MATERNAL NEAR MISS- AN INDICATOR OF MATERNAL HEALTH IN A TERTIARY CARE HOSPITAL OF ODISHA

BACKGROUND¶¶ Maternal near miss is higher in developing countries and causes are similar to those of maternal mortality namely haemorrhage, hypertensive disorders and sepsis.¶¶ Objectives- ¶¶ 1. To estimate the burden of maternal near miss in O and G Dept. of VIMSAR, Burla in terms of proportion and near miss indicators.¶¶ 2. To assess the foetal outcome of patients with maternal near miss.¶¶ MATERIALS AND METHODS¶¶ It was a record-based cross-sectional study conducted in the Department of O and G, VIMSAR, Burla from July 2017 - Dec 2017. Cases were defined based on WHO criteria. Relevant data was collected from case records of maternal near miss patients.¶¶ RESULTS¶¶ Out of 1406 deliveries, near miss cases were 89. Total live births during the study period were 1349 and there were 8 maternal deaths. Maternal mortality ratio was 593/ 100,000 live births. Maternal near miss incidence ratio was 65.95 and Mortality index was 8.2. Preeclampsia was the leading cause (40.4%) of morbidity of near miss cases followed by severe anaemia (29.2%) and eclampsia (19.1%).¶¶ CONCLUSION¶¶ Near miss approach helps to evaluate and improve the quality of care provided by health system by identifying the pattern of severe maternal morbidity and mortality, strengths and weaknesses in the referral system and the way in which improvement can be made.