Abstract
Objective: To study the types and frequency of
maternal near miss event cases at a tertiary care
center.
Results: Total patients attended at the outpatient
during study period were 25900. There were 3372
deliveries and 3360 live births; 64 patients fitted
the WHO severity criteria. Patients surviving a
major morbidity event were 54. Morbidly adherent
placentation accounted for 25.92%. Deaths were
8 during due to eclampsia followed by
hemorrhage. The maternal mortality ratio and near
miss incidence ratio per 100,000 live births was
238 and16.07, respectively. Maternal near miss to
mortality ratio came out as 6.75: 1. Mortality index
was 12.90.
Conclusion: Eclampsia and hemorrhage remain
the main cause of morbidity and mortality.
Documentation, registrations of maternal
mortalities and audits of near miss events must be
made mandatory for all medical facilities, as
analyzing them can overcome their shortcomings
and raise its standard of care by learning from the
deficiencies. (Rawal Med J 202;45:677-681).
Methodology: This descriptive study was
conducted at Combined Military Hospital, Sialkot
which is a tertiary care set up. Patients undergoing
st
a major morbidity or mortality event from 1
st December 2016 to 31 October 2017 fulfilling the
WHO severity criteria were included in the study.
Cases were identified based on laboratory
findings, clinical assessments, or management
procedures. Frequencies and types of near
misses were noted, and the data were used to
calculate maternal mortality ratio, maternal near
miss incidence ratio per 1000 live births, maternal
near miss to mortality ratio and mortality index
