Tahira Gul, Sarfraz M.
Cross-sectional retrospective study on prevalence of maternal near miss in mnch department of Social Security Hospital, Islamabad.
Pak J Public Health Jan ;4(4):16-20.

Background: the objective of the study was to assess the quality of obstetric care given to pregnant women presenting with life threatening conditions by using the process indicators to check the quality of health services given to mothers and to determine the frequency of ve near miss conditions (hypertensive disorder, hemorrhage, rupture uterus , infection and anemia) (1,2). Method: A cross-sectional retrospective study was carried out among 1000 deliveries of women in which 67 complicated deliveries were selected under WHO protocol between January 2013 to December 2013 at Social security hospital, Islamabad.. Results: The results show that there were 67 cases of maternal near miss according to WHO eligible criteria. The maternal near miss rate calculated 67/1000 live births and maternal near miss mortality ratio is 9:1MD, which show that every 9 women survive through life threatening conditions one died, this also indicate the good quality of health services given by hospital. use of blood products and admission to I.C.U are associated with complication and the results are statistically signicant p value (0.00), if anticonvulsant are used for treatment of post partum hemorrhage the severe complications rate can be reduced to expected level P value (0.00). Underlying causes of maternal near miss, contributory associated factors are statistically signicant to complications P value (0.01), severe complications has adverse effect on pregnancy with abortive outcome. Women who had previous cesarean scar and prolonged labor had highest chance of complications leads to severe life threatening condition, results show strong association between complications and previous cesarean scar Conclusion: In women with severe maternal morbidity associated to severe maternal outcomes. These maternal morbidities can be reduced by use of intervention in obstetric care unit. For good quality of health facility minimization of delayed in reaching the health facility , delayed in seeking care is needed, which are the key components of severe maternal outcome. Keywords: maternal near miss, maternal morbidity, social security hospital, delayed. (Pak J Public Health 2014; 4(4):8-12)

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