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.


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

Tajikistan, Dushanbe

PhD, director

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

Tajikistan, Dushanbe

Head of Obstetric Department

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

Tajikistan, Dushanbe

PhD, science researcher of Obstetric Department

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Supplementary files

Supplementary Files Action
1. Fig. 1. The dynamics of changes in the average frequency of bleeding more than 1 liter in the institutions that use the “near-miss” View (10KB) Indexing metadata
2. Fig. 2. The frequency of critical bleeding occurred in the investigated institutions in 2012 and 2016 View (216KB) Indexing metadata
3. Fig. 3. The frequency of critical hypotonic bleeding in 2012 and 2016 View (69KB) Indexing metadata
4. Fig. 4. The dynamics of changes of the frequency of hysterectomy and effective seam on B-Lynch of patients with critical hypotonic bleeding View (23KB) Indexing metadata
5. 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) View (15KB) Indexing metadata
6. Fig. 6. The dynamics of maternal mortality in the country of bleeding View (14KB) Indexing metadata

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

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