Analysis of cases of near misses in obstetric-gynaecological practice

Ardak Ayazbekov, Alima Ayazbekova, Saltanat Kulbayeva, Aigul Terlikbayeva, Gulzhaukhar Taskynova, А.К. Аязбеков

2025

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DOI 10.1007/s00404-024-07898-0
Data confidence 85 high
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Abstract

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.