Incidence of maternal near miss mortality and underlying factors leading to maternal near miss mortality: Our experience from Maharashtra

Abstract

Definition of near miss mortality - a woman who survives a severe life- threatening condition
(either after receiving emergency medical or surgical intervention or otherwise) during
pregnancy, childbirth or within 42 days of termination of pregnancy.1
 Maternal mortality is
the death of a woman during pregnancy, childbirth or 42 days after termination of pregnancy.
Women with life threatening condition (WLTC) refers to all women whowere either maternal
near miss or who died. (WLTC = MNMM + MM).
Objectives: To study the incidence of maternal near miss mortality and underlying factors
leading to maternal near miss mortality
Methodology: The present a facility based prospective observational study carried from
January 2021 till June 2022, i.e., for 18 months involving all the cases that fulfilled criteria for
near miss mortality that came to this institute were considered for this study.
Results: Majority of patients were booked and registered under government setups - 77
(81.05%). Majority of patients were near miss on admission - 78 (82.10%). According to this
study, most common underlying causes of MNMM at this tertiary care centre are
Hypertensive disorders - 46 (48.42%), followed by anaemia - 18 (18.94 %) cases. Maternal
near miss incidence ratio in our study was 9.6 every 1000 livebirths. Maternalnearmissrate
in our study was 8.8 every 1000 obstetricadmissions. Severe maternal outcome ratio was
15.18 every 1000 live births.
Conclusion: Maternal near miss incidence ratio in our study was 9.6 every 1000 live births.
Maternalnear miss rate in our study was 8.8 every 1000 obstetricadmissions. Severe maternal
outcome ratio was 15.18 every 1000 live births. Most common underlying causes of MNMM at
this tertiary care centre are Hypertensive disorders - 46 (48.42%), followed by anaemia - 18 (18.94
%) cases