Abstract: Background: Maternal Near Miss refers to a women who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. The aim of this study is to analyze maternal near miss events in a local context and to identify gaps and contextualize corrective measures to be taken.
Methods: This prospective study was conducted in the Obstetrics and Gynaecology department of Raja Muthiah Medical College and Hospital, Chidambaram, Tamil Nadu during January 2020 to January 2022. The study population comprised of critically ill pregnant, laboring, post-partum and post abortal women admitted in OG ICU and were identified based on the WHO criteria for maternal near miss. The data was monitored by maintaining a review register.
Results: Most of the participants belonged to the age group of 19 to 24 years. 22.5% were G1 and in antenatal period. 31% were P1 and in postnatal period. Most participants were in their postnatal period. The cause for MNM in 19.5% participants was placenta previa, in 10.5% it was cardiomyopathy and in 7.5% it was COVID pneumonia and severe anaemia, respectively. Abruptio placenta, pulmonary edema and ruptured ectopic, each contributed 7% to causes of MNM.
Conclusion: The majority of cases in Raja Muthiah Medical College and Hospital were near miss on arrival, which attribute to failure of recognition of the seriousness of the condition. The study of MNM helps us to reduce the maternal morbidity. This study helps to observe the trends of maternal near miss event in our institution.
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