Prevalence of maternal near-miss and associated factor among delivered women in Pwani region in Tanzania

Abstract

ABSTRACT Background: Maternal Near-Miss (MNM) actions are related to greater healthcare costs, undesired outcomes for the mother and baby, decreased productivity, increased healthcare system, and a higher chance of maternal mortality. MNM refer to a woman who presents with life threatening complications during pregnancy, childbirth or within 42 days of termination of pregnancy but survived by chance or due to the standard care she received. It is recognized as valuable indicator to examine the quality of obstetrics care as it follows similar predictors with maternal death. Globally each year, more than 15% of women who turn out to be pregnant experience life-threatening complications. Investigation of Maternal-Near-miss and the associated risk factors is important for the global reduction of Maternal Mortality. Aim of the study: To determine the prevalence of Maternal Near-miss and the associated factors among delivered woman in Pwani Region, Tanzania Material and methods: Retrospective study design and quantitative approach was applied, to examine women who gave birth and admitted in Tumbi Regional Referral Hospital, Mkoani Health Centre and Mlandizi Health center in Pwani region from January 2020 to December 2023. The semi-structured questionnaire with closed ended questions were used to collect data from a total of 384 women who gave birth and admitted in those health settings. Data were cleaned, coded, edited and error checked before analyzed by social science software (SPSS) version 21 for analysis. Descriptive statistics like frequency, distribution, and summary statistics such as mean and standard deviation were computed. Results: Overall Maternal Near-miss of 25% showed a prevalence to Maternal Near-miss. Women who were Para 2-4 (aPR=5.77, 95% CI: 5.771-5.771), a history of abortion of more than once (aPR=0.13, 95% CI: 0.000-1.250), a previous history of C/S (aPR=0.201, 95% CI: 0.07-0.55) were more prevalence to maternal near-miss among delivered women as well as influencing factors of maternal near-miss to women were severe anemia in failure followed by eclampsia, age, education status and occupation of respondents. Conclusion: The overall prevalence to Maternal Near-miss was 25%. There is significant association of parity, history of abortion and previous history of C/S with prevalence to Maternal Near-miss. Influencing factors of Maternal Near-miss to women were severe anemia followed by eclampsia, age, education status and occupation of respondents. Recommendation: The study recommends that, Pwani region should designed evidence-based interventions to optimize the intra-partum management of life-threatening obstetric complications and future researches should examine on the cultural malpractice in the study area and its consequence concerning the prevalence to Maternal Near-miss. Moreover, improving the referral systems are crucial to minimizing the Maternal Near-miss