Prevalence and factors associated with maternal near-miss in Magway Regional hospital, Magway, Myanmar

Abstract

Background: Maternal mortality is an important public health concern. Women die every day from pregnancy complications, delivery-related issues, and childbirth. Pregnancy related morbidity and mortality in Myanmar were dramatically increased from 17.6% in 2012 to 20.2% in 2018. In Myanmar, there are limited studies on maternal near miss. Therefore, this study aimed to estimate the prevalence and determine the factors associated with maternal near miss in Magway Regional Hospital, Myanmar.

Method: This cross-sectional study employed a health facility-based secondary data analysis to estimate the prevalence of maternal near miss cases, and examine factors associated with maternal near miss in Magway Regional Hospital in 2019. WHO maternal near-miss approach was adopted to examine the maternal near-miss. Records were obtained from Obstetrics and Gynecology ward from January 2019 to December 2019. Frequency, percentage, mean and standard deviation were presented for descriptive analysis. Chi-square and Binary logistic regression were used to describe the relationship between the selected independent variables and maternal near miss with statistically significant at p-value <0.05.

Results: A total of 3,291pregnant women between the ages of 15 to 50, who admitted into the Magway Regional hospital, and were included in this study. Among all, 11 cases of maternal near miss with 7 cases of maternal death. The maternal near miss ratio was 3.9 per 1,000 live births. Maternal mortality ratio was 246 per 100,000 live births, and maternal mortality index was 0.39. The pregnant women who had severe preeclampsia, eclampsia, and ruptured uterus found to have higher odds of getting maternal near miss

Conclusion: The results revealed that the maternal near miss ratio in this study was low, whereas maternal mortality ratio was 246 per 100,000 deliveries which was higher than worldwide average of maternal mortality ratio (211 per 100,000 deliveries in 2017). Moreover, the study highlighted that the quality of care during the reviewed period needed to improve, showed the highest number of deaths following abortion related sepsis cases.