‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center

OBJECTIVE: To evaluate the frequency of near miss and the nature of near miss events, and comparatively analyze near miss morbidities among pregnant women managed in our institution over a 4-year period. STUDY DESIGN: The study was conducted in Bakırköy Dr. Sadi Konuk Education and Research Hospita...

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Main Authors: Hüseyin Cengiz, Cihan Kaya, Ramazan Ateş, Yusuf Ziya Yener, Murat Ekin, Levent Yaşar
Format: Article
Language:English
Published: Medical Network 2013-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/174
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author Hüseyin Cengiz
Cihan Kaya
Ramazan Ateş
Yusuf Ziya Yener
Murat Ekin
Levent Yaşar
author_facet Hüseyin Cengiz
Cihan Kaya
Ramazan Ateş
Yusuf Ziya Yener
Murat Ekin
Levent Yaşar
author_sort Hüseyin Cengiz
collection DOAJ
description OBJECTIVE: To evaluate the frequency of near miss and the nature of near miss events, and comparatively analyze near miss morbidities among pregnant women managed in our institution over a 4-year period. STUDY DESIGN: The study was conducted in Bakırköy Dr. Sadi Konuk Education and Research Hospital. Cases were identified through a retrospective analysis of hospital records of pregnancy-related complications reported between January 1, 2008 and December 31, 2011. For each case of near miss morbidity and maternal death, data on demographic characteristics were collected, including the patient’s age, parity, previous deliveries, and gestational age at delivery. Data on the nature of obstetric complications, the location where they developed (home, private doctor’s office, maternity center, or hospital), type of delivery, fetal outcomes, and length of stay in the intensive care unit (ICU) were collected. RESULTS: During the study period, 6833 adults required ICU admission; 41 (0.60%) of them were obstetric patients. The total number of births reported during the study period was 9841. The mean age of the patients was 28.5 years (range, 17-52). Six women (14.6%) were admitted before and 35 (85.4%) after childbirth. The most common diagnosis was preeclampsia (41.5%), followed by obstetric hemorrhage (29.2%). CONCLUSION: Maternal health care policies need to be concerned with preventing near miss cases.
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institution Kabale University
issn 1300-4751
2602-4918
language English
publishDate 2013-04-01
publisher Medical Network
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-cd7361fe2c5547e1b16f10374979484b2025-02-11T21:20:10ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182013-04-01191113‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary CenterHüseyin Cengiz0Cihan Kaya1Ramazan Ateş2Yusuf Ziya Yener3Murat Ekin4Levent Yaşar5Bakırköy Dr Sadi Konuk Education and Research Hospital, Department of Obstetrics and Gynecology, İstanbulBakırköy Dr Sadi Konuk Education and Research Hospital, Department of Obstetrics and Gynecology, İstanbulBakırköy Dr Sadi Konuk Education and Research Hospital, Department of Family Medicine, İstanbulBakırköy Dr Sadi Konuk Education and Research Hospital, Department of Anesthesiology and Reanimation, İstanbulBakırköy Dr Sadi Konuk Education and Research Hospital, Department of Obstetrics and Gynecology, İstanbulBakırköy Dr Sadi Konuk Education and Research Hospital, Department of Obstetrics and Gynecology, İstanbul OBJECTIVE: To evaluate the frequency of near miss and the nature of near miss events, and comparatively analyze near miss morbidities among pregnant women managed in our institution over a 4-year period. STUDY DESIGN: The study was conducted in Bakırköy Dr. Sadi Konuk Education and Research Hospital. Cases were identified through a retrospective analysis of hospital records of pregnancy-related complications reported between January 1, 2008 and December 31, 2011. For each case of near miss morbidity and maternal death, data on demographic characteristics were collected, including the patient’s age, parity, previous deliveries, and gestational age at delivery. Data on the nature of obstetric complications, the location where they developed (home, private doctor’s office, maternity center, or hospital), type of delivery, fetal outcomes, and length of stay in the intensive care unit (ICU) were collected. RESULTS: During the study period, 6833 adults required ICU admission; 41 (0.60%) of them were obstetric patients. The total number of births reported during the study period was 9841. The mean age of the patients was 28.5 years (range, 17-52). Six women (14.6%) were admitted before and 35 (85.4%) after childbirth. The most common diagnosis was preeclampsia (41.5%), followed by obstetric hemorrhage (29.2%). CONCLUSION: Maternal health care policies need to be concerned with preventing near miss cases. https://gorm.com.tr/index.php/GORM/article/view/174Intensive careMaternal healthMaternal mortalityTurkey
spellingShingle Hüseyin Cengiz
Cihan Kaya
Ramazan Ateş
Yusuf Ziya Yener
Murat Ekin
Levent Yaşar
‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
Gynecology Obstetrics & Reproductive Medicine
Intensive care
Maternal health
Maternal mortality
Turkey
title ‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
title_full ‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
title_fullStr ‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
title_full_unstemmed ‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
title_short ‘‘Near Miss’’ Obstetric Cases: 4 Years Experience of a Tertiary Center
title_sort near miss obstetric cases 4 years experience of a tertiary center
topic Intensive care
Maternal health
Maternal mortality
Turkey
url https://gorm.com.tr/index.php/GORM/article/view/174
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