Near-Miss/Severe acute maternal morbidity (SAMM): A new concept in maternal care

Authors

  • S Jahan Comilla Medical College
  • K Begum Dhaka Medical College
  • N Shaheen Dhaka Medical College Hospital
  • M Khandokar Dhaka Medical College Hospital

DOI:

https://doi.org/10.3329/jbcps.v24i1.143

Keywords:

SAMM

Abstract

A near-miss obstetric morbidity means a woman (in pregnancy/labour/puerperium) who almost died but survived. The near-miss: mortality ratio is a possible new indicator of maternal care and could be used to compare improvements in treatments more accurately than mortality date alone. Criteria to define and identify the cases vary greatly. The incidence ranges from 0.07% to 8.23% and the case fatality ratio from 0.02% to 37%. Massive obstetric haemorrhage and hypertensive disorders of pregnancy are two important primary obstetric causes of near-miss morbidity. Mortality index (MI) in one of the potential method of assessing the care received by SAMM cases. Population based surveys are considered preferable to collect informations of near-miss. (J Bangladesh Coll Phys Surg 2006; 24: 29-33)

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Author Biographies

S Jahan, Comilla Medical College

Dr. Showkat Jahan FCPS, Assistant Professor, Comilla Medical College.

K Begum, Dhaka Medical College

Prof. Kohinoor Begum FCPS, Professor (Obs & Gynae), Dhaka Medical College

N Shaheen, Dhaka Medical College Hospital

Dr. Nasima Shaheen, IMO, Dhaka Medical College Hospital.

M Khandokar, Dhaka Medical College Hospital

Dr. Mahfuza Khandokar, IMO, Dhaka Medical College Hospital.

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How to Cite

Jahan, S., Begum, K., Shaheen, N., & Khandokar, M. (2007). Near-Miss/Severe acute maternal morbidity (SAMM): A new concept in maternal care. Journal of Bangladesh College of Physicians and Surgeons, 24(1), 29–33. https://doi.org/10.3329/jbcps.v24i1.143

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Section

Review Articles