Maternal mortality: analysis of causes and preventable factors

Authors

  • K. P. Mohana Sundari Department of Obstetrics and Gynaecology, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India
  • R. Padma Priya Department of Obstetrics and Gynaecology, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India
  • Subathra . Department of Obstetrics and Gynaecology, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161478

Keywords:

Maternal mortality, Preventive factors

Abstract

Background: The aim of this study of maternal deaths is to analyze the causes, whether preventable or not and if preventable to find out the factors that can decrease the maternal mortality.

Methods: A retrospective study of maternal deaths from January 2015 to December 2015.

Results: There was a total of 56 maternal deaths out of 6976 live births giving the MMR of 802/1,00,000 live births. The MMR is high as it is an institution MMR and this is tertiary care institution which caters to 3 districts. Late referrals were 64.28%. The majority of deaths were in the 21-25 age groups and around term 33 (58.92%). Hypertensive disorders was the commonest cause of death 15 (26.78%) followed by hemorrhage 10 (17.8%) and sepsis 7 (12.5%) and CVT 7 (12.5%). 90% of cases were preventable.

Conclusions: Hypertensive disorder pregnancy was found to be the direct major causes of death. Although booking level is high, health education of women, early identification of PIH and its management, early identification of anaemia and prompt correction, early referral, judicious use of IV fluids, blood products and drugs can prevent more than 90% of maternal deaths.

Metrics

Metrics Loading ...

References

National Rural Health Rural Health Mission: Frame work for implementation 2005-2012, New Delhi.

United Nations Millennium Development goals. Available at www.un.org/millineumgoals. Accessed on 20 February 2016.

Maternal mortality in India Special bulletin, Office of the Registrar. General of India, New Delhi.

Pathak D, Chakraborty B, Goswami S, Adhikari S. Changing trends of maternal mortality: A comparative study. J Obstr Gynae India. 2011;61(2):161-5.

National Family Health Survey (NFHS-3), Mumbai, International Institute for Population Services, Vol.1. 2005-2006.

Registrar General of India maternal mortality in india 1997-2003. Trends causes and risk factors, Report 2006.

Srinivasan K, Cerebral venous and arterial thrombosis in pregnancy and puerperium. A study of 135 patients, Angiol J Vasc Dis. 1983;34(11):731-46.

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

Bedi N, Kambo I, Dhillon BS. Maternal deaths in India: Preventable Tragedies. (An ICMR Task force Study). J Obste Gynecol. 2001;51:86-92.

Khamathem PD, Chanam MS. Maternal Mortality and its causes in a Tertiary Center. J Obst Gynecol. 2012;62(2):168-71.

Konar H, Chakraborty AB. Maternal mortality: a FOGSI study (Based on Institutional Data). J Obst Gynecol. 2013;63(2):88-95.

Downloads

Published

2017-01-05

How to Cite

Mohana Sundari, K. P., Padma Priya, R., & ., S. (2017). Maternal mortality: analysis of causes and preventable factors. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(6), 1719–1721. https://doi.org/10.18203/2320-1770.ijrcog20161478

Issue

Section

Original Research Articles