Study of maternal near miss as an indicator of quality of obstetrics care in tertiary care centre: a prospective study

Background: Maternal near miss is said to have occurred when women presented with life threatening complication during pregnancy, childbirth and within 42 days after delivery, but survive by chance or good institutional care. For identifying cases five factor scoring system was used. In 2009 WHO working group has standardized the criteria for these cases. Methods: The study a descriptive done period of 18 months between 1st June 2021 31st December 2022 conducted in department Obstetrics Gynecology at Bundelkhand Medical College Sagar, Madhya Pradesh, India, which tertiary care centre. each miss, data were collected on demographic characteristics including gestational age time sustaining morbidity, nature obstetric complications, presence organ dysfunction/failure, ICU admission timing event respect admission. Results: A total numbers 12252 live births were, 28 maternal deaths 372 MNM reported period. Incidence 30.3 %. present mortality index 0.07. ratio 13.2:1. Hypertensive disorder pregnancy 44.4% most common cause followed severe anemia 23% Conclusions: Critical analysis will help us deficiencies morbidity can be reduced if timely effective given experiencing acute related complications .There need validation peripheral level enable them early identification referral such centers.