MATERNAL NEAR MISS: MAGNITUDE AND CONTRIBUTING FACTORS AMONG MOTHERS ADMITTED TO OBSTETRICS AND GYNECOLOGY DEPARTMENT AT SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE, ADDIS ABABA, ETHIOPIA: SIX MONTHS REVIEW

Abstract

Abstract Background: The transition from studying mortality to studying maternal morbidity has followed a worldwide trend because the absolute number of deaths is relatively small as compared to number of cases of maternal near miss which generate more information and data on maternal morbidity are more accessible, reliable and provide useful information about the strengths and weaknesses of the emergency obstetric care provided at a facility. Objective: of this study is to assess magnitude and contributing factors of maternal near miss among mothers admitted to obstetrics and gynecology department at saint Paul hospital millennium medical college over six months from july1, 2017- December 31, 2017. Method: A retrospective hospital based descriptive cross sectional study was carried out to determine magnitude and contributing factors of maternal near miss. Information from medical records of mothers that admitted to obstetrics and gynecology department of SPHMMC over six month period from july1, 2017- December 31, 2017 were reviewed. Analysis was done with Statistical Package by Social Sciences (SPSS) version 21. Descriptive statistics such as frequency, graphics and cross tabulations were calculated for dependent and independent variables; and also association between dependent and independent variables were made. Result: During the six month period, a total of 155 maternal near-miss cases and 4869 live births were reported in total, which produced a total maternal near miss prevalence ratio of 31.83per 1000 live births. The underlying cause for the majority of maternal near-miss cases was hypertensive disorder (34.8%), followed by obstetric haemorrhage(18.7%),pregnancy with abortive outcome(11.6%),and pregnancy related infections(1.9%).The major contributing causes of maternal near miss were anaemia(43.9%) followed by prolonged/obstructed labour (6.5%). Conclusion: The study demonstrated a higher maternal near-miss incidence ratio compared to previous studies. Underlying and contributory causes of maternal near-miss are the same to previous study. Evidence-based interventions designed to optimize management during pregnancy, intra partum and postpartum life threatening obstetric complications, specifically hypertensive disorders and obstetric hemorrhage could reduce the occurrence of maternal near-miss problems. Keywords: maternal near miss, Maternal Near Miss Events, magnitude