Background: Maternal near miss is defined as “A woman who nearly died but survived a complication that occurred during childbirth or within 42 days of termination of pregnancy”. As maternal deaths have become so uncommon, the practice of analysing Severe Acute Maternal Morbidity (SAMM) has evolved, to improve obstetrics and perinatal care.
Because avoidance of medical errors serves to decrease the rate of maternal mortality or severe maternal morbidity, the concept of near miss or close calls have been introduced. Considering the importance of the factors revolving around the causes of maternal morbidity and mortality, this study aims at identifying such causes and their trends in a tertiary health care centre.
Aim of the study: The main aim of maternal near miss approach are the reduction of morbidity and mortality in high risk pregnancies and improve the clinical practice.
1.To determine the frequency of severe maternal near miss cases.
2.To determine the pattern of MNM occurrence and the causes of MNM
3.To evaluate health care facility
4.To identify key intervention in the prevention and management of severe obstetrics complications and child birth.
5.Improvement of the maternal health by identifying the lag in the health care facility.
Materials and Methods: Retrospective and prospective studies were performed.
Data collected about maternal ‘near-miss’ cases admitted in Government RSRM Lying-in Hospital during the period of January 2016 to June 2017.
Near miss cases were identified and analysed according to the maternal near miss guidelines published by NRHM, on behalf of the ministry of health and family welfare, government of India, in December 2014.