An Observational, Cross-Sectional, Hospital-Based Study of Maternal Near Miss in Tertiary Care Centre of Bastar District

“Make every mother and child count”- the slogan for World health day 2005 reflects the reality and need of the society even today. Pregnancy and childbirth are a universally celebrated event. Every minute every day, a woman dies as a result of pregnancy and childbirth somewhere in the world, be it an unwed adolescent, a teenage bride for want of blood or drugs. Every year, approximately 600,000 women die of pregnancy related causes. Worldwide about half a million women die as results of complications of pregnancy and childbirth. In India, many women die due to pregnancy-related complications and those who survive suffer from severe maternal morbidity. During the study period,19185 number of patients received care in the OP [obstetrics alone] of whom 11465 were new OP patients and 7720 were old OP patients. 7592 patients were admitted and treated. There were 5713 deliveries; of which 2512 were Labour Natural,205 were Assisted Vaginal deliveries and 2996 were Caesarean Sections. There were 5570 live births. Out of 280 cases of maternal morbidity and mortality, it was found that 267 were referred accounting for 95.35% of cases and 247 were unbooked 84.63% ,33 was booked 15.4%of the cases. In 280 cases,14 cases belong to class I Near miss (5%), 144 cases belong to class II (51.4%),130 cases belong to class III (46.4%).Finally We can concluded that through better antenatal care, early detection andproper management of risk factors like pre-eclampsia, anaemia and active management of third stage of labor with careful feto-maternal monitoring, multidisciplinary approach for near miss cases i.e. cardiovascular support, ventilatory support, surgical intervention, dialysis, transfusion of blood and blood products and better NICU facilities the absolute goal of Obstetrics of reducing maternal morbidity and mortality, and having a healthy mother and healthy.