Severe acute maternal morbidity: sociodemographic analysis of intensive care unit admission in pregnancy

Background: Severe acute maternal morbidity also known as “Near Miss”. SAMM occurs 5 times more frequently than maternal death. Therefore auditing women with SAMM allows rapid collection of data and this may create a rapid diagnostic tool for evaluating current standard of maternal care in an area. Maternal NEAR MISS refers to a woman who nearly died but survived a complication that occurred during pregnancy, child birth or within 42 days of termination of pregnancy. To have a more accurate picture of life threatening obstetrical conditions. To analyze various socio demographic factors associated with SAMM. Methods: Retrospective study over a period of one year (November 2014 to October 2015) conducted in Kamla Raja Hospital, Gwalior, department of obstetrics and gynaecology. Analysis of various socio demographic factors done. Results: During the study period, a total of 159 near-miss cases were identified, with 43 of those patients ultimately succumbing to maternal mortality. The maternal mortality ratio was 561 per 100,000 live births and the Maternal Near-Miss Incidence Ratio was 20 per 1,000 live births. The Maternity Near-Miss to Maternal Death ratio was 3.69:1. Conclusions: Average MNMIR in ICU was 20 per 1000 live births. Hypertensive disorders of pregnancy and postpartum haemorrhage were the main obstetric causes of MNM in ICU. These findings would guide to improve professional skills of primary health care providers and encourage vaginal birth in the absence of medical indications for caesarean birth.