Are we really decreasing maternal mortality rate or we are just pushing mothers to late maternal deaths?

Authors

  • Aashima Arora Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, Punjab, India
  • Vanita Jain Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, Punjab, India
  • Pooja Sikka Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, Punjab, India
  • Aruna Singh Department of Telemedicine, PGIMER, Chandigarh, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240501

Keywords:

Maternal mortality rate, Late maternal deaths, Pregnancy and childbirth

Abstract

Maternal mortality remains a global concern, and India has made substantial strides in reducing maternal mortality rates (MMR) by about 70%, from 398 /lakh live births in 1997-98 to 99 /lakh live births in 2020. However, it is recognized that maternal mortality represents only tip of iceberg. For every woman who dies, many more survive with severe morbidities, and their long-term outcomes often go unrecorded. Therefore, to truly evaluate maternal health services, it is essential to analyze the long-term outcomes of women discharged with morbidities resulting from complications of pregnancy and childbirth, known as maternal near-miss cases.

References

Meh C, Sharma A, Ram U, Fadel S, Correa N, Snelgrove JW, et al. Trends in maternal mortality in India over two decades in nationally representative surveys. BJOG. 2022;129(4):550-61.

Leitao S, Manning E, Greene RA, Corcoran P, Maternal Morbidity Advisory Group*. Maternal morbidity and mortality: an iceberg phenomenon. BJOG. 2022;129(3):402-11.

Alluvala SA, Aziz N, Tumkur A, Boorugu HK. One-year follow-up of women with severe acute maternal morbidity (SAMM): a COHORT study. J Obstet Gynaecol India. 2019;69(3):211-7.

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Published

2024-02-27

Issue

Section

Letter to the Editor