Implementation of WHO Near-Miss Approach for Maternal Health at a Tertiary Care Hospital: An Audit.

Objective: The objective of this study was to evaluate severe maternal outcomes (including maternal deaths and maternal near-miss cases).

Materials & Methods: A prospective study of severe maternal outcomes (including maternal deaths and maternal near-miss cases) from May 2012 to April 2013 was performed. For each woman, data were collected on the occurrence of selected severe pregnancy-related complications, the use of critical interventions, and admissions to intensive care unit.

Results: The total number of deliveries were 2340. The number of maternal deaths was three. The natures of the near-miss cases during the study period were recorded. Prevalence of SAMM (severe acute maternal morbidity) was 2.025 %.

Conclusion: In areas where the maternal mortality is low, there is a need to shift focus to maternal near-miss cases or SAMM, which is a useful adjunct to maternal death enquiries.