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Vol 92, No 4 (2021)
Research paper
Published online: 2021-02-23
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Maternal near-miss patients and maternal mortality cases in a Turkish tertiary referral hospital

Süleyman Cemil Oğlak1, Şeyhmus Tunç1, Mehmet Obut2, Erdal Şeker3, Mustafa Behram4, Ali Emre Tahaoğlu5
DOI: 10.5603/GP.a2020.0187
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Pubmed: 33751511
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Ginekol Pol 2021;92(4):300-305.
Affiliations
  1. Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey, Türkiye
  2. Department of Perinatology, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey
  3. Department of Perinatology, Ankara University School of Medicine, Ankara, Turkey, Türkiye
  4. Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey, Istanbul, Türkiye
  5. Department of Obstetrics and Gynecology, Dicle Memorial Hospital, Diyarbakır, Turkey, Türkiye

open access

Vol 92, No 4 (2021)
ORIGINAL PAPERS Obstetrics
Published online: 2021-02-23

Abstract

Objectives: This study aimed to estimate the incidence of maternal near-miss (MNM) morbidity in a tertiary hospital setting in Turkey. Material and methods: In this retrospective study, we concluded 125 MNM patients who delivered between January 2017 and December 2017 and fulfilled the WHO management-based criteria and severe pre-eclamptic and HELLP patients which is the top three highest mortality rates due to pregnancy. Two maternal death cases were also included. The indicators to monitor the quality of obstetric care using MNM patients and maternal deaths were calculated. Demographic characteristics of the patients, the primary diagnoses causing MNM and maternal deaths, clinical and surgical interventions in MNM patients, shock index (SI) value of the patients with obstetric hemorrhage and maternal death cases were evaluated. Results: The MNM ratio was 5.06 patients per 1000 live births. Maternal mortality (MM) ratio was 8.1 maternal deaths per 100 000 live births. SMOR was 5.14 per 1000 live births. The MI was 1.57%, and the MNM/maternal death ratio was 62.4:1. The SI of MNM patients with obstetric hemorrhage was 1.36 ± 0.43, and the SI of the patient who died due to PPH was 1.74. Conclusion: The MNM rates and MM rates in our hospital were higher than high-income countries but were lower than in low- and middle-income countries. Hypertensive disorders and obstetric hemorrhage were the leading conditions related to MNM and MM. However, the MIs for these causes were low, reflecting the good quality of maternal care and well-resourced units. Adopting the MNM concept into the health system and use as an indicator for evaluating maternal health facilities is crucial to prevent MM.

Abstract

Objectives: This study aimed to estimate the incidence of maternal near-miss (MNM) morbidity in a tertiary hospital setting in Turkey. Material and methods: In this retrospective study, we concluded 125 MNM patients who delivered between January 2017 and December 2017 and fulfilled the WHO management-based criteria and severe pre-eclamptic and HELLP patients which is the top three highest mortality rates due to pregnancy. Two maternal death cases were also included. The indicators to monitor the quality of obstetric care using MNM patients and maternal deaths were calculated. Demographic characteristics of the patients, the primary diagnoses causing MNM and maternal deaths, clinical and surgical interventions in MNM patients, shock index (SI) value of the patients with obstetric hemorrhage and maternal death cases were evaluated. Results: The MNM ratio was 5.06 patients per 1000 live births. Maternal mortality (MM) ratio was 8.1 maternal deaths per 100 000 live births. SMOR was 5.14 per 1000 live births. The MI was 1.57%, and the MNM/maternal death ratio was 62.4:1. The SI of MNM patients with obstetric hemorrhage was 1.36 ± 0.43, and the SI of the patient who died due to PPH was 1.74. Conclusion: The MNM rates and MM rates in our hospital were higher than high-income countries but were lower than in low- and middle-income countries. Hypertensive disorders and obstetric hemorrhage were the leading conditions related to MNM and MM. However, the MIs for these causes were low, reflecting the good quality of maternal care and well-resourced units. Adopting the MNM concept into the health system and use as an indicator for evaluating maternal health facilities is crucial to prevent MM.

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Keywords

maternal near-miss; maternal mortality; mortality index

About this article
Title

Maternal near-miss patients and maternal mortality cases in a Turkish tertiary referral hospital

Journal

Ginekologia Polska

Issue

Vol 92, No 4 (2021)

Article type

Research paper

Pages

300-305

Published online

2021-02-23

Page views

1601

Article views/downloads

1249

DOI

10.5603/GP.a2020.0187

Pubmed

33751511

Bibliographic record

Ginekol Pol 2021;92(4):300-305.

Keywords

maternal near-miss
maternal mortality
mortality index

Authors

Süleyman Cemil Oğlak
Şeyhmus Tunç
Mehmet Obut
Erdal Şeker
Mustafa Behram
Ali Emre Tahaoğlu

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