Introduction: A maternal near miss is defined by WHO as a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Maternal morbidities occur more frequently than maternal deaths, maternal near miss was suggested as a more useful indicator for the evaluation and improvement of maternal health services than the maternal death The prevalence of maternal near - miss is variable around the world.. The aim of this study was to analyze the quality of care had saved severe obstetric complications in N’Djamena Mother and Child University Hospital Center.
Patients and Method: This was a prospective and descriptive survey of one year from January 1st to December 31st, 2019 performed at the maternity of N’Djamena Mother and Child University Hospital Center on incidence and causes of maternal near - miss. All pregnant, parturient or delivered had presented a severe obstetric complication and agreed participate in the study was included. The analysis was made using the SPSS 18.0.
Results: We recorded 248 maternal near - miss cases among 8.124 deliveries giving a frequency of 3.1%. The mean age was 26.5 ± 1.8 years. The majority of patients (61.3%) were multipara, uneducated (44.7%), referred in 75.4% cases and practiced one at two antenatal care in 43%. Main morbidities were: haemorrhage (66.1%) and hypertensive complication (17%) followed by abortion complications (7.7%). In 54% cases, treatment was being introduced within 30 minutes of diagnosis. Patients were satisfied with management in 84% cases.
Conclusion: Maternal near - miss is frequent in our hospital. Haemorrhage and hypertension are the main pathologies registered. Its reduction impose improvement the quality of care.