Frequency of Near Miss Morbidity in Pregnant Women Coming to Allied Hospital, Faisalabad

Abstract

Background: Cases with near miss morbidity are those in which women present with potentially fatal complication during pregnancy, delivery or the puerperium and survive by good hospital care at right time. Recently, review of these cases has become a useful criterion to investigate maternal mortality. Objective: To find out the frequency of near miss morbidity in pregnant women coming to Allied Hospital, Faisalabad. Study Design: Descriptive study. Settings: This study was conducted in Department of Obstetrics & Gynecology, Allied Hospital, Faisalabad Pakistan. Duration: Six months from January 01, 2017 to June 30, 2017. Methods: A total of 225 cases were enrolled in this study. A consent was taken from all the cases. All patients were examined regarding presence of near miss according to operational definition. Detailed history and clinical examination were done. All the relevant investigations were done by the hospital laboratory and then the information was proforma by the investigator. Results: There were 192 (85.33%) patients with no near miss, 7 (3.11%) with hemorrhage, 3 (1.33%) with hypersensitive disorder, 7 (3.11%) with sepsis, 5 (2.22%) with uterine rupture and 11 (4.89%) with anemia. Conclusion: A high frequency of near miss morbidity was found in pregnant women. Factors causing near miss morbidity are good source of information about the severity of complications in pregnancy. There is a dire need for the improvement of antenatal care especially by improving the resources to manage severe morbidities due to hypertension and hemorrhage. So, that high-risk pregnancies can be timely identified and managed. The referral system should be reviewed and improved on urgent basis.