Abstract
Introduction-The World Health Organization defines a maternal near-miss case as "a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Material and Methods- Prospective cross-sectional observational study was carried out over a period of two years. Systematic analysis of all maternal near miss cases was done in relation to causes, contributory factors, and associated socio demographic factors. Results-There were 22,318 deliveries including 87 maternal near miss cases during study period. Severe anemia (28.74%), severe hypertension (22.99%), ante-partum hemorrhage, post partum hemorrhage (18.39%), post-operative sepsis (9.2%), renal failure and hepatic dysfunction were major causes associated with maternal near miss situation. Conclusion- Severe anaemia, obstetric haemorrhage, severe hypertension and its complications, respiratory infection, sepsis, Liver and kidney diseases are mainly responsible for maternal near miss situation.
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