Maternal Mortality in India: Current status and alternative strategies to reduce (original) (raw)
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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...
Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years Review
Journal of Medical Science And clinical Research
The key to the progress of a country lies in reducing it's maternal morbidity and mortality. The maternal mortality rate has gone down since 1980 however it has still not achieved the target level hence to give a better assessment to the problem of maternal mortality, a retrospective study on maternal mortality ratio and it's causes has been carried out. Objective of the study was to find out the maternal mortality ratio and its causes of five years (2012-2016) in a tertiary care hospital situated in Central India. Methods: A retrospective study done at a tertiary level care centre from January 2012 to December 2016. Data was collected of maternal death from medical record section. Data studied and analysed. Results: The mean maternal mortality ratio was recorded 555.84 per 100 000 live births. Highest in the year 2016 i.e 632 per 100 000 live births and the lowest maternal mortality ratio was in the year 2013 i.e 404 per 100 000 live births. Maternal mortality was more than 80% among the age group of 20-30 years as compare to the <20 years and > 30 years. About 65.8% of maternal death were due to the direct causes and 34.2% were due to the indirect causes. The leading direct cause was sepsis (34.2%), while indirect (18.35%) leading cause was infectious disease (15.7%). Conclusion: Being the tertiary care hospital where patients were referred from the periphery the maternal mortality ratio which was record based was found to be on higher side. Direct causes contributes more as compare to indirect causes. So emphasis should be made to reduce the maternal mortality by early registration, regular ANC & PNC visit, early detection of complication & it's prevention, early identification of high risk pregnancies and timely referral to higher centre.
Maternal mortality assessment in a tertiary care hospital in Uttar Pradesh, India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2020
Background: Objective of this study was to calculate the maternal mortality rate in our hospital and to assess the epidemiological aspects and causes of maternal mortality to further analyse ways to reduce the maternal mortality rate (MMR).Methods: This was a retrospective analytical study done in the department of obstetrics and gynecology, MLN Medical College and District Women Hospital, Prayagraj over a time period of 10 years i.e., October 2009 to October 2019. Retrospective analysis and evaluation of the medical records and statistics was done to find out and collect specific causes of maternal deaths in the give time period.Results: There were 357 maternal deaths from October 2009 to October 2019. Maternal mortality rate in the study was calculated to be 498.42 per 1 lakh live births. Maximum deaths were in 21-30 years age group with multipara, unbooked and illiterate cases. Majority of the deaths reported were from direct causes of maternal mortality i.e., hemorrhage, hyperte...
A study on maternal mortality in a tertiary care center in South India
IP innovative publication pvt. ltd, 2019
Introduction: Maternal mortality has long been considered as a very good indicator for healthcare quality provided. Pregnancy is considered to be a physiological phase in the lifetime of a woman carrying serious implications on morbidity and mortality. It has been agreed upon that many of the maternal deaths in developing countries can be prevented. Aim: To study the prevalence of maternal mortality between March 2014-March 2018 in our hospital. Methods and Materials: It’s a retrospective observational study done at a tertiary care centre in southern part of India. Maternal deaths from March 2014 to March 2018 were looked into. Maternal mortality ratio and causes for the maternal deaths were analyzed and compared. Demographic details were collected and data regarding parity, mode of delivery, gestational age at delivery, antenatal check-ups, co morbid conditions, causes of death were noted and neonatal outcomes were noted. Results: Overall live births in the period between March 2014-March 2018 were 18978, of which the number of LSCS were 9590(50.5%), the number of vaginal deliveries were 9388(49.5%), the number of maternal deaths were 39(MMR-205/100000 live births).The leading cause was sepsis 48.6% followed by postpartum hemorrhage (20%). The most common indirect cause was anemia (42.85%). Conclusion: Sepsis & hemorrhage emerged as the greatest killers. Many of the reasons of maternal mortality were found to be preventable. Early identification and stratification of risks with prompt initiation of necessary management measures are necessary to prevent these deaths.
Maternal Mortality in India: A Review of Trends and Patterns
2015
This paper discusses the trends and patterns in reduction in maternal mortality in India, and focuses on highlighting inter- and intra-state disparities. We find that the trends in the maternal mortality ratio (MMR) for the past two decades do not commensurate well with the observed improvements in the socioeconomic indicators of the country. High maternal mortality in India, particularly across empowered action group (EAG) states, is a critical policy concern.
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...
Indian Journal of Medical Specialities, 2013
Introduction: Maternal mortality rates in India are on the decline, but are high as compared to developed nations. This study aims to analyse the causes and factors contributing to maternal mortality. Methods: Retrospective study was conducted at a tertiary care centre; and individual records between January 2006 and June 2011 were analysed for demographic profile and causes of maternal deaths. A total of 37 maternal deaths had occurred. Results: During the study period, there were 27,853 deliveries, 27,280 live births and 37 maternal deaths. Unbooked cases (n=25, 67.6%) and referred cases (n=22, 59.45%) accounted for the majority of maternal deaths. 19 (51.3%) maternal deaths were due to direct causes and 18 (48.7%) were due to indirect causes. The principal cause of direct obstetric deaths were haemorrhage (antepartum haemorrhage and postpartum haemorrhage)-6 deaths (16.2%) and hypertensive disorders (pregnancy induced hypertension in 2 (5.4%) and eclampsia in 2 (5.4%)). Two deaths (5.4%) were post medical abortion due to sepsis and haemorrhage. Tuberculosis 4 (10.8%), Hepatitis 4 (10.8%) and heart disease 3 (7.1%) were the main causes of indirect deaths. Majority of the deaths (n=25, 67.5%) occurred in postpartum period. Anaemia, twin pregnancy, previous caesarean section and intrauterine foetal death were contributing factors in maternal mortality. Conclusion: Maternal death audit helps in identifying causes of maternal deaths, level of delay and in formulating policies and protocols for further preventive action. Early diagnosis and proper management of concurrent medical illness can help in significantly reducing maternal mortality.