Maternal Near Miss: Data from a Tertiary Care Hospital of Lahore

Abstract

Background: Death or near to death of a woman during pregnancy or within 42 days after end of pregnancy due to any obstetric cause is known as maternal near-miss. Objective: To determine the frequency of causes and surgical interventions conducted to manage the pregnant females presented with maternal near-miss. Study Design: Cross sectional study. Settings: Department of Obstetrics & Gynecology, General Hospital, Lahore Pakistan. Duration: 3 months from January 01, to March 30, 2019. Methodology: Sample size of 84 patients were enrolled in the study through non-probability, consecutive sampling. Patients of age 15-45 years, presented after 12 weeks of pregnancy with maternal near-miss. Then patients underwent medical or surgical procedure for management of maternal near-miss. Results: The mean age of patients was 33.93 ± 13.95 years. The mean gestational age at time of maternal near-miss was 24.58 ± 7.93 weeks. The most common cause of maternal near-miss was eclampsia [33 (39.2%)], followed by ruptured ectopic [23 (27.3%)], morbidly adherent placenta [11 (13%)], uterine rupture [7 (8.5%)] and septic induced [1 (1.2%)]. Cases of ruptured uterus underwent surgical procedure. Most commonly, peri-partum hysterectomy was performed i.e. 13 (15%) cases followed by B-lynch [10 (11.9%)] and uterine atony [1 (1.2%)]. Conclusion: The frequency of need of severe complications like eclampsia was high in such cases. Now, we have got the local evidence and now we recommend the females for regular antenatal check-up in pregnancy and screening for such complications in earlier stages to avoid such complications and maternal near-miss in future.