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Volume 6, Issue 5 (Suppl) J Nurs Care
ISSN: 2167-1168 JNC, an open access journal Nurse Practitioner Conference 2017
September 28-29, 2017
conferenceseries.com
September 28-29, 2017 Dubai, UAE
23Rd World Nurse Practitioner Conference
Maternal near miss approach to evaluate quality of care in Alborz province, Iran
Razieh Lot
Alborz University of Medical Sciences, Iran
Statement of the Problem: The maternal near miss approach has been developed by World Health Organization for assessing
and improving the quality of care. This study aimed to examine the incidence, characteristics and features of the care provided
for maternal near miss cases in public and private hospitals in Alborz province, Iran.
Methodology & Theoretical Orientation: A cross sectional, facility based study was conducted in all 13 public and private
hospitals of Alborz province between April 2012 and December 2012. The World Health Organization near miss criteria were
applied to gather and analyze the data and indicators related to maternal near miss, access to and quality of maternal care.
Findings: 38,715 deliveries were assessed. There were 38,663 live births, 419 (1.08%) had potentially life threatening conditions
and 199 had severe maternal outcomes (SMO) (192 near miss cases and 7 maternal deaths). The maternal near miss ratio was
4.97 cases per 1000 live births. The incidence of severe maternal outcome was 5.15 cases per 1000 live births. Severe mortality
outcomes index within 12 hours of hospital stay from admission (SMO12) was 3.52%. The proportion of SMO12 cases from
the total SMO cases was 99.5%. The Intensive Care Unit (ICU) admission rate among women with SMO was 72.7%, while
the overall admission rate was 0.7%. Overall, hypertensive disorder was the most frequent condition among women with
potentially life-threatening conditions and maternal near-miss cases. Cardiovascular dysfunction and respiratory dysfunction
were the most prevalent dysfunctions among maternal near miss (MNM) cases and maternal death cases respectively.
Conclusion & Significance: The WHO maternal near miss criteria help to identify issues that may lead to life threatening
conditions and can be used to monitor and improve the quality of care in maternity settings. Hypertensive disorders related to
near miss conditions need more attention to prevent maternal severe outcomes in Alborz province.
Biography
Razieh Lotfi has her expertise in evaluation and passion in improving the maternal health. She has worked in the field of quality assessment of maternal health in
some projects common with Ministry of Health and WHO regional office in Iran.
Razieh Lot , J Nurs Care 2017, 6:5 (Suppl)
DOI: 10.4172/2167-1168-C1-052