Predictors of Maternal Near Miss among Women Receiving Care at Wolaita Sodo University Teaching Hospital, Southern Ethiopia: Institution Based Cross Sectional Study......

Abstract

Background: Maternal near miss (MNM) is defined as “woman nearly died but survived a complication that occurred during pregnancy, child birth or within 42 days of terminations of pregnancy”. Objective: To assess the frequency and predictors of maternal near miss among women receiving obstetrical & gynecologic care at Wolaita Sodo University Teaching and Referral Hospital (WSUTRH). Methods: An institution based cross- sectional study design was employed from 15th April to 15th June 2017. The total sample size was 508 and the Kth interval was used to recruit the study participants. Bivariate and multivariate logistic regression model were used. Results: The prevalence of MNM is146 out of 508(28.7%). Most MNM conditions are due to unsafe abortions. Traveling long distance ≥ 25KM (AOR=2.36; 95% CI: 1.27-4.39), Single ANC visit(AOR= 2.17; 95%CI: 1.07-4.41), administrative problems (AOR= 3.69; 95% CI:1.14-11.88), Primi/ multigravida(AOR=0.48; 95%CI: 0.24-.99), bad obstetric history (AOR= 2.53; 95% CI: 1.22-5.27) and history of previous C/S(AOR= 2.61; 95%CI:1.19-5.74) were significant predictors of maternal near misses. Conclusions: The frequency of MNM was high in WSUTRH . Preventing maternal delay and improving quality of care at all settings are recommended.