MATERNAL MORTALITY AT A TERTIARY CARE TEACHING HOSPITAL OF KERALA, SOUTH INDIA – A RETROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 34
Abstract
Maternal death has been recognized as an area of maternal care that requires urgent attention. Making efforts to decrease maternal mortality is a matter of great concern to the obstetricians. MMR is a very sensitive index that reflects quality of reproductive care provided to the pregnant woman. [b]OBJECTIVES[/b]: To assess the causes of maternal death and trends over a period of 5 years from July 2007 to July 2012 at a tertiary care teaching hospital of Kerala, South India. [b]DATA[/b] [b]AND METHODOLOGY[/b]: A retrospective hospital based study of maternal deaths which occurred over a period of 5 years from July 2007 to July 2012. The data regarding demographic profile and reproductive parameters were collected from patient’s records. The results were analysed using percentage and proportion and Pearson’s chi square analysis. The results have been compared with the scenario that existed 10 years ago. [b]RESULTS[/b]: Over the study period there were 80,490 deliveries, (80217 live births) and 87 maternal deaths giving an MMR of 109/1, 00,000 LB. PPH was the most common direct cause while heart disease in pregnancy was the most common indirect leading cause. Most women died within 48 hours of admission. The age group 19-29 years was most affected. [b]CONCLUSIONS[/b]: Most maternal deaths are preventable. Obstetric hemorrhage, toxemia of pregnancy and sepsis are the classic triad of the most important causes of maternal deaths. The provision of skilled care and timely management of complications can lower MMR in our setup. It’s heartening to realize that our MMR was definitely touching MDG target, but Kerala overall has the distinction of having a MMR of 81 in 2007-2009 statistics as published by SRS, office of Registrar General, India.
Authors and Affiliations
Bindu VijayKumar, Uma Devi, Suneetha Kalaam, Ajitha
Keywords
Related Articles
- EP ID EP106484
- DOI 10.14260/jemds/1156
- Views 78
- Downloads 0
EVALUATE THE EFFECT OF CIGARETTE SMOKING IN LIPID PROFILE, BODY MASS INDEX (BMI), BLOOD PRESSURE (BP), RESTING HEART RATE AND RR INTERVAL IN HEALTHY SMOKERS AND COMPARE IT WITH NON-SMOKERS
BACKGROUND Cigarette smoking is an important and independent risk factor for atherosclerosis, coronary artery disease, peripheral vascular disorders, cerebrovascular diseases, cancer and for chronic obstructive airway di...
A COMPARATIVE STUDY OF SURGICALLY INDUCED ASTIGMATISM IN MANUAL SMALL INCISION CATARACT SURGERY AND PHACOEMULSIFICATION IN SENILE CATARACT
BACKGROUND Cataract surgery is the most frequently performed surgical procedure. The surgical outcome in terms of visual acuity depends on surgical technique and type of intraocular lens used. In this article, we are com...
KNOWLEDGE AND PRACTICES AMONG MOTHERS AND CAREGIVERS REGARDING NEONATAL WARMTH CARE AND TO DETECT HYPOTHERMIA WITH HEALTH EDUCATION USING THERMOSPOT IN POSTNATAL WARD AT GOVERNMENT GENERAL HOSPITAL, KAKINADA
BACKGROUND Neonatal hypothermia is increasingly recognized as a major cause of neonatal morbidity and mortality. Warmth care is an essential component of newborn interventions to reduce neonatal mortality. The present st...
AN OVERVIEW OF ANTI-TUBERCULOSIS TREATMENT (ATT) IN CAT I NEWLY DIAGNOSED CASES OF TUBERCULOSIS IN RNTCP
BACKGROUND Tuberculosis (TB) remains a global public health problem and a major cause of death from a single infectious agent among adults in India and other developing countries. The aim of this study is to characterise...
BREAST LUMP- A CLINICOPATHOLOGICAL STUDY
BACKGROUND Breast lumps are showing a rising trend nowadays. Heightened anxiety associated with breast lump and its classification into benign and malignant is necessary. Seeing the burden of disease and rising trend of...