Maternal Mortality and Associated Factors in a Tertiary Care Center of Western Nepal

Journal Title: Journal of Lumbini Medical College - Year 2017, Vol 5, Issue 2

Abstract

Introduction: Identifying the cause of maternal death is important. The aim of this study was to determine the causes of maternal deaths and the factors associated with it. Methods: This was an observational, cross-sectional, analytical study conducted at Department of Obstetrics and Gynecology, Manipal Teaching Hospital from July 2013 to June 2017. Women who died during pregnancy, delivery, or puerperium were included in the study. Demographic factors, clinical profile, cause and type of maternal deaths were noted by taking history and by inquiring with the medical personnel involved in managing patients. Data analysis was done using SPSS version 16. Results: There were 15 maternal deaths and 9923 livebirths. The maternal mortality ratio was 151 per 100,000 live births. Mean age of mothers was 28 years (SD = 7.5). Most of them were from rural areas, had low educational status. The mean gestational age at time of death was 33 weeks (SD = 7.5). Most of deaths (73%, n = 11) occurred in the postnatal period and 60% (n = 9) were critical at presentation. Direct obstetric causes like eclampsia was the most common (26.7%, n = 4) direct obstetric cause and cardiac disease was one of the important indirect cause (13.3%, n = 2). Delay in seeking health care and delay in reaching health center was the major reason for maternal deaths. Conclusion: Maternal mortality were mostly associated with direct obstetric causes, eclampsia being the most common. Most of the deaths were associated with delay in seeking health care and reaching health care centers.

Authors and Affiliations

Junu Shrestha, Sangeeta Gurung, Ashika Shrestha, Anjali Subedi

Keywords

Related Articles

Seasonal Variation of Pediatric Dermatoses: A Hospital Based Study in Western Hilly Nepal

Introduction: Skin diseases are common in children; however they differ depending in age, region, socioeconomic status and climate. Many studies have been done to study pattern of dermatological disease in pediatric age...

Thyroid Function Abnormalities among Hospital Patients of Hilly Nepal

Introduction: Thyroid dysfunction stands as the second most common endocrine disease after diabetes mellitus. National reports on its prevalence are meagre. Hence, the study was conducted with the objective of exploring...

A Segmental Fracture of Humerus with Ipsilateral Forearm Fracture: A Rare Variant of Pediatric Floating Elbow Injury

Introduction: Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature. Case report: We present a case report on such a complex injury in a 9-year...

Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit

Introduction: The need for critical care support and admission to intensive care unit (ICU) in obstetric population is infrequent. The proportion ranges from 0.1 to 8.5%. Yet, obstetric admissions to ICU and mortality co...

Health Insurance: New beginning to Health Care in Nepal

EDITORIAL: 'Health Insurance' is a relative term that relates to a contract wherein the individual contributes a regular premium with the expectation that if something happens to the individual in question (insure), the...

Download PDF file
  • EP ID EP248707
  • DOI 10.22502/jlmc.v5i2.151
  • Views 113
  • Downloads 0

How To Cite

Junu Shrestha, Sangeeta Gurung, Ashika Shrestha, Anjali Subedi (2017). Maternal Mortality and Associated Factors in a Tertiary Care Center of Western Nepal. Journal of Lumbini Medical College, 5(2), 58-63. https://europub.co.uk/articles/-A-248707