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Maternal Near-Miss Among Women Admitted to Menoufia University Hospital, Egypt
Ahmed Nofal1, Dalia Morsi1, Yousra Alghalban2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shebeen El-Kom, 6121890 Egypt.
Purpose:
The aim of this study was to identify Maternal near miss cases among women admitted to Menoufia university hospitals, Obstetrics and Gynecology Department.
Methods:
This cross-sectional study was conducted in Obstetrics and Gynecology Department, Menoufia University hospital. Egypt. (from the First of February 2023 to the end of January 2024). The study was approved by the ethical committee in the university. Information was collected from patients' files. A checklist was used to collect data from the hospital records of eligible cases.
Results:
The study included 3392 participants: 3 maternal deaths and 260 Maternal Near-Miss cases. There were 3356 deliveries, 3328 live births. The MNM incidence ratio was 78.13 per 1000 live births and Maternal Mortality Ratio was 90.1/100 000 live births. Mortality Index was 1.1%. The leading causes of MNM 1-Obstetric causes: Uterine dysfunction, morbidly adherent placenta and Obstetric hemorrhage.2- Medical causes: Severe preeclampsia, and Neurologic dysfunction.
Conclusions And Recommendations:
MNM cases are relatively high in incidence relative to maternal mortality. Uterine dysfunction, morbidly adherent placenta, and obstetric hemorrhage were the main direct obstetric causes while the main medical causes were severe pre-eclampsia, neurological dysfunction and severe anemia. The main causes require strict and quick management protocols.
