Study of maternal mortality at a tertiary care centre
Keywords:Maternal mortality ratio, Direct causes, Indirect causes, Anemia, DIC
Background: Pregnancy is not a disease and so pregnancy related death is almost always preventable. High rates of maternal deaths still exist in places, particularly in underdeveloped communities. The objective was to identify the maternal mortality ratio in our tertiary care centre and to discuss about the causes for maternal deaths.
Methods: The present study is a prospective observational study on maternal mortality conducted in the department of Obstetrics and Gynecology, VDGMC, Latur, Maharashtra, India during the period of 18 months from January 2019 to June 2020.Results are expressed in frequencies and percentages.
Results: Maternal mortality ratio (MMR) in our present study is 335.85 per 1,00,000 live birth. Among direct obstetric causes of maternal deaths, there were 58% hypertensive disorder cases,25% APH cases,25% puerperal sepsis cases, 8% embolism cases. Among indirect causes of maternal deaths, there were 61% anemic cases,39% liver disease cases,33% DIC cases, 11% heart disease.
Conclusions: Maternal mortality is widely accepted as a key indicator of health and socioeconomic development. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being.
Park K. Preventive medicine in obstetric, Paediatrics and geriatrics: Park's Text Book of Preventive and Social Medicine. 20th edition. Jabalpur: M/S Banarasi Das Bhanot. 2009;479-83.
Montgomery AL, Ram U, Kumar R, Jha P. For the million deaths study collaborators, maternal mortality in India: Causes and healthcare services use based on a nationally representative survey. PLoS. 2014;9(1):e83331.
Vidyadhar B, Purushottam G, Ruchika G. Maternal Mortality at a Tertiary Care Teaching Hospital of Rural India: A Retrospective Study. Int J Biol Med Res. 2011;2(4):1043-6.
Patil V, Shinde M, Surve M, Sonone SG. (2009-2011) Maternal Mortality A Challenge ?
Nair A, Doibale MK, Gujrathi VV, Inamdar IF, Shingare AD, Rajput PS. Study of maternal mortality in a tertairy care hospital in a district of Maharashtra. Int J Med Sci Public Health. 2016;5:1851-4.
Yadav B, Shinde M, Yadav S. Maternal mortality at a tertiary care teaching hospital of rural India. International Journal of Clinical Obstetrics and Gynaecology. 2018;2(3):109-13.
Puri A, Yadav I, Jain N. Maternal mortality in an urban tertiary care hospital of north India. J Obstet Gynecol India. 2011;61:280.
Clark SL, Belfort MA, Dildy GA. Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery. Am J Obstet Gynecol. 2008;199:36.e1-5.