“A STUDY OF INCIDENCE AND ASSOCIATED RISK FACTOR OF SEVERE ACUTE MATERNAL MORBIDITY (SAMM) IN A PRIVATE HOSPITAL”

Abstract

INTRODUCTION- Maternal mortality is still a signicant public health problem now severe acute maternal morbidity (SAMM) has emerged as an important indicator in maternal health care to review the . cause of maternal deaths Severe morbidity data is very important for policy planner to evaluate the quality of health care system, to know the requirement of emergency obstetrics care (EMOC) and to improve the health care system. MATERIAL AND METHOD- This is a retrospective study done in a private maternity hospital in Gwalior (M.P.). The study was done during a period from 01/01/2017 to 01/01/2021. In our study 4808 live birth were there during this period 59 cases were diagnosed as severe maternal morbid cases. RESULTS- In present study the incidence of SAMM was 12.27 per one thousand live birth. In this study – most (54.23%) of women were in the age group of 21-25, were unbooked (57.62%) , primipara (38.98%), full term (47.45) and of low-income group (64.40%) In this study we found the most common morbidity was (30.50%) hypertensive disorder of pregnancy, the second one was (23.72%) of severe hemorrhage. In our study, severe anemia was the most frequent medical disorder present in morbid Patients. During the study period four patients died. The most common cause of maternal death was pregnancy-induced hypertension and its associated disorders. CONCLUSION- This study summarized that lack of awareness, lack of education, rst delay in reaching to the health care system, lack of antenatal visits, preexisting chronic medical disease, inadequate use of magnesium sulphate before transferring patient of severe PIH/eclampsia, and improper use of antibiotics and delay in diagnosis and referral to higher center are the main factor contributing to severe maternal morbid cases. Identication of SAMM cases is very useful in monitoring the quality and effectiveness of obstetrics care, it helps in improving the health care system.