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The Ability of ICU admission to detect maternal near misses as defined by the who near-miss criteria

Show simple item record Bower, G. Dias, T. Shanmugaraja, V. Lee, M. Cooper, D. Crofton, H. Kumarasiri, S. Padeniya, T. 2016-06-10T07:30:34Z 2016-06-10T07:30:34Z 2015
dc.identifier.citation Sri Lanka Journal of Obstetrics and Gynaecology , 2015; 37(3): 31-37 en_US
dc.identifier.issn 2279-1655
dc.description.abstract OBJECTIVE: to assess the ability of intensive care unit (ICU) admission in pregnancy, or the postpartum period, to detect cases of obstetric near-miss. METHODS: All obstetric admissions to the ICU were included retrospectively and data collected as specified by 2011 World Health Organization (WHO) guidelines on evaluating obstetrics near-misses between 2010 and 2013 in a Sri Lankan Hospital. Proportion of ICU admissions which fulfilled the WHO criteria for Severe Acute Maternal Morbidity (SAMM), maternal mortality ratio (MMR), maternal near-miss mortality ratio (MNM: MM)), and maternal near-miss ratio (MNMR) were analysed. RESULTS: A total of 9,608 live births were reported. 118 ICU admissions and four maternal deaths were analysed. MMR was 42 per 100,000. MNMR was 9.7 per 1000, and MNM: MM was 23:1. From all ICU admissions 99 cases (79.8%) met additional WHO near-miss criteria and were classified as true SAMM. Pregnancy-induced hypertensive disorders accounted for majority of ICU admissions (37.7%). Out of eight published studies from our region none of them had a MNM: MM higher than ours. CONCLUSIONS: Obstetric near-misses may be over-diagnosed if ICU admission is considered an independent inclusion criterion for SAMM. Reporting the proportion of patients admitted to ICU which are true near-miss may illustrate differing admission thresholds for a given institution. en_US
dc.language.iso en_US en_US
dc.publisher Sri Lanka College of Obstetricians & Gynaecologists en_US
dc.subject ICU Admission en_US
dc.title The Ability of ICU admission to detect maternal near misses as defined by the who near-miss criteria en_US
dc.type Article en_US

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