The influence of the using “near-miss” on some obstetric bleeging indicators

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Abstract

The article reviews the use of maternal near-miss in maternity hospitals of Tajikistan and its effect on selected indicatior of maternal bleedings. The implementation of standards and the use of near miss case review in 20 maternity hospitals was shown to decrease the rate of maternal bleedings, especially hypotonic bleedings, the rate of critical hypotonic bleedings, the rate of hysterectomy, and the ratio between deaths due to maternal bleeding in these maternity hospitals and overall maternal bleeding mortality. Our results confirm, that the use of “near-miss” strategy improves the quality of maternal medical care and allows to decrease overall maternal mortality.

About the authors

Guldzhahon K. Davlyatova

Scientific Research Institute of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Protection of population of the Republic of Tajikistan

Author for correspondence.
Email: marhabo1958@mail.ru

PhD, director

Tajikistan, Dushanbe

Marhabo Ya Kamilova

Scientific Research Institute of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Protection of population of the Republic of Tajikistan

Email: marhabo1958@mail.ru

Head of Obstetric Department

Tajikistan, Dushanbe

Dilnoza M. Rakhmatulloeva

Scientific Research Institute of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Protection of population of the Republic of Tajikistan

Email: marhabo1958@mail.ru

PhD, science researcher of Obstetric Department

Tajikistan, Dushanbe

References

  1. Зайнулина М.С., Корнюшина Е.А., Кривонос М.И. Стратегия преодоления материнской смертности, обусловленной кровотечением // Журнал акушерства и женских болезней. — 2015. — Т. LXIV. — № 2. — С. 33–41. [Zainulina MS, Kornyushina EA, Krivonos MI. Strategy of prevention of bleeding-related maternal mortality. Journal of Obstetrics and Women’s Diseases. 2015;LXIV(2):33-41. (In Russ.)]
  2. Отчет национального комитета по конфиденциальному расследованию случаев материнской смертности в Рес публике Таджикистан // ВОЗ и Ассоциация акушеров-гинекологов Республики Таджикистан. — Душанбе, 2014. — 29 с. [Otchet nacional’nogo komiteta po konfidencial’nomu rassledovaniju sluchaev materinskoj smertnosti v Respublike Tadzhikistan. VOZ i Associacija akusherov-ginekologov Respubliki Tadzhikistan. Dushanbe; 2014. 29 p. (In Russ.)]
  3. Милованов А.П., Лебеденко Е.Ю., Михельсон А.Ф. Пути снижения акушерских потерь // Акушерство и гинекология. — 2012. — № 4(1). — C. 74–78. [Milovanov AP, Lebe denko EYu, Mikhelson AF. Ways of reducing obstetric losses. Obstetrics and Gynecology. 2012;4(1):74-78. (In Russ.)]
  4. Национальный план мероприятий по обеспечению безопасного материнства в Республике Таджикистан на период до 2014 года. Постановление Правительства Республики Таджикистан № 370 от 1 августа 2008 г. [Natsional’nyy plan meropriyatiy po obespecheniyu bezopas nogomaterinstva v Respublike Tadzhikistan na period do 2014 goda. Postanovlenie Pravitel’stva Respubliki Tadzhikistan. No 370 ot 1 avgusta 2008 g. (In Russ.)]
  5. Beyondthenumbers. Reviewing maternal deaths and complications to make pregnancy safer. http: //www.who.int/maternal_child_adolescent/documents/9241591838/en/. Accessed on 14 July 2014.
  6. Приказ МЗ РТ «О проведении конфиденциального расследования случаев материнской смертности и аудита критических случаев акушерских кровотечений и гипертензивных осложнений во время беременности, родов и послеродового периода». 25 сентября 2013 г. № 557. [Prikaz MZ RT “O provedenii konfidentsial’nogo rassledovaniya sluchaev materinskoy smertnosti i audita kriticheskikh sluchaev akusherskikh krovotecheniy i gipertenzivnykh oslozhneniy vo vremya beremennosti, rodov i poslerodovogo perioda”. 25 sentyabrya 2013 g. No 557. (In Russ.)]
  7. Айламазян Э.К., Атласов В.О., Ярославский К.В., Яро славский В.К. Аудит качества медицинской помощи при критических ситуациях в акушерстве (nеar miss) // Журнал акушерства и женских болезней. — 2016. — Т. LXV. — № 4. — С. 15–23. [Ailamazian EK, Atlasov VO, Yaroslavsky KV, Yaroslavsky VK. Audit of quality of care in critical conditions in obstetrics (“near miss”). Journal of Obstetrics and Women’s Diseases. 2016;LXV(4):15-23. (In Russ.)]. doi: 10/17816/JOWD65415-23.
  8. Lynch CM, Sheridan C, Breathnach FM, et al. Near miss maternal morbidity. Ir Med J. 2008;101(5):134-6.
  9. Ходороджиа С. Пилотирование случаев, угрожающих жизни, в Казахстане: улучшение качества медицинской помощи при беременности // Европейский журнал по сексуальному и репродуктивному здоровью. — 2010. — Т. 70. — С. 28–29. [Khodorodzhia S. Pilotirovaniesluchaev ugrozhayushchikh zhizni v Kazakhstane: uluchshe nie kachestva meditsinskoy pomoshchi pri beremennosti. Evro peyskiy zhurnal po seksual’nomu i reproduktivnomu zdorov’yu. 2010;70:28-29. (In Russ.)]
  10. Chai VY, To WW. Uterine compression suture for management of severe postpartum hemorrhage: five-year audit. Hong Kong Med J. 2014;20(2):113-20. doi: 10.12809/hkmj134023.
  11. Naz T, Akhter N, Mehnaz J. Material near miss Morbidity and Mortality — a continuum. Nigar Gul J Med Sci. 2014;22(4):171-6.

Supplementary files

Supplementary Files
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2. Fig. 1. The dynamics of changes in the average frequency of bleeding more than 1 liter in the institutions that use the “near-miss”

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3. Fig. 2. The frequency of critical bleeding occurred in the investigated institutions in 2012 and 2016

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4. Fig. 3. The frequency of critical hypotonic bleeding in 2012 and 2016

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5. Fig. 4. The dynamics of changes of the frequency of hysterectomy and effective seam on B-Lynch of patients with critical hypotonic bleeding

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6. Fig. 5. Maternal mortality from the bleeding in the institutions that use “near-miss” (1) and in the institutions do not using “near-miss” (2)

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7. Fig. 6. The dynamics of maternal mortality in the country of bleeding

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Copyright (c) 2018 Davlyatova G.K., Kamilova M.Y., Rakhmatulloeva D.M.

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

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