Total number of near miss cases was 164 and total number of Maternal Death was 111. Maternal Near Miss incidence ratio was 28.70 per 1000 live births. Maternal Near Miss to Maternal Mortality Ratio was 1.46 and Mortality index was 40.36%. Common cause of Near Miss events was hypertensive disorders of pregnancy - 85 cases (51.82%), followed by hemorrhage - 39 cases (23.78%). heart disease- 9 cases (5.48%) was also common during pregnancy. Conclusions: In summary, this study shows that besides 111 cases who died, there were another 164 cases who survived due to the prompt diagnosis and treatment received in our set- up However, the overall high incidence of near-miss to maternal mortality (1.46) indicates that a significant proportion of critically ill patient still die of these complications. Maternal near miss reviews will be the best tool for the betterment of community and health care systems.
机译：背景：临床上在妊娠和分娩中幸免于难的妇女被称为孕产妇近孕。主要的原因和原因与孕产妇近孕和孕产妇死亡相同，因此，对MNM病例进行复查可能会提供有关严重发病率的有价值的信息，如果不及时及时地干预，可能会导致母亲死亡。由于该妇女幸存下来，因此调查严重发病的情况对提供者的威胁可能较小。方法：这是一项回顾性研究，在印度中央邦贾斯普尔的NSCB医学院妇产科进行。根据世卫组织2009年的标准，从2017年1月1日至2017年12月的先前记录中收集了孕产妇死亡和孕产妇未遂数据。结果：接近失踪病例总数为164例，孕产妇死亡总数为111例。孕产妇接近失误的发生率为每1000活产中28.70。孕产妇近孕死亡率与孕产妇死亡率之比为1.46，死亡率指数为40.36％。 Near Miss事件的常见原因是妊娠高血压疾病-85例（51.82％），其次是出血-39例（23.78％）。心脏病-妊娠期间9例（5.48％）也很常见。结论：总之，这项研究表明，在我们的机构中​​，除111例死亡病例外，还有164例幸存者由于及时诊断和治疗而幸存下来。但是，总体上孕产妇死亡的几率很高（1.46 ）表明，很大比例的危重病人仍然死于这些并发症。产妇即将错过复诊将是改善社区和卫生保健系统的最佳工具。

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