Record based study to determine the MMR and causes of maternal mortality: an experience from a tertiary care center in Central India

Divya Jain; Raghavi Maheshwari; Manish Jain; Bhavana Rudavath; Amitabh Misra

doi:10.18203/2320-1770.ijrcog20243186

Authors

Divya Jain Department of Obstetrics and Gynecology, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India; Department of Obstetrics and Gynecology, Anand Hospital, Jhansi, Uttar Pradesh, India
Raghavi Maheshwari Department of Obstetrics and Gynecology, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Manish Jain Department of Urology, MLB Medical College, Jhansi, Uttar Pradesh, India
Bhavana Rudavath Department of Obstetrics and Gynecology, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Amitabh Misra Kasturba Medical College, Manipal, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243186

Keywords:

Eclampsia, Healthcare, Hemorrhage, Maternal mortality, Maternal mortality ratio, Tertiary care center

Abstract

Background: A mother is the backbone of any family and so it is of paramount importance to ensure her good health. Maternal mortality ratio (MMR) serves as an indicator of the nation’s healthcare system. This study aimed to evaluate the causes of maternal mortality and study implementable methods to reduce maternal deaths.

Methods: A retrospective descriptive study of one year from May 2023 to April 2024 at a tertiary care centre in central India to evaluate the causes, demographic and obstetric characteristics of maternal deaths.

Results: There were 43 maternal deaths and 3196 live births in the study period. MMR at our center was 1345 per 100 000 live births. Unbooked cases accounted for the majority (83.7%). Obstetric hemorrhage (25.6%) and hypertensive disorders (25.6%) were the predominant causes of maternal deaths. The general condition on admission was poor in majority (65.1%) cases and anemia was widely prevalent (60.5%).

Conclusions: The MMR at our center was significantly higher than the national data. Majority of the deaths can be avoided with timely intervention and proper referral. Early diagnosis and treatment of hypertensive disorders and Correction of anemia in early pregnancy can help reduce maternal mortality.

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