Ravula Pallavi Chandra, Gala Shah Anisha, Devi Kallur Sailaja, Aziz Nuzhat, Surapaneni Tarakeswari, Ghimire Ananta
Obstetrics and Gynecology, Fernandez Foundation, Hyderabad, IND.
Obstetrics and Gynecology, Fernandez Hospital, Hyderabad, IND.
Cureus. 2025 Apr 10;17(4):e82031. doi: 10.7759/cureus.82031. eCollection 2025 Apr.
Background Maternal near-miss morbidity (MNM) and maternal death (MD) are indicators of the quality of maternal health care. Despite various efforts, MNM and MD rates remain high in several nations. Therefore, it is important to develop new strategies to address this issue. Objectives The primary objective of this study was to determine the proportion of potentially life-threatening conditions (PLTC), life-threatening conditions (LTC), MNM cases, and MD cases among all women booked for care at the study site over the last 10 years. The secondary objectives of the study were to calculate the maternal morbidity and mortality indices and elucidate the underlying profile of MNM and MD cases. Materials and methods A clinical audit of data from Fernandez Hospital, Hyderabad, India, from January 2011 to December 2020 was carried out. Data of women diagnosed with PLTC during the study period were extracted. Incidences of MNM and MD were calculated along with other mortality and morbidity indicators. Etiologies of MNM and MD were evaluated. Results Of the 79,069 women included in the study, PLTC, LTC, MNM, and MD were noted in 7410 (9.37%), 245 (0.31%), 233 (0.29%), and 12 (0.015%) cases, respectively. Hemorrhage and preeclampsia were seen in 88 (37.77%) and 44 (18.88%) cases, respectively. Hypertensive disorders were the most common cause of MD, as seen in five (41.7%) cases. Conclusions Hemorrhage and hypertension were the leading causes of MNM in our study, and hypertension was the leading cause of MD. It is crucial for maternity centers to implement strategies to identify at-risk women. Such cases should be evaluated, diagnosed, and treated as soon as possible to avoid MNM and preventable MD.
孕产妇严重近危发病率（MNM）和孕产妇死亡（MD）是孕产妇保健质量的指标。尽管做出了各种努力，但在一些国家，MNM和MD的发生率仍然很高。因此，制定新的策略来解决这个问题很重要。
本研究的主要目的是确定在过去10年中，在研究地点登记接受护理的所有女性中，潜在危及生命状况（PLTC）、危及生命状况（LTC）、MNM病例和MD病例的比例。该研究的次要目的是计算孕产妇发病率和死亡率指数，并阐明MNM和MD病例的潜在特征。
对印度海得拉巴市费尔南德斯医院2011年1月至2020年12月的数据进行了临床审计。提取了研究期间诊断为PLTC的女性的数据。计算了MNM和MD的发生率以及其他死亡率和发病率指标。评估了MNM和MD的病因。
在纳入研究的79,069名女性中，PLTC、LTC、MNM和MD分别在7410例（9.37%）、245例（0.31%）、233例（0.29%）和12例（0.015%）中被记录。出血和先兆子痫分别出现在88例（37.77%）和44例（18.88%）中。高血压疾病是MD最常见的原因，在5例（41.7%）中可见。
在我们的研究中，出血和高血压是MNM的主要原因，高血压是MD的主要原因。产科中心实施识别高危女性的策略至关重要。此类病例应尽快进行评估、诊断和治疗，以避免MNM和可预防的MD。
