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Analysis of cases of near misses in obstetric-gynaecological practice
Ardak Ayazbekov1, Alima Ayazbekova2, Saltanat Kulbayeva3
1Department of Obstetrics and Gynecology, Khoja Akhmet Yassawi International Kazakh-Turkish University, 29 B. Sattarkhanov Str., 161200, Turkestan, Republic of Kazakhstan. ardak.aya3125@gmail.com.
Purpose:
The purpose of this study was to identify and determine the frequency and nature of near misses in pregnant women and in the postpartum period.
Methods:
In the Turkestan region (Kazakhstan), a retrospective review of cases of critical situations and cases of maternal mortality that occurred during the 12 months of 2022 was conducted. 201 cases of critical conditions in obstetric-gynaecological practice that occurred in 22 regional institutions of all three levels of perinatal care were analysed.
Results:
The causes of cases of near misses in the provision of medical care to pregnant women, maternity women, and women in labour were determined. 0.3% of maternal near misses from the total number of births were registered in the region, of which obstetric causes accounted for 58.2% and extragenital-41.8%.
Conclusion:
It was found that cases of maternal near misses were 1.2 times more often recorded in the postpartum period compared to the antenatal period. A difficult situation regarding the management of the postpartum period has developed in institutions of the second level of perinatal care, where 62% of maternal near misses were observed in the postpartum period.
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