Study of near miss maternal morbidities at a tertiary hospital

Abstract

Background: In health care literature NEAR MISS refers to a severe life-threatening condition that did not cause death-but had the potential to do so. But in 2009, WHO came up with a comprehensive criteria for identification of near miss. Present study was undertaken to analyse maternal near miss morbidity (MNMM) cases and associated morbidity in a local setting.Methods: Present study was single-center, prospective, observational study, conducted in maternal near miss cases which met the comprehensive criteria of WHO, admitted during study period and survived.Results: In present study, majority of cases were 20-29 years (78%), multigravida (52%), in third trimester and postpartum (52%), had phenotype as class I MNMM (maternal near miss with healthy infant) (36%), In near miss cases, near miss on arrival were 66% while 34% were near miss after admission, 8% had disorder on admission and became near miss and 26% had no disorder on admission but became near miss (26%).Conclusions: Hypertensive disorders and Hemorrhage and COVID-19 related complications were the leading causes of near miss situations. Previous LSCS and Anemia seem to be risk factors for developing MNMM.