Incidence of Near- Miss maternal mortality in the department of obstetrics and gynaecology Sh. Zayed medical college/hospital,Rahim Yar Khan

Objective: to determine the frequency of near-miss maternal mortality and nature of near-miss events. design: an observational study done prospectively from 1 st jan to 30 th june. patients and methods: all women who had narrowly avoided maternal death with diagnosis of haemorrhage,obstructed labour,ectopic pregnancy,severe pre-eclampsia/eclampsia,and septic abortion. common guidelines were used for the management of women with these conditions. outcome data was collected prospectively using structured proforma. results: in this study total no of deliveries were 3232. out of which near-miss events were 154 which makes 4.76% of total,8 mothers died with maternal mortality rate of 247/100,000. patients with haemorrhage were 56(17.4%) and obstructed labour were 28(8.6%) ruptured ectopic pregnancies were 28(8.6%) severe pre-eclampsia/eclampsia were 24(7.42%) & patients with septic abortion were 18(5.56%). conclusion: identification of near-miss maternal mortality events and their management is essential in reducing the maternal mortality rate.