Study of Who Maternal Near Miss Using Organ Dysfunction to Predict Maternal Outcome

Background and Aims: The objective of this study was to determine maternal near miss frequency and maternal near miss to mortality ratio by using organ dysfunction criteria to analyze the trends of maternal near miss and to compare the nature of near miss events with that of maternal mortality.

Methodology: The study was conducted during July 2021 – December 2021 on all the maternal near miss cases who were admitted in Sultania Zanana Hospital. The cases of “near miss” were compared to maternal death using organ dysfunction.

Results: During our study period, total number of obstetric admissions were 8667 out of which maternal near miss cases were 500 and so incidence of maternal near miss was 5.76%. Cardiovascular (30.38%) and Respiratory organ dysfunction (33.87%) were maximum which were responsible for maternal near miss. The maternal near miss: mortality ratio was 7.8.

Conclusion: In this study, we used WHO criteria which cover almost all possible organ systems which can be affected secondary to any pregnancy-related complications. The WHO criteria for maternal near miss showed to be able to identify all cases of death and almost all cases of organ failure. Therefore, they allow evaluation of the severity of the complication and consequently enable clinicians to build a plan of care or to provide an early transfer for appropriate reference centers.