Maternal near miss is said to have occurred when women presents with life threatening complications during pregnancy, child birth and within 42 days after delivery, but survive by chance or good institutional care.
Objective: The aim of the study is to determine near miss cases as per WHO identification criteria and to compare with that of maternal mortality.
Method: A prospective observational study conducted in 126 near miss and 84 maternal deaths over a period of 18 months to study and compare the determinants and nature of obstetric complications, presence of organ system dysfunction/ failure.
Result: The maternal near miss cases was 16.20 per 1000 live birth and maternal mortality cases were 10.08 per thousand live birth. Maternal near miss: Maternal mortality ratio was 1.5: 1. The majority of the cases were presented during the third trimester and were unbooked. Majority of cases had underlying disorder of hypertensive disorder of pregnancy (33.33%) Maternal near miss, and (48.81%) Maternal mortality the majority of cases in maternal near miss had complication of postpartum haemorrhage (37.3%), and maternal mortality had shock with respiratory failure.
Conclusion: Maternal near miss is a good alternative indicator of health care system and most of the cases land in near miss to maternal death due to lack of intervention at primary and other centers.