Maternal mortality-a three-year retrospective study in a rural medical college of India

Authors

  • Jayasree Hansda Department of Obstetrics and Gynecology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
  • Debobroto Roy Department of Obstetrics and Gynecology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
  • Krishnapada Das Department of Obstetrics and Gynecology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
  • Manojit Sarkar Department of Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
  • Rumpa Das Department of Obstetrics and Gynecology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
  • Arpita Pramanik Department of Obstetrics and Gynecology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212947

Keywords:

Eclampsia, Hemorrhage, Maternal mortality, Preeclampsia

Abstract

Background: Maternal mortality is a tragic event as family revolves around a mother. The deadly obstetrical triad of hemorrhage, preeclampsia and infection has accounted for a third of all deaths. This study was conducted to assess maternal mortality ratio, demographic profile and causes of maternal death.

Methods: This retrospective longitudinal study was conducted in the department of obstetrics and gynecology for a period of three years from 1st January 2018-31st December, 2020. Total no of death during this period was 134.Records of deaths and demographic profiles were retrieved from the medical record library of aforesaid hospital.

Results: There were 134 maternal deaths amongst 56815 live births with MMR 235.85. The majority of deaths were in 20-29 year of age group and most of the deaths seen in multigravida. The 91.79% death was observed within the 24 hours and after 72 hours. Eclampsia, preeclampsia and hemorrhage were leading cause of maternal death seen in the study.

Conclusions: Maternal mortality is higher than national MMR. Majority of maternal death were preventable by proper antenatal care, early detection of high-risk pregnancies and their timely referral to tertiary care centre.

References

Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization. 2019. Available at: https://www.unfpa.org/featured-publication/trends-maternal-mortality-2000-2017.

WHO. Regional Office for South East Asia. India. 2018. https://www.who.int/southeastasia/about/governance/regional-director.

Special bulletin on maternal mortality in India 2016-18 sample registration system office of the registrar general, India vital statistics division, New Delhi. 2020.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels JD et al. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health. 2014;2(6):e323-33.

Rushali RL, Uday WN, Rajat L. Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years review. J Med Sci Clin Res. 2017;05(12):31820-4.

Purandare N, Singh A, Upahdya S. Maternal mortality at a referral centre: a five-year study. J Obstet Gynaecol India. 2007;57(3):248-50.

Ashok V, Santosh M, Anupa S. A study on maternal mortality. J Obstet Gynecol. 2008;58:226-9.

Sethi PS. Maternal mortality in a tertiary care centre in North India: a retrospective study Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5559-62.

Thomas B, Mhaskar A. Review of maternal mortality at tertiary care hospital of India over ten years, Int J Gynecol Obstet India. 2006;9(5):19-21.

Onakewhor JU, Gharoro EP. Changing trends in maternal mortality in a developing country. Niger J Clin Pract. 2008;11:111-20.

Jadhav AJ, Rote PG. Maternal mortality–changing trends. J Obstet Gynaecol India. 2007;57:398-400.

Nair A, Doibale MK, Gujrathi VV, Inamdar IF, Shingare AD, Rajput PS. Study of maternal mortality in a tertiary care hospital in a district of Maharashtra. Int J Med Sci Public Health. 2016;5(09).

Priya N, Verma A, Verma S. Maternal mortality: ten years retrospective study. JK Sci. 2010;12(3):134-6.

Murthy BK, Murthy MB, Prabhu PM. Maternal Mortality in a Tertiary Care Hospital: A 10-year Review. Int J Prev Med. 2013;4(1):105-9.

Downloads

Published

2021-07-26

Issue

Section

Original Research Articles