Abstract

WHO defines “Maternal Near Miss” [MNM]as a woman who survives life threatening conditions during pregnancy, abortion and childbirth or within 42 days of pregnancy termination, irrespective of receiving emergency medical or surgical interventions. Maternal Near miss analysis is being examined for the assessment of obstetric care. AIMS AND OBJECTIVES: To determine frequency of MNM cases and identify the risk factors associated with MNM. METHODS: A retrospective observational study conducted during 6 months [from July 1st to December 31st,2022] at GGH Anantapur, identified and analysed all MNM cases using the WHO criteria. Inclusion criteria: All critically ill pregnant, labouring, postpartum and post abortal women admitted to intensive care unit (ICU). RESULTS: There were 4265 deliveries during the study period from which 40 patients met the inclusion criteria. Among the 40 patients, 35 obstetric near-miss {survivors},5 maternal deaths were recorded. Statistical analysis was done using SPSS and represented as proportions and percentages. chi square test was done to test the significance. The major causes of MNM were antepartum eclampsia [20%], Anaemia [20%], respiratory failure[20%], haemorrhage [10%].Less common near miss causes were medical and surgical conditions [12.5%], postpartum collapse[1.8%],ruptured ectopic pregnancy[5%],infections[5%] ,blood transfusion reactions[1.8%].ICU stay >7days stood at 31.33%.Critical interventions included massive blood transfusions [34.8%], ventilation[40.2],hysterectomy[30.4%].CONCLUSION: Knowledge regarding MNM will assist health professionals to anticipate and prevent devastating maternal morbidities and improve maternal and perinatal outcomes. Proper follow up is important to monitor the maternal outcomes during the antenatal and postnatal periods. Thus, initiatives such as educational programs, campaigns and early detection of risk factors are recommended.

Description