ANALYSIS OF MATERNAL MORTALITY IN A TERTIARY CARE CENTRE: A 5 YRS RETROSPECTIVE STUDY.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 11
Abstract
[b]AIMS[/b]: This study aimed to study the determinants, common causes and possible prevention of maternal mortality. [b]MATERIALS AND METHODS[/b]: Maternal mortalities in Department of Obstetrics and gynecology, Gandhi medical college, Sultania Zanana Hospital, Bhopal during 5 year period from Jan 2007- Dec 2011 were studied. The individual records of all maternal deaths occurring during the study period of 5 years were extracted from patient’s case notes and hospital record registers. Total deliveries for the period were extracted from the delivery registers. [b]RESULTS[/b] : In the year 2007-2011 total live births were 43,683 of which 338 mothers died giving cumulative maternal mortality ratio of 773.75 per 1,00,000 live births. Among 338 total maternal deaths, the maximum deaths were in the age group 20-30 years (88.16%).The death rate of mothers from rural areas was higher (65.68%).The highest number of maternal death occurred among multigravidae (46.74%) . A total of 91.72% of maternal death occurred in unbooked patients. Most were referred patients (74.55%). Most of them were illiterate (61.8%).76.62% patients died within 24 hours of admission.33.13% women died in antenatal period while 64.49% died in postnatal period. Direct obstetric causes of death accounted for 76.03% of all maternal deaths. Among the direct causes 39.64% died due to hypertensive disorder of pregnancy, 18.93% due to hemorrhage. Indirect causes accounted for 23.96% in which anemia (8.57%), malaria (3.55%) hepatitis (2.66%) were the leading causes. [b]CONCLUSIONS[/b]: This study has shown higher maternal mortality due to being a tertiary care hospital based study where more complicated and referred cases are admitted. Most maternal deaths can be prevented by providing care at grass root level, linkage between primary, secondary and tertiary care, strengthening of referral services and instituting emergency obstetric services
Authors and Affiliations
Shabana Sultan, Aruna Kumar, Divya Bhagchandani, Hena Dhingre
Keywords
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- EP ID EP117318
- DOI 10.14260/jemds/452
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