Abstract:
Background. Life-threatening situations might arise unexpectedly during pregnancy. Maternal near-miss can be a proxy for
maternal death and explained as women who nearly died due to obstetric-related complications. It is recognized as the predictor
of level of care and maternal death. Maternal near-miss evaluates life-threatening pregnancy-related complications, and it
directs the assessment of the quality of obstetric care. Objective. To determine the proportion and factors associated with
maternal near-miss at maternity wards at the University of Gondar Referral Hospital, Northwest Ethiopia, 2019. Methods. A
cross-sectional study design was carried out from March 1 to June 20, 2019, using WHO criteria for maternal near-miss at the
University of Gondar Referral Hospital. The data are from the interviews and review of 303 systematically selected participants’
medical files at maternity wards. Bivariate and multivariable logistic regression analyses were performed to analyze factors
associated with maternal near-miss, including estimation of crude and adjusted odds ratios and their respective 95% confidence
intervals and p value less than 0.05 through SPSS version 20. Result. The study revealed that the proportion of maternal nearmiss
was found to be 15.8% (95%CI = 11:9%-20.1%). In the adjusted analyses, maternal near-miss was significantly associated
with low (≤1000 ETB) monthly income (AOR = 399; 95%CI = 1:65, 9.65), seven or more days of hospital stay (AOR = 5:43; 95%
CI = 2:49, 11.83), vaginal bleeding (AOR = 2:75, 95%CI = 1:17, 6.47), and pregnancy-induced hypertension (AOR = 5:13; 95%
CI = 2:08, 12.6). Conclusion and Recommendation. The near-miss proportion was comparable to that in the region. Associated
factors were low monthly income, seven or more days of hospital stay, vaginal bleeding, and pregnancy-induced hypertension.
Thus, giving attention on early identification and treatment of these potential factors can be the opportunity in the reduction of
maternal morbidity and mortality.
