The Ability of ICU admission to detect maternal near misses as defined by the who near-miss criteria
dc.contributor.author | Bower, G. | |
dc.contributor.author | Dias, T. | |
dc.contributor.author | Shanmugaraja, V. | |
dc.contributor.author | Lee, M. | |
dc.contributor.author | Cooper, D. | |
dc.contributor.author | Crofton, H. | |
dc.contributor.author | Kumarasiri, S. | |
dc.contributor.author | Padeniya, T. | |
dc.date.accessioned | 2016-06-10T07:30:34Z | |
dc.date.available | 2016-06-10T07:30:34Z | |
dc.date.issued | 2015 | |
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.identifier.citation | Sri Lanka Journal of Obstetrics and Gynaecology , 2015; 37(3): 31-37 | en_US |
dc.identifier.issn | 2279-1655 | |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/13516 | |
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 |