MATERNAL MORTALITY- A DECADE’S EXPERIENCE IN A TERTIARY CARE CENTRE IN JHARKHAND
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 23
Abstract
BACKGROUND Maternal death has a huge impact on the family, society and the nation. The aim of this study was to calculate the Maternal Mortality Ratio over a period of ten years, to study the main causes and epidemiological factors of maternal death and identify areas needing targeted intervention to achieve the Millennium Development Goal-5 (MDG-5) of reducing Maternal Mortality Ratio (MMR) by three-quarters. MATERIALS AND METHODS A 10 years retrospective descriptive study of hospital records from January 2007 to December 2016 was carried out. The MMR was computed, epidemiological data was analysed, and cause of death studied. RESULTS There were 34,187 live births with 278 maternal deaths during the study period. The cumulative MMR was 813 per 100,000 live births. Majority 64.7% of maternal deaths occurred in the age group of 21 - 30 years, 71.9% were from rural area, 62.9% belonged to low socioeconomic strata and 54.3% were in multigravida. There were 76% unbooked pregnancies and 23% were referred cases. Vast majority 67.9% died undelivered and 66.18% died within 24 hours of admission. Major causes of maternal deaths included eclampsia in 42.8%, anaemia in 26.6% and haemorrhage in 19.06%. CONCLUSION Eclampsia, anaemia and haemorrhage are the major killers. Quality antenatal care, early identification of high-risk pregnancies, early referral, early identification of anaemia during pregnancy and iron supplementation along with proper referral of eclamptic patients will go a long way in reducing maternal mortality. There should be a dedicated HDU and ICU for obstetric cases in tertiary care centres along with availability of blood components in blood banks attached to these centres for dealing with massive obstetric haemorrhage.
Authors and Affiliations
Tubid Rajluxmi
Keywords
Related Articles
- EP ID EP439318
- DOI 10.14260/jemds/2018/619
- Views 107
- Downloads 0
KNOWLEDGE, PRACTICE AND ACCEPTANCE OF CONTRACEPTIVES AMONG MTP SEEKERS
BACKGROUND Unplanned pregnancy is the reason behind majority of MTPs in a developing and overpopulated country like India. The unmet need for contraception still poses a challenge despite the best efforts of the Governme...
CADAVERIC STUDY ON THIRD HEAD OF BICEPS BRACHII- INCIDENCE IN THE SOUTH INDIAN POPULATION
BACKGROUND Biceps brachii belongs to the flexor group of muscle in the arm. It is the only flexor of the arm which crosses the shoulder and the elbow joint. It has two heads long and short head which originates from the...
PERCEPTION ON DENGUE AND ITS PREVENTION AMONG CONSTRUCTION WORKERS IN MKCG MEDICAL COLLEGE CAMPUS, BERHAMPUR, ODISHA- A CROSS-SECTIONAL STUDY
BACKGROUND Dengue is a major public health concern due to rapid urban and rural infrastructure development. So a study was conducted on construction workers who are at higher risk of dengue transmission. Objectives- To a...
SURVEY OF PATIENTS ATTITUDE ABOUT ANAESTHESIA AND ANAESTHESIOLOGIST- A PRELIMINARY EVALUATION IN A RURAL HOSPITAL OF NORTH BENGAL
BACKGROUND Image of anaesthesia and anaesthesiologist in the eyes of patients is variedly reported in literature and mostly poor in developing countries. We often realised this underestimation of our risky task, inadequa...
EFFECT OF INTRAVENOUS LIDOCAINE, INTRAVENOUS ESMOLOL AND INTRAVENOUS CLONIDINE ON HAEMODYNAMIC RESPONSES TO LARYNGOSCOPY AND ORO-TRACHEAL INTUBATION IN NORMOTENSIVE PATIENTS: A DOUBLE BLINDED, COMPARITIVE STUDY
The pressure response to laryngoscopy and endotracheal intubation is without sequel in healthy individuals. In patients with pre-existing diseases, may precipitate myocardial ischemia, arrhythmias, infarction and...