{
    "abstract": "Maternal Near Miss is a serious antagonistic event that leads to harm and morbidity in the mother, but from which she survives. Maternal mortality rate in Bangladesh has declined by 66.0% over last few decades, valued at a rate of 5.5% every year. Aim of the study was to determine the magnitude, pattern and predictors of Maternal Near Miss cases. This cross-sectional descriptive type of observational study was conducted at the Department of Obstetrics and Gynecology in Mymensingh Medical College Hospital, Bangladesh from January 2018 to December 2018. A total of 69 patients were included for the study. Patients were evaluated for cardiac arrest, jaundice, gasping, shock coagulation disorders, cerebrovascular accident and total paralysis. Serum lactate >5mmol/L, paO\u2082/ FiO\u2082 <200mm of Hg, pH <7.1 and statistical analysis was performed using computer- based software, statistical package for social science (SPSS) version 20.0. Maximum number was found 44.93% in the age groups 20-29 years, maximum were rural patients (84.05%), no formal education (55.07%) of couple were significantly higher in case of maternal near miss case. Rate of maternal near miss case among the admitted patients was 4.86%. Among the maternal near miss case pregnancy induced hypertension were most common (44.9%). Most of the patients of the maternal near miss case presented with excessive P/V bleeding (37.7%). Among the medical management most common interventions were infusion of MgSO\u2084 (31.9%). Regarding neonatal outcome, live birth was 47.82%. Common causes of maternal near miss case are pregnancy induced hypertension, obstetric hemorrhage, ruptured uterus and ruptured ectopic pregnancy, prolonged/obstructed labor, impending uterine rupture and infections.",
    "authors": [
        {
            "affiliation": "Dr Nahida Islam, Lecturer, Department of Community Medicine, Government Homopathic Medical College, Dhaka, Bangladesh; E-mail: drnahidaislam41@gmail.com.",
            "firstname": "N",
            "initials": "N",
            "lastname": "Islam"
        },
        {
            "affiliation": null,
            "firstname": "T T",
            "initials": "TT",
            "lastname": "Mirza"
        },
        {
            "affiliation": null,
            "firstname": "S",
            "initials": "S",
            "lastname": "Shamsi"
        },
        {
            "affiliation": null,
            "firstname": "N",
            "initials": "N",
            "lastname": "Islam"
        },
        {
            "affiliation": null,
            "firstname": "D",
            "initials": "D",
            "lastname": "Roy"
        },
        {
            "affiliation": null,
            "firstname": "T",
            "initials": "T",
            "lastname": "Jahan"
        },
        {
            "affiliation": null,
            "firstname": "N",
            "initials": "N",
            "lastname": "Begum"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "Mymensingh medical journal : MMJ",
    "keywords": [],
    "methods": null,
    "publication_date": "2025-03-31",
    "pubmed_id": "40160062",
    "results": null,
    "title": "Magnitude, Pattern and Predictors of Maternal Near Miss Cases Admitted in a Tertiary Care Hospital.",
    "xml": "<Element 'PubmedArticle' at 0x78850504ff10>"
}