Analysis of cases of near misses in obstetric-gynaecological practice
Ayazbekov A. Ayazbekova A. Kulbayeva S. Terlikbayeva A. Taskynova G.
April 2025Springer Science and Business Media Deutschland GmbH
Archives of Gynecology and Obstetrics
2025#311Issue 41073 - 1080 pp.
Purpose: The purpose of this study was to identify and determine the frequency and nature of near misses in pregnant women and in the postpartum period. Methods: In the Turkestan region (Kazakhstan), a retrospective review of cases of critical situations and cases of maternal mortality that occurred during the 12 months of 2022 was conducted. 201 cases of critical conditions in obstetric-gynaecological practice that occurred in 22 regional institutions of all three levels of perinatal care were analysed. Results: The causes of cases of near misses in the provision of medical care to pregnant women, maternity women, and women in labour were determined. 0.3% of maternal near misses from the total number of births were registered in the region, of which obstetric causes accounted for 58.2% and extragenital—41.8%. Conclusion: It was found that cases of maternal near misses were 1.2 times more often recorded in the postpartum period compared to the antenatal period. A difficult situation regarding the management of the postpartum period has developed in institutions of the second level of perinatal care, where 62% of maternal near misses were observed in the postpartum period.
Eclampsia , Maternal mortality , Perinatal care , Regionalisation , Severe maternal morbidity
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Department of Obstetrics and Gynecology, Khoja Akhmet Yassawi International Kazakh-Turkish University, 29 B. Sattarkhanov Str., Turkestan, 161200, Kazakhstan
Department of Special Clinical Disciplines, Khoja Akhmet Yassawi International Kazakh-Turkish University, 29 B. Sattarkhanov Str., Turkestan, 161200, Kazakhstan
Department of Obstetrics and Gynecology, South Kazakhstan Medical Academy, 1 Al-Farabi Sq., Shymkent, 160019, Kazakhstan
Department of Strategic Development and Science, JSC “Scientific Center of Obstetrics, Gynecology and Perinatology”, 125 Dostyk Ave., Almaty, 050020, Kazakhstan
Department of Human Pathology, Khoja Akhmet Yassawi International Kazakh-Turkish University, 29 B. Sattarkhanov Str., Turkestan, 161200, Kazakhstan
Department of Obstetrics and Gynecology
Department of Special Clinical Disciplines
Department of Obstetrics and Gynecology
Department of Strategic Development and Science
Department of Human Pathology
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