Still Too Far To Walk: A Review of Maternal Mortality in a District Hospital of Delhi
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Aims & Objectives: Epidemiological data pertaining to maternal mortality is valuable in each set up to design interventional programs to favorably reduce the ratio. This study was done to evaluate the maternal mortality rate in our hospital, to assess the epidemiological aspects and to suggest recommendations for improvement. Methods: This was a 5- year retrospective study. Epidemiological data was collected from the hospital register and maternal mortality ratio, epidemiological factors and causes affecting maternal mortality were assessed. Results: A total of 160 maternal deaths occurred out of 51629 deliveries from June 2012 to July 2017. Most maternal deaths (50.6%) occurred in the age group of 18–24 years and among multiparous (55.6%) and unbooked patients. Majority of deaths (46.9%), occurred in the postnatal period, 26.9% in the antenatal period and 15% intranatal period. Direct causes accounted for 60% of maternal deaths where as 40% of maternal deaths were due to indirect causes. Anaemia (21%) was the single most common cause of maternal mortality in our study. Out of 160 patients, 89(55.6%) were provided ICU care and surgical intervention in the form of hysterectomy, laparotomy and re-laparotomy was done in 15% patients. Majority of patients died between 7-12 hours, depicting enthusiastic resuscitation efforts of critically ill patients. Conclusion: There is a wide scope for improvement as a large proportion of the observed deaths are preventable.
Authors and Affiliations
Vinita Gupta, Seema Pundir, Anshu Sharma, Dolly Chawla, Ritu Khatuja
Keywords
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- EP ID EP369687
- DOI 10.9790/0853-1703112125.
- Views 58
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