Perioperative management of caesarean section-related haemorrhage in a maternal near-miss population: a retrospective study

Abstract

The World Health Organization (WHO) considers any health condition attributed to or aggravated by pregnancy and childbirth which has negative effects on maternal wellbeing, as maternal morbidity.1 Severe acute maternal morbidity is also referred to as a maternal near-miss (MNM) and has been defined by the WHO as any woman who nearly dies from either a complication of pregnancy or within 42 days of delivery or termination of the pregnancy.1 The MNM classification was first described by Mantel et al.2 who subdivided these criteria into an organ-based system classification (end organ dysfunction) and a management-based system classification (emergency hysterectomy and massive blood transfusion), and which has been widely used internationally.