Maternal mortality estimates for the year 2015-16 at district of Tumakuru: a revisit to dynamics of maternal mortality ratio in India
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 1
Abstract
Background: Maternal mortality has been burden to the health care system and the society. It is rightly considered as a measure for efficiency of health care system of a given community and it is considered as one of the indicators of reproductive health care. The African and south Asian countries have failed considerably, as seen in historical data of these regions. Objective of this study: India committed to work towards Millennium Development Goal by being a signatory of United Nation Millennium Declaration in the year 2000. MDG5A calls for 75% reduction in MMR between 19990 and 2015. National targets were set and monitored byinternational and national agencies. This study is taken out of interest to know the performance at the district level and relate the results with the performance at state, national and international level. Material and Methods: The pooled data for maternal death is maintained atthe district level by the Reproductive Health Office, which works under the purview of District Health Officer. Data for the year April 2015-March 2016 is taken for analysis. Results: Total number of live births was 34432 among them 34321 were Institutional deliveriesand 111 were home deliveries. Total number of maternal deaths were 20 and Maternal mortality ratio was 58.086 per 1,00,000 live births: Among maternal deaths 19(95%) delivered in hospital as compared to home delivery 1(5%); .4 (20%) died anteparrtum, 9(45%) died intrapartum, 7 (35%) died postpartum. 11(55%) had less than 3 antenatal care visits, 9(45%) had more than 3 visits; 2(10%) were aged less than 20 years, 15 (75%) were aged between 20 and 30 years and 3(15%) were aged above 30 years; 7(35%)were nulliparous, 12(60%) were between p2 and p5, 1(5%) was more than p5.18(90%) were from rural background 2(10%) were from urban. Conclusion: There has been a mixed trends in achievement in reduction of MMR (Maternal Mortality Ratio). The area where study was conducted had satisfactory achievements, mainly because of it being a developed district, socially and economically. However, the achievements towards MMR reductions have wide disparities between districts in the state and states within the country. South Indian states have a better performance as compared to north Indian states. None of the states achieved the targets set for 2015 under MDG5a. More efforts are required for achieving new target set under SDG by 2030.
Authors and Affiliations
Girish BL, Indira N, Nandagopal KM, Omkarmurthy K
Pattern of spousal physical abuse and associated factors among pregnant women attending antenatal clinic in Uyo, Nigeria
Background: Spousal physical abuse among pregnant women continues to occur in our environment due to dysfunctional marital social relationships, against the backdrop of violation of the rights of affected women with poss...
Study of cervical PAP smear at medical college hospital in a rural setup
Background: Cervical carcinoma was once the most frequent form of cancer in women around the world. Since the introduction of the papanicolaou(pap) smear 50yrs ago, the incidence of cancer cervix has plummeted. It remain...
Uterine rupture- A 10 years review in tertiary hospital
Uterine rupture is a known potential catastrophic obstetric complication accounting for 93 of maternal deathsAim of this study is to evaluate the incidence identify the risk factors as well as complications and to know t...
A rare case of posterior wall uterine rupture in Non-Scarred Uterus
A 30 year old female, gravida 3, para 2 with two previous full term normal vaginal deliveries and a history of 9 months of amenorrhea was referred to C. U. Shah Medical college and Hospital for severe anemia with complai...
A prospective trial to study the safety and effectiveness of oral RU-486 (mifepristone) and Prostaglandin analogue (misoprostol) in missed abortion
Aim: To evaluate the effectiveness of oral Ru-486 (mifepristone) and Prostanglandin analogue (misoprostol) in facilating spontaneous abortions in pregnant women with missed abortion and also to study its safety and side-...