The major clinical determinants of maternal death among obstetric near-miss patients: a tertiary centre experience. | [Journal of Pakistan Medical Association • 2013]

Author(s):

1. Yavuz Simsek: Department of Obstetrics and Gynaecology, Malatya, Turkey

2. Ercan Yilmaz: Department of Obstetrics and Gynaecology, Malatya, Turkey

3. Ebru Celik: Department of Obstetrics and Gynaecology, Malatya, Turkey

4. Mustfa Sait Aydogan: Department of Anaesthesiology, Faculty of Medicine, Inonu University, Malatya, Turkey

5. Onder Celik: Department of Obstetrics and Gynaecology, Malatya, Turkey

6. Turkan Togal: Department of Anaesthesiology, Faculty of Medicine, Inonu University, Malatya, Turkey

Abstract:

Objective: To evaluate the characteristics of obstetric near-miss patients to clarify the major risk factors of maternal mortality. Methods: From among the patients referred to the Department of Obstetrics and Gynaecology, Inonu University of Medical Sciences, Turkey, between August 1, 2010 and March 1, 2012, electronic records of obstetric near-miss cases were retrospectively analysed. The obstetric and demographic characteristics of cases that were successfully treated (Group 1) as well as cases with maternal death (Group 2) were analysed and compared. SPSS 11.5 was used for statistical analysis. Results: Of the total 2687 cases handled during the study period, 95 (3.53%) were of the near-miss nature. The most frequently encountered underlying aetiology was severe preeclampsia (n=55; 57.89%) and haemolysis, elevated liver enzymes, low platelet count syndrome (n=20; 21.1%). These were followed by cases of postpartum bleeding (n=18; 18.9%). Maternal mortality occurred in 10 (10.5%) patients, representing Group 2. The amount of haemorrhage and blood transfused were significantly higher in the group. Maternal mortality cases had also significantly longer duration of intensive care unit admission. Conclusion: Early diagnosis and immediate management of the complications noted by the study can be the most important measures to prevent the occurrence of mortality.

Page(s): 988-991

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 63, Issue: 8, Year: 2013

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