A Study to Assess the Occurrence and Factors Associated with Severe Acute Maternal Morbidity (SAMM) among Women Admitted in Maternity Department of Selected Hospitals, Kolkata, West Bengal

Shukla Banerjee Dey, Smritikana Mani

Abstract


Maternal morbidity remains a major public health issue worldwide, with persistent high rates prevailing principally in underdeveloped countries. The objective of this study was to identify Severe Acute Maternal Morbidity (SAMM) cases and its factor among women admitted in tertiary care hospitals, Kolkata, West Bengal. The conceptual framework was based on the Health Care Quality Index model. Descriptive research design was adopted. 54 out of 125 SAMM women were sampled during data collection from indoor of Eden and R. G. Kar Medical College and hospital. Non-probability purposive sampling technique was used. A standardised WHO criterion for SAMM cases identification and a reliable (0.73) and valid structured interview schedule was used. Occurrence of SAMM cases among admitted women were 0.35%. Causes were haemorrhagic 63 (51%), sepsis 10 (8.6%), hypertension 28 (22.9%), infection 10 (8.6%) and other causes 14 (11.4%). Factors for reversal were early problem identification (26%), timely availability of transport (41%), availability of support person (7%), prompt treatment (89%) and financial support (87%). A significant association was found between causes of SAMM cases and availability of support person and blood in need [χ2df (1)=4.31* and 4.11* respectively]. Odd ratio found positive (both OR: 1.3) between occurrence of SAMM cases, age and habitat. No significant difference related to cause was found between rural and urban women (‘t’ df (6)=0.56). It can be concluded that early identification and timely intervention was important for reversal from SAMM. It has a great implication in clinical nursing practice and in the community right from the conception to postnatal period.


Keywords


Severe Acute Maternal morbidity, Occurrence

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