Abstract

Maternal mortality is defined internationally , as maternal death rate per 1,00,000 live births. India is among those countries, which has a very high maternal mortality ratio. The current maternal mortality ratio (MMR) in India is 212/100,000 live births.This study was done to assess maternal mortality in a tertiary medical college hospital situated in semi urban part of coastal Andhra Pradesh. A retrospective hospital based study was carried out in the Obstetrics and Gynecology Department of Government general hospital, Rangaraya Medical College a semi urban tertiary level health care referral centre in Kakinada, Andhra Pradesh, India over a period of 9 years from January 2006 to December 2014. A total 292 maternal deaths were analyzed .The mean maternal mortality rate in the study period was 341.90/100000 live births.Maximum maternal deaths (60.9%) were reported in the age group of 20 to 24 years. However a significant number of deaths (12.3%) occurred in teenage pregnancies. More deaths were reported in multiparous women (54.8%) as compared to Primiparas. (45.2%), more maternal deaths were reported in women from rural areas (80.4%) as compared to women from urban areas (19.6%).Maximum maternal deaths were reported in un booked patients (66.8%) as compared to booked patients (33.2%).The classical triad of eclampsia (47.5%),hemorrhage (28.9%), and sepsis (23.4%) was the major direct causes of maternal deaths.Anemia, jaundice, heart disease and malaria accounted for 15.5%, 22.9%, 21.1% and 7.3%of indirect maternal deaths respectively.

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