Autopsy study of maternal death in a tertiary care centre
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Aims The main objective is to study the gross pathology and microscopy of all organs in cases of maternal death establish clinicopathological correlation to ascertain the exact cause of death and classify them into direct or indirect causesSettings and Design Cross sectional study of all medical autopsiesMaterials and Methods A cross sectional study of all medical autopsies performed on deaths related to pregnancy at our tertiary care hospital over a period of four years A total of 100 cases were studied Maternal mortality autopsies where medico legal implications were involved or unnatural deaths not related to pregnancy were excluded from the studyStatistical Analysis used NilResults The maximum no of maternal deaths occurred in the age group 2024 years 45 followed by 3034 years 19 62 of patients in our study were multigravidae Majority of maternal deaths were seen in the postpartum period 75 In the antepartum period maximum number of maternal deaths occurred in 3rd trimester 14 Our study revealed majority of maternal deaths were due to indirect causes 76 Pregnancy induced hypertension was the most common direct cause of death 9 The majority of cases were due to infectious aetiology 45 while the other indirect causes were sepsis 14 coagulopathy 8 and hemodynamic 8Conclusion The higher MMR in our study could be attributed to the fact that ours being a tertiary and referral care hospital where patients are referred late and most of them are complicated cases and in serious condition at the time of admission The low socioeconomic status of the patients delay in referral and nonutilisation of the available antenatal care could be the major contributing factorsOur study revealed majority of maternal deaths were due to indirect causes especially respiratory infections and hepatitis Increased incidence of indirect causes reflect the present health care system So adequate prenatal testing for these causes infections improving the nutritional status sanitation can help in lowering the maternal mortality rateKeywords Autopsy Maternal death
Authors and Affiliations
Shruti Chandrakar, Anitha Padmanabhan
Keywords
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- EP ID EP475995
- DOI 10.18231/2394-2754.2018.0114
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