The Safe Motherhood Initiative - Maternal Health in the Community, Caring for Future

Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7

Abstract

Introduction: Maternal mortality is a very sensitive index of MCH SERVICES in the community. It reflects not only the inadequacy and quality of maternal services but also in reality it is an index of the socioeconomic status, poverty, ignorance and social customs of people. Study was done to determine various factors that affect obstetric emergencies. Material and Methods: Retrospective study was conducted on 640 consecutive non booked cases and 252 consecutive booked cases of obstetric emergencies who attended department of OBGY of RIMS srikakulam during a period of one year from 1st September 2014 to 31st august 2015. Data was collected by simple random sampling technique by taking random number as 5, every 5th patient whoever attends emergency department of OBGY until the sample size was obtained. Chi square test was used to find the significance. Results: Prevalence of Obstetrics emergency in non booked case was 29.7% and 4.49% booked cases. Majority of the booked and non booked cases belong to low socio-economic status (57.59% and 53.05 respectively). Occurrence of obstructed labour in21.8%, eclampsia (9.91%), APH (9.47%), third stage complications (5.41%) and rupture of the uterus (2.86%). Maternal mortality was 10 out of 902 cases. 71% of Obstetric emergencies are non booked cases had no anti natal checkups. 84.58% of non booked Obstetric emergencies were illiterates when compared to 19.42% of booked Obstetrics. Conclusion: Establishment of 1st referral institutions for skilled care by improving community health centers where staff must be trained in the essential Obstetrics functions. Proper referral system and provision of large number of peripheral maternity units. Improvement of communication and transport system. Maternal death review Audit to find out lacunae, ultimately education, uplifting the social economic status of the humanity.

Authors and Affiliations

K. Rajya Lakshmi, Koram Ananya Jyothi

Keywords

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  • EP ID EP427117
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How To Cite

K. Rajya Lakshmi, Koram Ananya Jyothi (2017). The Safe Motherhood Initiative - Maternal Health in the Community, Caring for Future. International Journal of Contemporary Medical Research, 4(7), 1617-1620. https://europub.co.uk/articles/-A-427117