Maternal mortality in a tertiary care centre in North India: a retrospective study

Prachi Sarin Sethi; Sujata Sharma; Indu Chawla

doi:10.18203/2320-1770.ijrcog20175281

Authors

Prachi Sarin Sethi Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
Sujata Sharma Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
Indu Chawla Department of Obstetrics and Gynecology, PGIMER, Dr. R.M.L Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20175281

Keywords:

Causes of maternal death, Maternal mortality, MMR

Abstract

Background: The World Health Organization (WHO) estimates that, of 536,000 maternal deaths occurring globally each year, 136,000 take places in India. Maternal death has serious implications to the family, the society and the nation. It deprives the surviving infant of mother's care. This study was done to assess maternal mortality in a tertiary care centre in north India where large numbers of patients are referred from the peripheral centers and the rural parts. This study was done to assess the causes of maternal mortality and suggest remedial measures to reduce the same. Objective of present study was to assess the causes of maternal death over a period of one year at G.M.C Amritsar, India.

Methods: A retrospective hospital based study of 22 maternal deaths over a period of 1 year from June 2012 to June 2013. The information regarding demographic profile and reproductive parameters were collected and results were analyzed.

Results: Over the study period, there were 22 deaths and 7272 live births (Majority were referral from other districts all over Punjab). Most common direct cause of maternal mortality was haemorrhage and anemia was the most common indirect cause. Most maternal deaths were seen in patients from rural areas, unbooked, illiterate patients and patients from low socioeconomic status.

Conclusions: Proper health education should be given to the women; early registration of antenatal cases should be done which allows for rapid diagnosis and treatment of high risk cases. Also constructing a well equipped health care facility with trained staff and prompt transport facilities for early referral can bring down the maternal mortality rate in our country.

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References

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.

World Health Organization. Maternal mortality in 2000: estimates developed by UNICEF and UNFPA. Geneva: World Health Organization. 2007; 4:16.

Mmr_bulletin_2011-13 census (SRS) 2011. Available at http://www.censusindia.gov.in/vital_statistics/mmr_bulletin_2011-13.pdf. [Cited 2015 Nov 22].

Mukherjee S, Mukherjee S, Sarkar RR. A six year retrospective study of maternal mortality at a tertiary teaching institute in Uttarpradesh. Int J Med Sci Public Health. 2014;3(11):1407-9.

Kaur D, Kaur A. A retrospective study of maternal mortality in government medical college. J Obstet Gynecol Fam Welfare. 1999;5:18-22.

Priti TV. Maternal mortality in Madhya Pradesh. J. Obstetric Gynecol India. 2000;50:59-61.

Bangal VB, Giri PA, Garg R. Maternal mortality at a tertiary care teaching hospital of rural India: a retrospective study. Int J Biol Med Res. 2011;2(4):1043-6.

Kamala S, Konar M. Maternal mortality, a 3 year survey in Eden Hospital. J Obstet Gynecol India. 1979;29:76-80.

Aggrawal V. Study of maternal mortality. J. Obstet Gynecol India. 1982;32:686-690.

Thomas B, Mhaskar A. Review of maternal mortality at tertiary care hospital of India over ten years, Int J Gynecol Obstet India. 2006;9(5):19-21.

Pal A, Ray P, Hazra S, Mondal TK. Review of changing trends in maternal mortality in a rural medical college in West Bengal. J Obstet Gynecol India. 2005;55(6):521-4.

Verma A, Minhas S, Sood A. A study on Maternal Mortality. J Obstet Gynecol India. 2008;58(3):226-9.

Padmanaban P, Raman PS, Mavalankar DV. Innovations and challenges in reducing maternal mortality in Tamil Nadu, India. J Health Population Nutr. 2009 Apr;27(2):202.

Bedi N, Kambo I, Dhilion BS. Maternal deaths in India: preventable tragedies. (An ICMR Task Force Study). J Obstet Gynaecol India. 2001;51:86-92.

Trivedi SS, Goyal U, Gupta U. A study of Maternal Mortality due to viral hepatitis. J Obstet Gynecol India. 2003;53:551-3.

Purandare N, Singh A, Upadhyae S, Saraogi RM. Maternal Mortality at a referral centre: a five year study. J Obstet Gynecol India. 2007;57:248-250.

Sengupta A, Gode AG. The study of maternal mortality and morbidity in a North Indian Hospital, A 9 years Review. J Obstet Gynecol India. 1986:394-400.