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Severe Acute Maternal Morbidity

by Ramarajan Arulmozhi

Major direct causes of maternal mortality—hemorrhage, hypertension, infection, and obstructed labor—are largely preventable. Conceptually, morbidity during pregnancy represents part of a continuum between the extremes of good health and death. Maternal health and safe motherhood are clearly more than the avoidance of maternal death. Near-miss appraisal has emerged as the new yardstick to assess the quality of health care. Maternal death to near-miss ratio indicates that a significant proportion of critically ill patients died because of suboptimal level of care for life-threatening situations. This is referred to as the ‘case-fatality ratio’ and is a sensitive measure of the standard of obstetric care. There is a huge difference between case-fatality ratios in developed and developing countries. Reasons include delay in seeking help, lack of access to a health facility, non-availability of drugs or transport, and inadequate or inappropriate intervention. This book provides an overview of ‘Severe acute maternal morbidity’: Incidence, issues and challenges in diagnosis, standard of care, near-miss audit, communication, and medicolegal implications. The chapters elaborate on specific issues relating to obstetric near misses. The case situations presented in this book bring to focus, the highly emergent and stressful nature of obstetric near misses.

Chapter Name Size PNo
  1. Ramarajan Arulmozhi
Editor's Affiliations
  1. Head of the Department of Obstetrics and Gynecology, Church of South India Hospital, Bengaluru, India
Obstetrics and Gynecology
Publishing Year
Book Type
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