A study of changing trends of maternal mortality at the tertiary care centre, MMC & RI Mysore, India

Ashraf Ali M, Babitha MC, Lokeshchandra HC, Kavya D. Sharma, Maheen Zehra, Madhuri S. Reddy


Background: Maternal mortality is a reflection of the care given to women by the society. It is tragic that deaths occur during the natural process of child birth and most of them are preventable. Aims and objectives: To study the maternal mortality and the causes resulting in maternal death over 5 years in a tertiary care centre, Cheluvamba hospital, MMC & RI, Mysore. To find out avoidable factors and use information thus generated to reduce maternal mortality.

Methods: A retrospective study of all maternal deaths from June 2008 to June 2013. All maternal deaths were reviewed and studied in detail including admission death interval and cause of death.  

Results: Maternal mortality ratio ranged between 262 to 109/100000 births. The causes of death were hypertensive disorders (30.4%), haemorrhage (24.8%), anaemia (14.8%), sepsis (6.8%) and others (23.2%). Maximum deaths (70.6%) occurred in women between 20-29 years of age, multigravida contributed to 54.96% of maternal mortality. 42 % were unbooked, 97% were referred cases. 

Conclusions: Overall maternal mortality was 215/100000 live births. Maternal deaths due to direct obstetric causes were 87% and indirect were 13 %. The causes of potentially preventable deaths include haemorrhage, anaemia, sepsis, disseminated intravascular coagulation and its complications. Hypertensive disorders were the leading cause of death, followed by haemorrhage. Anaemia was an important indirect cause of death. Most maternal deaths are preventable by optimum utilization of existing MCH facilities, identifying the bottlenecks in health delivery system, early identification of high risk pregnancies and their timely referral to tertiary care centre.


Maternal mortality, Changing trends, Hypertensive disorders, Tertiary care centre, Mysore, MDG-5

Full Text:



WHO. Trends in maternal mortality, 1990-2013. WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division Estimates, 2014. Available at: http://apps.who.int/iris/bitstream/10665/112682/2/9789241507226_eng.pdf.

World Health Organization. Health statistics and information systems, 2014. Available at: http://www.who.int/healthinfo/statistics/indmaternalmortality/en/. Accessed 5 January 2015.

Ahmed Abdella. Maternal mortality trend in Ethiopia. Ethiop J Health Dev 2010;24(1):115-22.

Sample Registration System, Office of Registrar General, India. Special bulletin on maternal mortality in India 2010-12, December 2013. Available at: http://www.censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR_Bulletin-2010-12.pdf.

Nishu Priya, Verma Ashok, Verma Suresh. Maternal mortality: ten years retrospective study. J Med Educ Res. 2010 Jul-Sep;12(3):134-6.

UNICEF. The state of the world’s children 2009: maternal and newborn health. In: UNICEF, eds. Sales No. E.09.xx.1. India: United Nations Publication; 2010: 2.

Mysore. Mysuru district, Taluk wise population of mysore district as per 2011 census, 2012. Available at: http://www.mysore.nic.in/population.htm. Accessed 5 January 2015.

IIPS and Ministry of Health and Family Welfare, Government of India. Mysore district fact sheet (2012-2013), District Level Health Survey-4, 2014. Available at: https://nrhm-mis.nic.in.

Saini V, Gupta M. Review of maternal mortality in an urban tertiary care hospital of north India. Int J Basic Appl Med Sci. 2014 Jan-Apr;4(1):59-64.

Surekha Tayade, Madhuri Bagde, Poonam V. Shivkumar, Atul Tayade, Nilajkumar Bagde. Maternal death review to know the determinants of maternal mortality in a district hospital of Central India. Int J Biomed Res. 2012;3(03):157‐63.

Shivakumar HC, Umashankar KM, Ramaraju HE, Shankar J. Analysis of maternal mortality in tertiary care hospital, Vijaya Nagara institute of medical sciences, Bellary, South India. Int J Basic Appl Medn Sci. 2013 May-Aug;3(2):237-42.

Jadhav CA, Gavandi Prabhakar, Shinde MA, Tirankar VR. Maternal mortality: five year experience in tertiary care centre. Indian J Basic Appl Med Res. 2013 June;2(7):702-9.

Vidhyadhar B, Purushottam A, Giri B, Garg RC. Maternal mortality at a tertiary care teaching hospital of rural India, a retrospective study. Int J Biol Med Res. 2011;2(4):1043-6.

Verma A, Minhas S, Sood A. A study on maternal mortality in Dr. Rajendra Prasad Govt. M.C. Tanda Dist. Kangra, H.P. (Jan. 1999-Dec. 2005). Indian J Obstet Gynaecol. 2008;58(3):226-9.

Mukherjee S, Theengh C, Bhattacharya S, Maru L. Maternal mortality at a tertiary care institute of central India. Asian J Obstet Gynaecol Pract. 2010;4:23-7.

Pal A, Prasantha R, Samir H, Mondal TK. Review of changing trends in maternal mortality in a rural medical college of West Bengal. J Obstet Gynaecol India. 2005;55(6):521-4.

Puri A, Yadav I, Jain N. Maternal mortality in an urban tertiary care hospital of North India. Indian J Obstet Gynaecol. 2011;61(3):280-5.