Audit of quality of care in critical conditions in obstetrics (“near miss”)

Cover Page


Cite item

Full Text

Abstract

The article presents material about critical states in obstetric and gynecologic practice (“near miss”), obtained on the basis of their own research, as well as the data of domestic and foreign authors. It is shown that the main factor determining the outcome of the pregnancy and birth, is the quality of medical care provided to the woman. The characteristics of “near miss”, indicated the risk factors for its occurrence. A measure of the health care until serious complications of pregnancy and childbirth, as well as possible ways to reduce the frequency of their development.

About the authors

Eduard K. Ailamazian

D. O. Ott Research Institute of Obstetrics and Gynecology, RAMS

Author for correspondence.
Email: iagmail@ott.ru
Professor, Academician of RAS, Director Russian Federation

Vladimir O. Atlasov

Maternity hospital No 9

Email: roddom9@zdrav.spb.ru
chief doctor Russian Federation

Konstantin V. Yaroslavsky

Maternity hospital No 9

Email: roddom9@zdrav.spb.ru
doctor-methodologist Russian Federation

Viktor K. Yaroslavsky

Maternity hospital No 9

Email: roddom9@zdrav.spb.ru
Deputy chief physician on the care Russian Federation

References

  1. Бушмелева Н.М. Дефекты оказания медицинской помощи женщинам в случаях смерти в перинатальном периоде на уровне региона // Менеджер здравоохранения. — 2014. — № 11. — C. 27–36. [Bushmeleva NM. Issues with regional medical aid, provided to women in mortality cases in the perinatal period. Menedzher zdravoohranenija. 2014;11:27-36. (In Russ).]
  2. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации в 2014 г. — М., 2015. [Osnovnye pokazateli zdorov’ja materi i rebenka, dejatel’nost’ sluzhby ohrany detstva i rodovspomozhenija v Rossijskoj Federacii v 2014 g. Moscow; 2015. (In Russ).]
  3. Милованов А.П., Лебеденко Е.Ю., Михельсон А.Ф. Пути снижения акушерских потерь // Акушерство и гинекология. — 2012. — № 4, Ч. 1. — С. 74–78. [Milovanov AP, Lebedenko EJ, Mihel’son AF. Ways of reducing obstetric losses. Akusherstvo i ginekologija. 2012;4(1):74-8. (In Russ).]
  4. Международный стандарт ISO 8402–94. Управление качеством и элементы системы качества. — Женева, 1994. [International standard ISO 8402–94. Quality management and quality system elements. Geneva; 1994. (In Russ).]
  5. Федеральный закон Российской Федерации от 21.11.2011 № 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации». [Federal Low of Russian Federation No 323-FZ of 21 November 2011 “Ob osnovah ohrany zdorov’ja grazhdan v Rossijskoj Federacii”. (In Russ).]
  6. Лебеденко Е.Ю. Near miss. На грани материнских потерь. — М.: Статус презенс, 2015. — 184 с. [Lebedenko EJ. Near miss. Na grani materinskih poter’. Moscow: Status prezens; 2015. (In Russ).]
  7. De Sonza RM. Resilience integrated development and family planning building long term solutions. 2014;22(43):75-83. doi: 10.1016/S0968-8080(14)43773-X.
  8. Hinton L, Locock L, Knight M. Experiences of the quality of care of women with near-miss maternal morbidities in the UK. BJOG. 2014;121(Suppl. 4):20-3. doi: 10.1111/1471-0528.12800.
  9. Chandrasekharan PA, Bharathi T, Lakshminarayanamma V, Salma Banu M, Ravisankar V, Rao MH, Jothi Bai DS. A maternal “near-miss” case. J Clin Sci Res. 2013;2:165-8.
  10. Shamim K, Shabana M. Two Near Miss Cases of Hemoperitoneum Due to Ruptured Noncommunicating Horn of Unicornuate Uterus in Primigravida. International J Obstet Gynecol Resarch.2014;1(1):106-11.
  11. Серов В.Н. Профилактика материнской смертности // Акушерство и гинекология. — 2011. — № 7. — Ч. 1. — C. 4–10. [Serov VN. Prevention of maternal mortality. Akusherstvo i ginekologiya. 2011;7(1):4-10. (In Russ).]
  12. Костин И.Н. Резервы снижения репродуктивных потерь в Российской Федерации: автореф. дис. … д-ра мед. наук. — М., 2012. — 48 с. [Kostin IN. Reserves to reduce reproductive losses in the Russian Federation. [dissertation] Moscow; 2012. (In Russ).]
  13. Global Strategy for Women´s, Childern´s and Adolescents Health 2016 to 2030. New York; 2015:108.
  14. Talat Naz, Nahaed Akhter, Jamila Mehnaz Naib, Nigar Gul. Material near miss Morbidity an Mortality a continuum. J Med Sci. 2014;22(4):171-6.
  15. Zanette E, Parpinelli M, Surita F. Maternal near miss and dearch among women with sevire hypertensive disorders a Brasilian multicenter surve Mance study. Reproductive Health. 2014;11(1):4-17. doi: 10.1186/1742-4755-11-4.
  16. Oliveira LC, Ribeiro AA, Gesta D. Obitas fetais e neonateis entre casos de near miss vnaterno. Revista de Associocio Medica Brasileira. 2013;59(5):487. doi: 10.1016/j.ramb.2013.08.004.
  17. Pacheco AJ, Katz J, Souza AS, de Amorim MM. Factors associated with severe material morbidity and near miss in the Sao Francisco Valley, Brasyl. BMG Pregnancy and Childbirth. 2014;14(1):91-2. doi: 10.1186/1471-2393-14-91.
  18. Penney G, Brace V. Near miss and it in obstetrics. Curr Opin Obstet Gynecol. 2007;19:145-50. doi: 10.1097/GCO.0b013e328014a860.
  19. Кукарская И.Н. Эффективность мониторинга near miss: опыт Тюменской области // Status Praesens. — 2014. — Т. 21. — № 4 — С. 9–17. [Kukarskaja IN. Jeffektivnost’ monitoringa near miss: opyt Tjumenskoj oblasti. Status Praesens. 2014;4 (21):9-17. (In Russ).]
  20. Кукарская И.Н. Профилактика и резервы снижения материнской смертности в Тюменской области: автореф. дисс… д-ра мед. наук. — Челябинск, 2012. — 48 с. [Kukarskaja IN. Profilaktika i rezervy snizhenija materinskoj smertnosti v Tjumenskoj oblasti: [dissertation] Cheljabinsk; 2012. (In Russ).]
  21. Лебеденко Е.Ю., Михельсон А.Ф., Розенберг И.М. Опасное прошлое, тяжелое настоящее, туманное будущее больных, переживших акушерские катастрофы (near miss) // Международный журнал прикладных и фундаментальных исследований. — 2015. — № 3. — С. 3–8. [Lebedenko EJ, Mihel’son AF, Rozenberg IM. Hazardous past, present heavy, uncertain future patients, obstetric disaster survivors («near miss»). Mezhdunarodnyj zhurnal prikladnyh i fundamental’nyh issledovanij. 2015;3:3-8.
  22. (In Russ).]
  23. Witteveen T, Koning J, Bezstarosti H. Bloemenkamp Validating the WHO Material Near Miss tool in a nigh- income cauntri. Acta Obstetricia et Gynecologica Scandinavica. 2016;95(1):106-8. doi: 10.1111/aogs.12793.
  24. Eimer G, O’Milley, Popivanov P. Material near miss: What lies beneath? Europ J Obstet Gynecol Reprod Bidol. 2016;199:116-9. doi: 10.1016/j.ejogrb.2016.01.031.
  25. Souza IP, Cecatti IG, Faundes A. Material near miss and material death in the World. Health Organisation’ s 2005 global survery on maternal and perinatal health. Bull World Healtu Organ.2010;88(23):113-9. doi: 10.2471/BLT.08.057828.
  26. Souza IP, Cecatti IG, Haddad SM. The WHO material near miss approach ant the material severity index model (msi): tools for assessing the management of severe material morbidity. Plos One. 2012;7(8):137. doi: 10.1371/journal.pone.0044129.
  27. Аудит критических акушерских состояний в Российской Федерации в 2014 году. Методическое письмо от 9 октября 2015 г. № 15-4/10/2-5996. [Audit kriticheskih akusherskih sostojanij v Rossijskoj Federacii v 2014 godu. Metodicheskoe pis’mo ot 9 oktjabrja 2015 g. No 15-4/10/2-5996. (In Russ).]
  28. Shreastha I, Shrestha Pr, Tuladher R. Material near miss in a Tertiary Care Teaching Hospital. American J Public Health Research. 2015;3(5):17-22.
  29. Chhabara P. Material near miss: An indicator for Material Health and Material Care. Indian J Community Med. 2014;39(3):132-7. doi: 10.4103/0970-0218.137145.
  30. Sujata P, Janmеiaya S, Rajkumari P, Jangadhar S. Evalnetion of obstetric near miss and material deaths in a tertiary care teaching hospital. Intern J Recent Scien-tific Research. 2016;7:9001-5.
  31. Kedar K, Choudhary A. Material near miss Death among Woman with Eclampsia in Tertiary Care. Int J Sci Stud. 2015;3(6):93-8.
  32. Galvão LP, Alvim-Pereira F, de Mendonça CM, et al. The prevalence of severe maternal morbidity and near miss and associated factors in Sergipe, Northeast Brazil. BMC Pregnancy Childbirth. 2014;14:25. doi: 10.1186/1471-2393-14-25.
  33. Михельсон А.Ф., Лебеденко Е.Ю., Рымановский А.Н., и др. Едва не погибшие женщины. Что помогло им выжить? Дефиниции и возможности прогноза // Кубанский научный медицинский вестник. — 2012. — № 1. — C. 130. [Mihel’son AF, Lebedenko EJ, Rymanovskij AN, et al. Hardly not lost women (“Near miss maternal morbidity”). What has helped them to survive? Definitions and opportunities of the forecast. Kubanskij nauchnyj medicinskij vestnik. 2012; 1:130. (In Russ).]
  34. Сурина М.Н., Зеленина Е.М., Артимук Н.В. Near miss и материнская смертность в Кемеровской области // Мать и дитя в Кузбассе. — 2013. — № 1. — C. 3–7. [Surina MN, Zelenina EM, Artimuk NV. Near miss and maternal mortality in Kemerovo region. Mat’ i ditja v Kuzbasse. 2013;1:3-7. (In Russ).]
  35. Roopa PS, Shailya V, Lavanya R, et al. “Near Miss” Obstetric Events and Material Deaths ina Tertiary Care Hospital: An Audit. J of Pregnancy India. 2013;4:5.
  36. Gerald D, Mantel U, Buchmann E, et al. Severe acute material morbidity: a pilot study of a definition for a near miss. Intern J Obstet Gynecol. 1998;105(9):3-7.
  37. Storeng KT, Draвo S, Ganaba R, Sundby I. Mortality ofter near miss obstetric complications in Burkina Faso: medical social and heath care factors. Bulletin of the World Health Organization. 2012;90(6):418-25. doi: 10.2471/BLT.11.094011.
  38. 37.Swathi K, Bharathi Rao, Azun Rao. Material near miss Events and Material Deaths In A Tertiary Hospital In South India. Intern J Resent Scientific Reseаrch. 2014;5(10):222-6.
  39. Doneti S, Senatore S, Ronсoni A. Obstetric near miss cases among woven admitted to intensive care units in Italy. Acta Obstet Gynecol Scand. 2012;51(4):452-62.
  40. Mbalinda SN, Nakimuli A, Nakubulwa S, et al. Male partners’ perceptions of maternal near miss obstetric morbidity experienced by their spouses. Reprod Health. 2015;12:23. doi: 10.1186/s12978-015-0011-1.
  41. Приказ Росстата от 27.11.2015 № 591 «Об утверждении статистического инструментария для организации Министерством здравоохранения Российской Федерации федеральногостатистического наблюдения в сфере здравоохранения». [Prikaz Rosstata ot 27.11.2015 g. No 591 “Ob utverzhdenii statisticheskogo instrumentarija dlja organizacii Ministerstvom zdravoohranenija Rossijskoj Federacii federal’nogo statisticheskogo nabljudenija v sfere zdravoohranenija”. (In Russ).]

Copyright (c) 2016 Ailamazian E.K., Atlasov V.O., Yaroslavsky K.V., Yaroslavsky V.K.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies