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Archives of Gynecology and Obstetrics

Analysis of cases of near misses in obstetric-gynaecological practice

  • Open Access
  • 24-01-2025
  • Eclampsia
  • General Gynecology
Published in:
Authors
Ardak Ayazbekov
Alima Ayazbekova
Saltanat Kulbayeva
Aigul Terlikbayeva
Gulzhaukhar Taskynova
Published in
Archives of Gynecology and Obstetrics | Issue 4/2025

Abstract

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.
Title
Analysis of cases of near misses in obstetric-gynaecological practice
Authors
Ardak Ayazbekov
Alima Ayazbekova
Saltanat Kulbayeva
Aigul Terlikbayeva
Gulzhaukhar Taskynova
Publication date
24-01-2025
Publisher
Springer Berlin Heidelberg
Keyword
Eclampsia
Published in
Archives of Gynecology and Obstetrics / Issue 4/2025
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-024-07898-0
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