{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T14:16:18Z","timestamp":1772806578163,"version":"3.50.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p> Severe maternal morbidity also known as \u2018near miss\u2019 may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone. The objective of the study was to observe the pattern of severe maternal morbidity and its associated factors in a tertiary care hospital in Delhi. All patients admitted to the obstetrics and gynaecology department who fulfilled the definition of severe maternal morbidity conditions were included. A proforma was used to record sociodemographic, obstetric, antenatal care treatment and outcome details. A total of 63 women were included for analysis. The incidence of severe maternal morbidity was 3.3\/100 deliveries. The mean age of the patients was 26.3 \u00b1 5 years. More than half (55.5%) were uneducated: almost one-third (32%) were from outside Delhi \u2013 the median distance travelled was 10 km. The majority were antenatal admissions (68.3%). The proportion of postdelivery or abortion cases were greater among women who came from outside Delhi. Only 38.1% were registered during the antenatal period. The diagnoses were: eclampsia\/pre-eclampsia (35%); haemorrhage (35%); sepsis (13%); obstructed labour (9.5%) and other medical conditions (11%). Severe anaemia was observed in 22% of cases. Only 43.5% were normal vaginal deliveries and 54.5% were delivered by caesarean section or with the use of instruments; 61.3% were live births. Hysterectomy was performed in 14.8%: the proportion of hysterectomy was higher in obstructed labour. Severe maternal morbidity cases constitute a significant burden on health resources. <\/jats:p>","DOI":"10.1258\/td.2007.070327","type":"journal-article","created":{"date-parts":[[2008,9,26]],"date-time":"2008-09-26T21:24:03Z","timestamp":1222464243000},"page":"201-204","source":"Crossref","is-referenced-by-count":13,"title":["Pattern of severe maternal morbidity in a tertiary hospital of Delhi, India: a pilot study"],"prefix":"10.1177","volume":"38","author":[{"given":"Pragti","family":"Chhabra","sequence":"first","affiliation":[{"name":"Department of Community Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Guleria","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University College of Medical Sciences and GTB Hospital, Delhi 110095, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narinder Kumar","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Community Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kannan Tupil","family":"Anjur","sequence":"additional","affiliation":[{"name":"Department of Community Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neelam Bala","family":"Vaid","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University College of Medical Sciences and GTB Hospital, Delhi 110095, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"bibr-TD-07-0327C1","first-page":"103","volume-title":"Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer","author":"Ronsmans C","year":"2004"},{"key":"bibr-TD-07-0327C2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.03044.x"},{"key":"bibr-TD-07-0327C3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10262.x"},{"key":"bibr-TD-07-0327C4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10261.x"},{"key":"bibr-TD-07-0327C5","doi-asserted-by":"crossref","unstructured":"SayL, PattinsonRC, GulmezogluAM. 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