Original Research Article
Year: 2022 | Month: November | Volume: 9 | Issue: 11 | Pages: 302-308
DOI: https://doi.org/10.52403/ijrr.20221140
The Incidence and Causes of Maternal Near Miss in a Pandemic at Georgetown Public Hospital Corporation
Dr. Arif Alli1, Dr. Natasha France2, Dr. Radha Sookraj3
1,2,3Institution: Georgetown Public Hospital Corporation (GPHC), Guyana.
Corresponding Author: Dr. Radha Sookraj
ABSTRACT
Objective: This article determines the incidence, causes and socio-demographics factors of Maternal Near Miss at GPHC from June 1, 2021 to December 31, 2021.
Design and Method: A retrospective descriptive chart review was conducted during a seven-month period from June 1st, 2021 to December 31st, 2021 of all the pregnant patients who had suffered a Maternal Near Miss. A purposive sampling technique was employed in this study. Eligible patients were identified using a modified World Health Organization Maternal Near Miss criterion that Guyana has implemented. The data was collected and analyzed in an Excel format.
Results: There were a total of 4636 admissions during the study period with 2984 live births and 32 maternal near misses which accounted for 0.7% of all births. The Maternal Near Miss incidence ratio was 10.7 MNM/LB which indicates that for every 1000 live births there were 11 maternal near misses. There was a total of 9 maternal deaths that occurred during the study period. The Maternal Near Miss to Mortality Ratio was 32:9, resulting in a proportion of 3.5 MNM per MD. The primary causes of maternal near misses in the patients in this study were: obstetric hemorrhage, hypertensive disorder, ectopic or abortion and infection. Anemia was the main secondary cause of maternal near misses and ICU admissions.
Conclusion: The maternal near miss ratio in this research was slightly lower (10.7MNM/LB) than the study conducted at GPHC in 2019, which recorded a maternal near miss of 12.7 MNM/LB. There was an increase in obstetrical hemorrhage and a decrease in Hypertensive disorders which were main indications of MNM. This study discovered that for every maternal death, 4 mothers were saved whereas the 2019 study revealed 5 mothers were saved. It can be concluded that MNM rates remained stable during the pandemic compared to pre-pandemic period.
Keywords: Maternal Near Miss, Pandemic, Georgetown Public Hospital Corporation, GPHC
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