{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T08:36:29Z","timestamp":1768466189709,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["RA\/216\/01\u20102015"],"award-info":[{"award-number":["RA\/216\/01\u20102015"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["RA\/216\/01-2015"],"award-info":[{"award-number":["RA\/216\/01-2015"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["RA\/216\/01-2015"],"award-info":[{"award-number":["RA\/216\/01-2015"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ijgo.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To review the incidence and patterns of near\u2010miss obstetric events (defined as \u201cA woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy\u201d), as well as studying the classification criteria for near\u2010miss events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted in two tertiary hospitals in Mumbai. Women with near\u2010miss obstetric events were interviewed during the period September 2012\u2013August 2013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 884 near\u2010miss events among 877 women, with seven patients readmitted. Clinical\u2010criteria for near\u2010miss events, accounting for 701 (79.3%) cases, were the commonest among the three classifications of near\u2010miss events. Among the cases observed, hypertensive disorders of pregnancy (472 [53.4%]), severe anemia (185 [20.9%]), and postpartum hemorrhage 68 [7.7%]) were the most common causes of near\u2010miss events. The most common problem encountered by patients prior to hospital admission for the near\u2010miss cases was the unavailability of treatment at lower\u2010level health facilities, affecting 598 (68.2%) of the 877 study participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy, postpartum hemorrhage, and severe anemia remain important determinants in maternal morbidity. Facilities and training at first\u2010referral units should be improved so that they can respond better to basic obstetric emergencies such as sepsis, hemorrhage, and shock.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.07.009","type":"journal-article","created":{"date-parts":[[2015,10,24]],"date-time":"2015-10-24T19:57:34Z","timestamp":1445716654000},"page":"170-173","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Prospective observational study of near\u2010miss obstetric events at two tertiary hospitals in Mumbai, Maharashtra, India"],"prefix":"10.1002","volume":"132","author":[{"given":"Ragini","family":"Kulkarni","sequence":"first","affiliation":[{"name":"Department of Operational Research National Institute for Research in Reproductive Health (ICMR) Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Operational Research National Institute for Research in Reproductive Health (ICMR) Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rekha","family":"Daver","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Grant Government Medical College and Sir J.J. Group of Hospitals Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yogeshwar","family":"Nandanwar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Lokmanya Tilak Municipal General Hospital and Medical College Sion Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anushree","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Infertility and Endocrinology National Institute for Research in Reproductive Health (ICMR) Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Archana","family":"Bhosale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Lokmanya Tilak Municipal General Hospital and Medical College Sion Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,21]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Office of the Registrar General India.Special bulletin on maternal mortality in India 2010\u201312.http:\/\/www.censusindia.gov.in\/vital_statistics\/SRS_Bulletins\/MMR_Bulletin\u20102010\u201012.pdf Published 2013. Accessed September 30 2015"},{"key":"e_1_2_6_3_2","unstructured":"World Health Organization.Evaluating the quality of care for severe pregnancy complications. The WHO near\u2010miss approach for maternal health.http:\/\/www.who.int\/reproductivehealth\/publications\/monitoring\/9789241502221\/en\/ Published 2011. Accessed September 30 2015"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(07)30333-9"},{"issue":"5","key":"e_1_2_6_5_2","first-page":"478","article-title":"Maternal intensive care and \u201cnear\u2010miss\u201d mortality in obstetrics","volume":"54","author":"Taly A.","year":"2004","journal-title":"J Obstet Gynecol India"},{"key":"e_1_2_6_6_2","first-page":"393758","article-title":"\u201cNear miss\u201d obstetric events and maternal deaths in a tertiary care hospital: an audit","volume":"2013","author":"Roopa P.S.","year":"2013","journal-title":"J Pregnancy"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1258\/td.2007.070327"},{"issue":"30","key":"e_1_2_6_8_2","first-page":"222","article-title":"Near miss maternal morbidity and maternal mortality at Kathmandu Medical College Teaching Hospital","volume":"8","author":"Shrestha N.S.","year":"2010","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"issue":"12","key":"e_1_2_6_9_2","first-page":"781","article-title":"Near\u2010miss obstetrical events and maternal deaths","volume":"19","author":"Mustafa R.","year":"2009","journal-title":"J Coll Physicians Surg Pak"},{"issue":"2","key":"e_1_2_6_10_2","first-page":"69","article-title":"Maternal Near Miss (Severe Morbidity) at Sisaket Hospital","volume":"20","author":"Wianwiset W.","year":"2012","journal-title":"Thai J Obstet Gynecol"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-2-9"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.03044.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.004"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729215006360?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729215006360?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2015.07.009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2015.07.009","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2015.07.009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.ijgo.2015.07.009","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2015.07.009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T20:45:58Z","timestamp":1768423558000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2015.07.009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,21]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1016\/j.ijgo.2015.07.009"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2015.07.009","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,21]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prospective observational study of near-miss obstetric events at two tertiary hospitals in Mumbai, Maharashtra, India","name":"articletitle","label":"Article Title"},{"value":"International Journal of Gynecology & Obstetrics","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.ijgo.2015.07.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}