This study aimed to assess the factors associated with maternal near-miss among women admitted in public hospitals of West Arsi zone, Ethiopia. 

A facility-based unmatched case-control study was conducted. Three hundred twenty-one study participants were involved in the study. Cases were recruited consecutively as they present, whereas controls were selected by the systematic sampling method. They fulfilled at least one of the maternal near-miss disease-specific criteria, while controls were women admitted and gave birth by standard vaginal delivery. 

The primary maternal near-miss morbidities were severe obstetric hemorrhage, pregnancy-induced hypertensive disorders, and obstructed labor, followed by 6.3% and 3.8% of severe anemia and pregnancy-induced sepsis. The odds of maternal near-miss were statistically significantly associated with women’s lack of formal education. They were not attending antenatal care, having a prior history of cesarean section, any preexisting chronic medical disorder, and having experienced the first delay. 

The study concluded that maternal education, antenatal care, chronic medical disorders, previous cesarean section, and first delay of obstetric care-seeking were identified as factors associated with maternal near-miss morbidity. Therefore, this finding implies the need to get better with those factors to preclude severe maternal complications and subsequent maternal mortality.