Maternal mortality trends in “Tropical Country” (original) (raw)
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A comprehensive study on maternal mortality at a tertiary care hospital
IP innovative publication pvt. ltd, 2019
Introduction: Maternal mortality, according to WHO is defined as “the death of women while being pregnant or within 42 days of termination of pregnancy, irrespective of duration and site of pregnancy, from any cause related or aggravated by the pregnancy but not from accidental or incidental cause”. Maternal death is classified as Direct and Indirect maternal death. About 99% ofMMRoccur in developing countries. Hence the present study has been taken up to analyze cause of maternal mortality in tertiary hospital. Aim: Our study aims to analyze the cause and incidence of maternal mortality in a tertiary care hospital Materials and Methods: Present Study is a, Retrospective study conducted in Cheluvamba hospital, MMC&RI which is a tertiary care hospital. We have analyzed all maternal deaths, which were reported in the institute during the study period starting from 1st January 2015 to 31st May 2019 (4 years 5 months). Results: There were 52,896 deliveries in our institute during the study period. 60 maternal deaths were reported. Maternal mortality rises with high degree of parity as noted in the study, multigravida (56.7%). 55% cases were unbooked. The major cause of death was attributed to Hypertensive disorders of pregnancy (45%) and second major cause is anemia (41.7%). Conclusion: Enhancing women’s access to basic health care facilities, regular Antenatal care, high risk pregnancy detection and its management and basic health education helps in reducing maternal mortality.
Study of Maternal Mortality in a Tertiary Care Hospital, KGH
Background: Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from the accidental or incidental causes. Maternal mortality is a key indicator of health services provided to population and reflects the health status of community. Methodology: This is a retrospective study of maternal deaths that occurred in King George Hospital, Visakhapatnam over a period of 1year (January 2019 to December 2019). Data is analysed using case sheets. Various causes of maternal deaths in this teaching hospital are identified. Results: In the study period there were 7568 deliveries and 69 maternal deaths. The direct causes accounted for 45 with hypertensive disorders, haemorrhage, sepsis as leading causes of maternal mortality. The indirect causes accounted for 24 with dengue fever, anaemia, heart disease and jaundice as leading causes of maternal mortality. Conclusion: Health education, regular antenatal checkups, early recognition of high risk cases, timely intervention, early referral, better transportation services in remote and tribal areas are needed to reduce maternal mortality.
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.
Analysis of causes of maternal mortality in tertiary care center, 11 years study
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: Objectives to study the causes of maternal mortality and the complications leading to maternal death.Methods: A retrospective study of hospital records and death summaries of all maternal death over a period of 11 years from January 2008 to December 2018 was carried out at tertiary care hospital, Mumbai.Results: There were a total of 459 maternal death out of 36930 live birth giving maternal mortality rate mean maternal mortality ratio (MMR) of 1242 per 100000 live births. Unregistered and late referral account for maternal death. The majority of women were in 21-30 years age group in 20 to less than 37 weeks of pregnancy. The commonest cause of death was due to hepatitis infection 129 (28.1%), sepsis 52 (11.32%), PIH including eclampsia 46 (10.02%), cardiovascular diseases 33 (7.18%), haemorrhage 31 (6.75%), Kochs 31 (6.75%) and respiratory diseases 22 (4.79%).Conclusions: Maternal mortality can be reduced by identifying causes which are preventable and giving timely tr...
Indian Journal of Obstetrics and Gynecology Research, 2020
Introduction: Pregnancy is not a disease state but sometimes it leads to severe morbidity and carries risk for mortality. Maternal death not only affect family but it also has an impact on society as well as nation. Maternal mortality rate is reflection of the quality of health care services provided by the country to the women population. Materials and Methods: This is a retrospective study of maternal deaths using facility based maternal death review forms supplied by Ministry of Health and Family Welfare Government of India filled by doctor on duty at that time as a baseline document. Results: This study shows that major cause of maternal mortality in tertiary care centre was hypertensive disorders of pregnancy however hypertensive disorder of pregnancy alone was not the only cause of maternal death, it was complicated with different other causes like ARDS, APH, HELLP syndrome, PPH, Sickle cell disease, ARF, DIC, severe Anaemia and many others. Hypertensive disorders of pregnancy contributed 33% of all deaths whereas Sepsis (12%), Hepatitis (10%), Haemorrhage (8%), Heart Disease (7%), Anaemia (5%), ARDS (5%), Sickle Cell Crisis (4%), Amniotic Fluid Embolism (2%), Diabetes Mellitus (2%) and others (12%). Conclusion: Most maternal deaths are preventable by optimum antenatal, intranatal and postnatal care. Early referral of high risk pregnancies to tertiary care centre will definitely change the outcome.
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...
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.
Study of maternal mortality in a tertiary care hospital in a tribal KBK area of Odisha, India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Pregnancy, although being considered a physiological state, carries risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor, or thereafter. The major causes of maternal mortality are mostly preventable through regular antenatal check-up, proper diagnosis, and management of labor complications. Therefore, the factors at different levels affecting the use of these services need to be clearly understood. The aim is to study the incidence of MMR, assess the epidemiological aspects, causes of maternal mortality and avoidable factors that can prevent maternal deaths.Methods: A retrospective hospital-based study was conducted in obstetrics and gynecology department, SLN MCH, a tertiary care referral hospital in a tribal area of southern Odisha over a period of 2 years from April 2017 to March 2019.Results: A total of 108 deaths were analyzed over 2 years period and MMR was calculated to be 1124/1 lakh li...
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...
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.