A Study on Epidemiology of Severe Acute Maternal Morbidity in a Tertiary Care Center

Authors

  • Lakshmidevi M Professor, Eastpoint College of Medical Sciences and Research Centre India
  • Gowthami B Assistant Professor, Eastpoint College of Medical Sciences and Research Centre India.
  • Swathi A Associate Professor, Department of Obstetrics and Gynecology, East Point College of Medical Sciences and Research Center, India

Keywords:

Maternal Morbidity, Severe Acute Maternal Morbidity

Abstract

Aims: Although maternal mortality is a good indicator of maternal health care services, it does not consider the near miss cases which would have otherwise ended in mortality if timely intervention and adequate services were not provided. Hence, the new concept of severe acute maternal morbidity (SAMM) emerged as a promising alternative to maternal mortality reviews.

Methods: It was a retrospective study of all pregnant women or those within 42 days of termination of pregnancy who fulfilled the modified WHO SAMM criteria 2009 and were admitted in the emergency and intensive care unit from January 2019 to June 2021.

Result: A total of 110 SAMM cases were included in the study. The maternal mortality ratio was 2.74 per 100000 live births. The incidence of SAMM was 7.55% and Mortality index was 3.63%. Hypertensive disorders of pregnancy accounted for 49 (44.45%) of SAMM, of which 14 (12.72%) had eclampsia, followed by hemorrhage including both antepartum and postpartum (N=29, 26.35%). Twenty three (20.90%) cases presented with ruptured ectopic pregnancy requiring laparotomy.

Conclusion: Maternal mortality and SAMM share similar spectrum of pathology and circumstances. Timely diagnosis and referral, and with aggressive multidisciplinary team involvement SAMM cases can be prevented to end as maternal mortality.

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Published

2024-01-24

Issue

Vol. 18 No. 2 (2023)

Section

Original Articles