Epidemiology of maternal death in a tertiary care centre
Journal Title: The New Indian Journal of OBGYN - Year 2019, Vol 5, Issue 2
Abstract
Objectives: To estimate the maternal mortality rate and to study the related factors responsible for the maternal deaths during the period from 2011 to 2016. Materials and methods: The present study was a retrospective record based study carried out from maternal death registers and Maternal Death Review (MDR) forms. The live birth records were obtained from labour room registers. Results: The institutional MMR was calculated to be 468.18 per 1,00,000 live births. The most common age (mode) of death was seen among women of 20 years; with 92.2% of deaths among women of rural area and 55% deaths were recorded in the tea tribe community alone. Most (54.4%) of the deaths were found amongst the primigravida. It was observed that 36.1% of the deaths occurred due to hypertensive disorder followed by haemorrhage (20.6%) and sepsis (10.6%). Anemia contributed 7.7% to the deaths and 1.7% was due to obstructed labor. Other causes included ruptured ectopic, ARDS, pulmonary embolism, DIC, rupture uterus. Conclusion: In the present study, many deaths have occurred due to hypertension, haemorrhagic and anaemic causes and many of them did not receive adequate antenatal attention.
Authors and Affiliations
Pranjal Tamuli, Hemkanta Sarma, Abu Hasan Sarkar
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