Publication:

Near miss maternal mortality, who is responsible? Administration, healthcare system or the people themselves

Background The concept of maternal near miss is assumed to be a better indicator than maternal mortality alone for designing, monitoring, follow up and evaluation of safe motherhood programmes. Objective of present study was to find out the causes of near miss maternal mortality according to WHO and to prevent it.

Methods It is a prospective study of one year. Cases of maternal near miss were diagnosed and treated according to WHO definitions, which included severe maternal complications, life threatening conditions and critical interventions.

Results In present study hemorrhage (53%) was the leading cause of maternal near miss followed by hypertension (26%) rupture uterus (13%) and obstructed labour (6.6%). Anemia is the major contributory factor (93%) of near miss in present study.

Conclusions To reduce near miss cases there should be major policy changes at the administrative level, it should be well implemental at the health care level and last but not the least people should be made aware of these schemes specialty by TV. Internet and smart phones in this high tech 21st century.