Maternal Near Miss(MNO)

Maternal Near Miss/ Obstetric Near Miss

A ' near miss' is an unplanned event that didnot result in injury or damage, but had the potential. This is a fortunate break in the events prevented an injury or death. This term actually represents safety.

A maternal near miss case is defined as 'women who nearly die but survived from complications that occurred during pregnancy, child birth or with in 42 days of termination of pregnancy. In practical terms, those who survived from life threatening situations during those minutes.

The concept has been coined by WHO, to focus on the health system failures in relation to obstetric care.

The CBH criteria( Cairns Base Hospital, Far North Queensland) for potential cases of ONM are

• any admission to ICU
• APH/PPH requiring operative interventions
• severe pre-eclampsia
• pulmonary embolism
• ruptured ectopic pregnancy
• shock

The proposed WHO Near Miss Criteria

Near Miss Criteria(WHO)

The near miss audits in hospitals based on WHO criteria, will help to analyse the ill women, identify the deficiencies in the care and able to do comparisons between or within the countries. This will, ultimately, help to reduce the maternal morbidity and mortality worldwide.