The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study

Objective: To analyse maternal near-miss frequency and causes on WHO-based tools at a government hospital. Methods: This cross-sectional study was conducted at the Obstetric and Gynaecology Department of Benazir Bhutto Hospital Rawalpindi from January to December 2019. All maternal near-miss case...

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Main Authors: Humaira Masood, Tallat Farkhanda, Sadia Khan, Ismat Batool, Nighat Naheed, Hina Gul
Format: Article
Language:English
Published: Rawalpindi Medical University 2024-12-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1925
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author Humaira Masood
Tallat Farkhanda
Sadia Khan
Ismat Batool
Nighat Naheed
Hina Gul
author_facet Humaira Masood
Tallat Farkhanda
Sadia Khan
Ismat Batool
Nighat Naheed
Hina Gul
author_sort Humaira Masood
collection DOAJ
description Objective: To analyse maternal near-miss frequency and causes on WHO-based tools at a government hospital. Methods: This cross-sectional study was conducted at the Obstetric and Gynaecology Department of Benazir Bhutto Hospital Rawalpindi from January to December 2019. All maternal near-miss cases admitted to the hospital were included in the study. Patients were identified according to the WHO maternal near-miss tool. The number of maternal near-miss cases per 1000 live births occurring during the same year was calculated to determine the incidence of maternal near-miss. Causes of maternal near-miss were also documented. Results: During the study period, 8909 deliveries were recorded. Among these, life-threatening conditions developed in 122 (1.36%) patients out of which near-miss patients were 84 (0.94%). The incidence ratio of near-miss cases was 9.43 / 1000 live births. The major causes of maternal near-miss (MNM) were postpartum haemorrhage n=25 ( 29.7 %), followed by hypertensive disorders n=23 (27.3%). At the same time, sepsis and hypertension were the main reasons for maternal death. Anaemia was an important contributing factor for both maternal outcomes. Conclusion: This study shows that haemorrhage and Hypertension are the main causes of maternal near-miss. Keywords:   cross-sectional study,  morbidity, post partum haemorrhage.
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publishDate 2024-12-01
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spelling doaj-art-db00710ffcb64115970c6ca7fb743d0e2025-02-06T08:34:55ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-12-0128410.37939/jrmc.v28i4.1925The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study Humaira MasoodTallat FarkhandaSadia KhanIsmat BatoolNighat NaheedHina Gul Objective: To analyse maternal near-miss frequency and causes on WHO-based tools at a government hospital. Methods: This cross-sectional study was conducted at the Obstetric and Gynaecology Department of Benazir Bhutto Hospital Rawalpindi from January to December 2019. All maternal near-miss cases admitted to the hospital were included in the study. Patients were identified according to the WHO maternal near-miss tool. The number of maternal near-miss cases per 1000 live births occurring during the same year was calculated to determine the incidence of maternal near-miss. Causes of maternal near-miss were also documented. Results: During the study period, 8909 deliveries were recorded. Among these, life-threatening conditions developed in 122 (1.36%) patients out of which near-miss patients were 84 (0.94%). The incidence ratio of near-miss cases was 9.43 / 1000 live births. The major causes of maternal near-miss (MNM) were postpartum haemorrhage n=25 ( 29.7 %), followed by hypertensive disorders n=23 (27.3%). At the same time, sepsis and hypertension were the main reasons for maternal death. Anaemia was an important contributing factor for both maternal outcomes. Conclusion: This study shows that haemorrhage and Hypertension are the main causes of maternal near-miss. Keywords:   cross-sectional study,  morbidity, post partum haemorrhage. https://www.journalrmc.com/index.php/JRMC/article/view/1925
spellingShingle Humaira Masood
Tallat Farkhanda
Sadia Khan
Ismat Batool
Nighat Naheed
Hina Gul
The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
Journal of Rawalpindi Medical College
title The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
title_full The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
title_fullStr The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
title_full_unstemmed The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
title_short The Frequency Of Maternal Near Misses At Benazir Bhutto Hospital- Using The WHO Standard Tool, A Cross-Sectional Study
title_sort frequency of maternal near misses at benazir bhutto hospital using the who standard tool a cross sectional study
url https://www.journalrmc.com/index.php/JRMC/article/view/1925
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