Authors: Olusola Peter Aduloju , Tolulope Aduloju, Oluwadare Martins Ipinnimo
Maternal near miss (MNM) concept is becoming a tool for the assessment of severe maternal morbidity. The study examined the profile of MNM cases and their determinant factors. A cross-sectional study of pregnant women with near miss cases and maternal death using the WHO criteria between 1st January 2015 and 31st December, 2016 . Relevant data was collected with using a structured data form, analyzed using SPSS version 22 and logistic regression was done to determine factors associated with MNM. The MNM incidence ratio was 17.4/1000 live births with overall mortality index of 17.5%. Hemorrhage (39.4%) was the commonest cause of MNM while uterine rupture (42.8%) was the most common cause of maternal death. Also, dystocia had the highest mortality index of 33.3%. Older age group, low education, rural dwellers and unbooked status of women were the significant determinants of MNM, p < 0.05. MNM mortality ratio was 4.7:1. The worst perinatal outcome occurred in women who suffered maternal death. The study showed suboptimal level of care for women with life threatening conditions. There is a need to develop evidence based protocol for their management and provision of high dependency unit.
Maternal near miss; Maternal death; Determinant factors; EKSUTH; Southwestern Nigeria
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Profile of Maternal Near Miss and Determinant Factors in a Teaching Hospital, Southwestern Nigeria