DefinePK

Abstract

Maternal near-miss events (instances in which women survive life-threatening obstetric complications) offer a valuable lens for evaluating the quality of maternal healthcare systems. In Nigeria, where maternal mortality remains unacceptably high, near-miss cases are often underreported and under analyzed. This paper explores the role of family physicians (FPs) in reducing maternal near-miss events through early identification, timely intervention, and coordinated care, drawing on insights from a multi-facility review in Lagos. The analysis highlights common clinical drivers of near-miss events, including postpartum hemorrhage, preeclampsia/eclampsia, and sepsis, often exacerbated by systemic delays in care. Family physicians are shown to mitigate these risks by introducing structured interventions such as routine use of partographs, maternal early warning systems, and emergency obstetric drills. They also lead community outreach programs aimed at improving birth preparedness and recognizing danger signs during pregnancy. Furthermore, their mentorship of non-physician staff and integration of team-based protocols enhance both facility readiness and care quality. The paper advocates for integrating maternal near-miss audits into family medicine residency curricula to strengthen quality improvement competencies. It also calls for expanded continuing education opportunities, peer-support structures, and policy frameworks that formally recognize FPs as essential contributors to maternal care. Finally, investments in rural infrastructure and referral capacity are recommended to support FPs working in underserved areas. By leveraging the unique skill set and placement of family physicians, Nigeria can better address systemic gaps in obstetric care, reduce preventable maternal morbidity, and advance toward its maternal health goals.
 Keywords: Maternal Near- Miss, Family Physician, Maternal Health, Primary Care.