An observational study to evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Background: To evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra Methods: A total of 206 cases of maternal deaths due to direct obstetric causes from January 2011 to December2015 were analysed in a tertiary care centre. Information was extracted from the patients' case-notes from Medical Record Office, the labour ward registers, the antenatal and postnatal ward registers. Results: Majority of mortality occurred in age group of 21 -29, multiparous women belonging to urban Hindu community. Most of the cases were ANC registered as the study was carried out in a tertiary care centre, however 83 % of these were referred to our hospital. Most of the mortality occurred in postpartum period in ICU set up. Most common cause was found to be haemorrhage followed by eclampsia Conclusions: Multiple and frequent deliveries in already anaemic young women is the major underlying cause of maternal mortality. Antenatal care starting early in pregnancy, detection and managing pregnancy complications, detection and treatment of associated medical disorders, institutional deliveries, proper referral facility and emergency transport, timely intervention, access to contraceptives and safe abortion services can prevent most of the deaths.
Authors and Affiliations
Niranjan N Chavan, Smurti Kamble, Neha Raj, Pradnya Changede
Keywords
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