الفهرس 
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Abstract
Motherly death is defined by the World Health Organization (WHO) as “death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration then the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.
Motherly death is used for the evaluation of health services’ quality as well as the socioeconomic development of a population.
WHO proposed the evaluation of motherly near-misses, meaning “a woman who nearly died but survived a complication that occurred during pregnancy, child-birth or within 42 days of termination of pregnancy”
Identification based on organ dysfunction criteria including clinical, laboratory then management-based.
The aim of the current study remained to assess Motherly Near Miss at El-Shatby University Hospital from the first of January to the first of June 2023; To calculate the ratio of motherly ‘near miss’ then associated factors, as Assessment of MNM is an important part of the evaluation of maternity care provision.
A prospective study on woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy at El-Shatby Hospital from the first of January to the first of May 2023.
The main results of the study revealed that:
Age remained ranged between 16–46 years by mean value 29.61±7.288 years. Gestational Age remained ranged between 3–40 weeks by mean value 33.37±6.109 weeks. Medical History show that 26(21.3%) had history of Hypertensive disorders, 15(12.3%) had history of Anemia, 4(3.3%) had history of Hypothyroid, 6(4.9%) had history of Diabetic disorders, 2(1.6%) had history of Thrombocytopenia then 6(4.9%) had history of Bronchial Asthma. Surgical History show that 10(8.2%) had history of D&C, 8(6.6%) had history of Tonsillectomy, 12(9.8%) had history of appendectomy, 2(1.6%) had history of umbilical hernial repair, 1(0.8%) had history of hysteroscopic myomectomy, 2(1.6%) had history of lap cholecystectomy, 1(0.8%) had history of Kidney Transplantation, 1(0.8%) had history of Open heart, 1(0.8%) had history of ICSI, 1(0.8%) had history of Hemithyroidectomy, 1(0.8%) had history of Breast cancer tumor excision then 1(0.8%) had history of Salpingectomy. Gravidity remained ranged between 1–8 with mean value 3.16±1.728. Parity remained ranged between 0–6 with mean value 1.73±1.379. Abortion remained ranged between 0–7 by mean value 0.52±0.982.
73(59.8%) had Severe Hypertensive disorders (14(11.5%) had Postpartum fits, 26(21.3%) had Antepartum, 26(21.3%) had HELLP, 3(2.5%) had Blurred vision, 1(0.8%) had Severe Vomiting then 3(2.5%) had Headache), 53(43.4%) had Obstetric Hemorrhage (32(26.2%) had antepartum hemorrhage 24(19.7%) out of them were accreta, 13(10.7%) had Postpartum hemorrhage, 6(4.9%) had Intraoperative bleeding, 1(0.8%) had Postoperative pelvic), 2(1.6%) had complain related to DM, 1(0.8%) had complain related to Systemic lupus, 3(2.5%) had complain related to Cardiovascular disorders, 1(0.8%) had complain related to DIC, 1(0.8%) had complain related to Ovarian hyperstimulation, 1(0.8%) had complain related to Thromboembolism,