Ө.Гандолгор, С.Хишгээ, Т.Батцэцэг, Т.Номиндэлгэр, Г.Баттулга

ЭХЭМҮТ

Goal:  To compare the frequency of near miss and determine near miss morbidities among aimags low and high maternal mortality

Objectives: To determine and compare frequency and near miss morbidity among the selected study aimags 

Materials and Methods

In this study maternal near miss case definition was based on regulation of MOH №190, comprising of the following categories:

1.    Shocks ( severe hemorrhage stage III-IV, bacterial shock, anaphylactic)

2.    Uterine rupture, inversion

3.    Eclampsia, eclampsia complication

4.    Multi organ dysfunction  and failure

5.    Postoperative complications, Re-laparotomy 

6.    Other (emboli, anesthesia complications)

The study was conducted among 8 aimags low and high MMR selected from each 4 regions of Mongolia and 2 districts of UB.  We reviewed total of 117474 birth records from 2008 to 2012 and out of these 202 cases were selected for future study. Data was collected through specially developed questionnaire including information on demography of mothers and history of current pregnancy and delivery, maternal near miss complications.

Results and Conclusion

1. Maternal near miss incidence ratio was higher or 2 to 3 cases per 1000 births in the Khangai and Central region aimags to compare with other aimags. Especially it was the highest in the Bayankhongor and Central aimags.
2. Among the causes of near miss events, hemorrhage was the leading cause with 57.2%, surgical complications, re-laparotomy was followed 22.3 %. It was commonly occurred in the study aimags while eclampsia was mostly revealed in the aimags with high mortality.