Analysis Of Clinical Cases Of Maternal Near Miss In Our Hospital In The Past 10 Years

Objective:To analyze the etiology,prognosis and treatment of maternal near miss in our hospital.To summarize the experience of management and treatment of maternal near miss during pregnancy,so as to provide clinical reference for reducing the mortality of critical pregnant women and perinatal infants.Methods:A retrospective analysis was made on 932 cases of maternal near miss admitted to the first hospital of Shanxi Medical University from January 1,2009 to December 31,2018,including case characteristics,rescue records,maternal and perinatal outcomes.Results:1.The etiology of maternal near miss in our hospital is mainly direct obstetric factors.The top five diseases are pregnancy hypertension and its complications(290cases 29.83%),obstetric bleeding(264 cases 28.33%),pregnancy with heart disease(173cases 19.85%),pregnancy with fever related diseases(84 cases 9.01%)and liver dysfunction or failure(21 cases 2.25%).2.In 932 maternal near miss,430 were admitted to ICU,accounting for 46.14%.The top three causes were pregnancy with hypertension 31.16%(134 / 290),postpartum hemorrhage 20.93%(90 /264),Pregnancy with infectious diseases 10.47%(45 / 84).In recent years,pregnancy with infectious diseases and pregnancy with acute pancreatitis increased.3.Compared with the floating population,the number of regular birth inspection and birth inspection increased significantly,there was a significant difference in the prognosis of maternal near miss and perinatal outcomes(P < 0.05).4.The survival rate of 932 critical pregnant women was 98.60%(919 cases / 932cases)and 96.97%(417 cases / 430 cases)in ICU.In 13 cases of death,there were 2cases of obstetric hemorrhage,2 cases of pregnancy with congenital heart disease,2cases of septic shock,2 cases of amniotic fluid embolism,2 cases of hypertensive disorder during pregnancy,1cases of hemorrhagic shock caused by ectopic pregnancy,1case of Pregnancy with acute pancreatitis,1 case of Pregnancy with cerebral hernia.Conclusion:1.The main diseases of maternal near miss are pregnancy induced hypertension,its complications and obstetric hemorrhage.2.To strengthen the management of pregnant women during pregnancy can reduce the mortality rate of critical pregnant women and perinatal children.3.Adopt multi-disciplinary joint treatment mode for the treatment of maternal near miss and give full play to the role of ICU in the treatment process.