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Related Experiment Video

Updated: Jul 3, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Published on: June 6, 2020

Near miss maternal morbidity.

C M Lynch1, C Sheridan, F M Breathnach

  • 1Coombe Women and Infants University Hospital, Dublin.

Irish Medical Journal
|July 16, 2008
PubMed
Summary
This summary is machine-generated.

Severe acute maternal morbidity audits are crucial for improving maternity care. This study found the incidence and causes of severe maternal morbidity comparable to international standards, highlighting the need for continuous data review.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health

Background:

  • Auditing severe acute maternal morbidity (SAMM) is vital for assessing and enhancing maternity care standards.
  • Understanding the incidence, organ dysfunction, and risk factors of SAMM is essential for targeted interventions.
  • International comparisons of SAMM data help identify best practices and areas for improvement in obstetric care.

Purpose of the Study:

  • To determine the incidence of severe acute maternal morbidity in the study population.
  • To identify the underlying organ dysfunction and obstetric risk factors associated with SAMM.
  • To compare findings with published international reports on severe maternal morbidity.

Main Methods:

  • Prospective data collection over a 5-year period (1999-2003) from patients experiencing SAMM.
  • Inclusion criteria: women delivering infants weighing >500g.
  • Analysis of incidence, causes, risk factors, and comparison with international data.

Main Results:

  • 53 cases of SAMM identified among 36,802 deliveries, yielding an incidence of 1.4/1000.
  • Maternal mortality incidence was 5.4/100,000, with a SAMM to mortality ratio of 26.5:1.
  • Massive obstetric hemorrhage (requiring ≥5 units packed red cells) occurred in 77% of SAMM cases.

Conclusions:

  • Auditing severe acute maternal morbidity is feasible using simple clinical criteria.
  • The incidence and etiology of SAMM in this unit are comparable to those in developed countries.
  • Continuous local and national review of SAMM data is crucial for maintaining and improving clinical standards in maternity care.