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Abstract
Objective: the number of maternal near miss (MNM) instances seen at Holy Family Hospital, the factors contributing to them, and the treatments that have been implemented (HFH).
Materials and Methods: Descriptivee cross-sectional study
Durationiof study: 6 months (1st Feb 2020 to 31st July 2020)
Setting: Department of Obstetrics and Gynaecology Unit I, HFH
All MNM cases were identified on the basis of WHO criteria and were analyzed for all parameters according to causes and interventions. Maternal near miss indicators were calculated by using the WHO based formulae.
Results: A total of 86 instances of MNM were found throughout the six-month research period. There were 4761 births, with a total of 4731 live births and 19 maternal deaths, out of which there were 4731 live births. There were 18.17 maternal near-misses per 1,000 live births, according to the data. Mortality index was 0.18, and the maternal near-miss-to-mortality ratio was 4.5:1. Haemorrhage (44 percent) and hypertensive obstetrical emergency (22 percent) were the two most common causes of MNM complications. Near-miss patients required ICU hospitalizations (52%), large blood transfusions (50%) laparotomies (25.5%), and dialysis (25.5%) as critical treatments (18.6 percent ).
Conclusion: Successful outcome in MNM cases and saving maternal death is a challenge for obstetricians and a big burden on hospital resources. Most of the causes of MNM are preventable. The study emphasizes on the importance of adequate antenatal care for the women of reproductive age.
Keywords: Severe acute maternal morbidity, maternal near-miss, severe maternal outcome.