Analyzing the etiology behind mortality associated with antepartum, intrapartum and post-partum cases in a tertiary care teaching hospital of West Bengal (original) (raw)
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Assessment of Causes of Maternal Death in 1 Year at a Tertiary Center of Central India
Asian Journal of Pharmaceutical and Clinical Research
Background: According to the definition of maternal mortality, it is the “death of a woman while pregnant or within 42 days following termination of pregnancy, irrespective of the site and duration of pregnancy, from any cause connected to or aggravated by the pregnancy or its management but not by accidental or incidental cause.” Studying maternal mortality and factors contributing to maternal deaths at Bundelkhand Medical College for 1 year from January 2021 to December 2021 to identify causes that can be avoided and use the knowledge, thereby produced to lower maternal mortality. Methods: A retrospective cross-sectional study of all maternal deaths from January to December 2021. The causes of death and the time between admission and death for each maternal death were thoroughly examined. Results: The Maternal mortality ratio in the present study was found to be 357.7/100,000 live births for the year 2021. Antepartum eclampsia was found most prevalent cause of maternal mortality i...
ASSESSMENT OF CAUSES OF MATERNAL DEATH IN 1 YEAR AT A TERTIARY CENTER OF CENTRAL INDIA Authors
Asian Journal of Pharmaceutical and Clinical Research Journal, 2022
Background: According to the definition of maternal mortality, it is the “death of a woman while pregnant or within 42 days following termination of pregnancy, irrespective of the site and duration of pregnancy, from any cause connected to or aggravated by the pregnancy or its management but not by accidental or incidental cause.” Studying maternal mortality and factors contributing to maternal deaths at Bundelkhand Medical College for 1 year from January 2021 to December 2021 to identify causes that can be avoided and use the knowledge, thereby produced to lower maternal mortality. Methods: A retrospective cross-sectional study of all maternal deaths from January to December 2021. The causes of death and the time between admission and death for each maternal death were thoroughly examined. Results: The Maternal mortality ratio in the present study was found to be 357.7/100,000 live births for the year 2021. Antepartum eclampsia was found most prevalent cause of maternal mortality in 39% cases. Other causes were pregnancy induced hypertension, severe anemia, retained placenta, hepatitis with multi organ failure, septic shock, and ruptured uterus. Conclusion: Maternal mortality is indicator of health-care services of a nation. Better awareness and early referral can help in reducing maternal mortality significantly.
Background: Avoiding maternal deaths is possible even in resource-limited countries, but r correct information on which to base maternal health programmes is required. Knowing the level of maternal mortality is not enough to prevent further deaths; there is need to understand the underlying factors that led to the deaths. Maternal death review is one of the oldest and the most documented methods that can be effective in improving emergency obstetric care and maternal outcomes. Objectives: To study the maternal deaths in a District level tertiary health care unit so as to find the determinants of maternal mortality and suggest local solutions. Methods: Maternal deaths occurring in a tertiary care district hospital were analysed using maternal death review form. Socio demographic profile, antenatal care, labour and delivery parameters and cause of death was studied. Analysis was done using computer software stata. Results: In the present study there were 12 maternal deaths among 4953 deliveries giving a Maternal Mortality ratio of 242.27 per 1,00,000 live births. Pulmonary embolism was the leading cause of death complicating obstetric disorders of pregnancy induced hypertension and eclampsia. Most of the women died in the postpartum period. The affected population was rural, illiterate and belonged to the 19-29 years age group. Conclusions: Maternal death review is an important tool for delineating the causes of maternal deaths and finding cause specific and need based local solutions for curtailing maternal mortality.
2015
Introduction: Pregnancy, although being considered a physiological state, carries the risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor or thereafter. Maternal death has serious implications for the family, the society, and the nation. Maternal mortality is universally considered as human development indicator in a country and determines the health status of the people. Method: A retrospective hospital-based study of 65 maternal deaths was conducted over a period of 1-year from January 2014 to December 2014 in respect to maternal age, parity, booking status, residence, referral, socioeconomic class, admission death interval, and cause of death. Result: Over the study period, there were 6277 deliveries, 5761 live births, giving a maternal mortality ratio of 1035 per 100,000 live births. Eclampsia was the leading direct cause and anemia the leading indirect cause. The age group of 20 to 30 years was cruci...
A five years retrospective analytic study of maternal deaths at tertiary care centre, Gujarat, India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Background: Maternal mortality is one of the major challenges which face the developing countries throughout the world. The aim of the study is to assess the causes of maternal mortality at P.D.U. Medical College, and to identify the avoidable ones. Methods: Data were collected from records of patients who presented to and/or delivered at P.D.U. Medical College between 2011 and 2015. Only cases of maternal mortality were included in this study. In our study, we found 120 maternal deaths at our hospital between 2011 and 2015. Results: We found that the indirect causes of maternal mortality accounted for 29.3% of all mortalities. The leading cause of death in the 5 years was uncontrollable postpartum haemorrhage (23.3%), preeclampsia with its complications (15.8%), Anemia (14.1%), Abruption placentae 12.5% and Septicaemia 5% .Direct maternal deaths accounted for 70.7%. Conclusions: Preeclampsia and PPH, as well as their complications are the leading causes of death in one of the biggest tertiary care university hospitals in Egypt. However, there are other important avoidable predisposing factors that should be dealt with including lack of patient education, delayed transfer from other hospitals, and substandard practice.
Trends of maternal mortality at a tertiary health care centre in India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of duration and site of pregnancy from any cause, related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.Methods: A retrospective study was conducted by reviewing the hospital records to study the maternal deaths and complication leading to maternal death over the period of one year from January 2019 to December 2019 in the department of obstetrics and gynecology, LTMMC and Sion Hospital.Results: The maternal mortality ratio in the present study 548/100000 live births and corrected MMR’s 190/live births. There were 49 deaths of 8093 live birth during the study period. The majority of deaths occurred in the 20-30 age group. Hemorrhage (22.4%) and hypertensive disorder (14.2%) are two most common direct cause of maternal deaths. 46.9% of maternal deaths occurred after 72 hours of death. Indirect cause accoun...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Maternal mortality ratio (MMR) is still high in many developing countries. In Southern India, the maternal mortality is highest in the state of Karnataka. Therefore, a study was conducted at BLDE (DU) Shri BM Patil medical college, hospital and research centre to study the causes of maternal deaths, and to make recommendation to reduce the maternal mortality.Methods: A retrospective analysis of all the maternal deaths between 2012 to 2019 was done.Results: A total of 58 women died due to pregnancy and its complications during the period of 2012-2019. Average age of death was 25.42 years. It was noted that 70.7% of the patients travelled over 30 km to reach Vijayapura city. The predisposing causes of death were post-partum haemorrhage (44.8%) eclampsia (18.9%), anaemia (17.2%), pulmonary or amniotic fluid embolism (12.1%), sepsis (10.3%) antepartum haemorrhage (3.4%) and cardiac disease (6.9%). A death each occurred in patients suffering cholestasis and adult respiratory...
A Study of Maternal Mortality in a Tertiary Health Care Centre in West Bengal
Journal of Evolution of Medical and Dental Sciences, 2013
Data regarding detailed case history, routine antenatal investigations, time of detection of deteriorating patient status with treatment instituted along with referral card, if any, was collected. Data was collected and analysed using MS Excel and Stat cal. RESULTS: 48 maternal deaths were studied. Maternal deaths were notably more among rural ladies. Deaths were more due to direct causes and more among vaginal deliveries than instrumental deliveries and caesarean sections. Maximum number of deaths was within 24 hours of admission. CONCLUSION: Early registration, immunization, regular antenatal visits, trained birth attendants along with institutional deliveries, prompt referral and timely interventions go a long way in bringing down maternal mortality in a developing country like India.
Changing trends of maternal death –A five years study in a rural medical college in India
IOSR Journal of Dental and Medical Sciences, 2014
This is a retrospective case series study. Methods & Materials: This study was conducted by analyzing death records of all maternal death that died over period of five years from January 2009 to December 2013. The demographic record included age, parity, booking status and education, the cause of death and possible contributing factors were evaluated. Concslusion: Eclampsia, hemorrhage and Sepsis are still the major killers. Factors which need urgent improvement include education, antenatal booking, early diagnosis and referral to tertiary care centre.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Globally, about 800 women die every day of preventable causes related to pregnancy and childbirth; 20 per cent of these women are from India. The study is aimed at evaluating maternal deaths over a period of three years at a tertiary care centre of Dehradun, India.Methods: This was a retrospective study conducted in the Department of Obstetrics and Gynecology at SGRRIMHS, Dehradun. The case record files of all maternal deaths from January 2015 to December 2017 was obtained from medical record section of the hospital. Maternal age, parity, educational status, antenatal registration, mode of delivery, admission death interval and causes of each maternal death was noted and analysed statistically.Results: There were 48 maternal deaths from January 2015 to December 2017.Maximum deaths were in the age group of 21-25 years. The maternal mortality ratio over a period of three years was 671 per one lac live births. Most of the maternal deaths were due to direct causes like hemor...