Maternal mortality in tertiary care hospital: a 2-year review

Juhi Ankit Patel, Kanaklata D. Nakum, Aditi Vithal, Mayank R. Lunagariya


Background: Epidemiological data pertaining to maternal mortality is valuable in each set up to design interventional programs to favourably reduce the ratio. This study was done to evaluate the maternal mortality rate in our hospital, to assess the epidemiological aspects and causes of maternal mortality, and to suggest recommendations for improvement.

Methods: This was a 2-year retrospective study. Epidemiological data was collected from the Last 2 years of Facility Based Maternal Death Review Form. Maternal mortality ratio, epidemiological factors and causes affecting maternal mortality were assessed.

Results: A total of 72 maternal deaths occurred. Most maternal deaths occurred in the age group of 20–24 years (40.27%), multiparous women (70.83%), women from rural areas (65.27%), illiterate women, unbooked patients (83.33%), and patients of low socioeconomic status. Direct causes accounted for 62.4% of maternal deaths where as 37.4% of maternal deaths were due to indirect causes.

Conclusions: There is a wide scope for improvement as a large proportion of the observed deaths could be preventable.


Maternal mortality ratio, Maternal mortality, Prevention

Full Text:



Special Bulletin on Maternal Mortality in India 2018, Sample registration system, Office of Registrar General, India; 2018.

Ronsmans C, Graham WJ, Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. The lancet. 2006;368(9542):1189-200.

The Millennium Development Goals Report 2009.New York: United Nations; 2009.

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

Jain M, Maharahaje S. Maternal mortality: A retrospective analysis of ten years in a tertiary hospital. Indian J Prev Soc Med. 2003;34(3-4):103-11.

Jadhav AJ, Rote PG. Maternal mortality-changing trends. J Obstet Gynaecol India. 2007;57(5):398-400.

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;55:521 4.

Onakewhor JU, Gharoro EP. Changing trends in maternal mortality in a developing country. Niger J Clin Pract. 2008;11(2):111-20.

Shah RJ, Ali I, Banday A, Fazili A, Khan I. Analysis of maternal mortality in a small teaching hospital attached to tertiary care hospital. Indian J Community Med 2008;33(4):260 2.

Roberts JM., Pearson G., Cutler J., Lindheimer M. Summary of the NHLBI working group on research on hypertension during pregnancy. Hypertension 2003;41(2):437-45.

Kalur JS., Martin JN. Jr., Kirchner KA., Morrison JC. Postpartum pre-eclamsia-induced shock and death: A report of three cases. Am J Obstet Gynecol 1991;165(5):1362-8.

Venkatraman V., Levi J., Nanavati MS., Purandare CB., Daftary SN. Heart disease in pregnancy. J Obstet Gynecol India 1986; 36: 973-7.

Yadav S, Bachani D, Yadav BS, Nagar S. An analy-sis of risk factors determinantal on outcome of preg-nancy. J Obstet Gynecol India 1986;36:296-9.

Reeta Bhuyan, Gitanjali Deka, Maternal deaths in a tertiary health care centre of Assam – a one year report. New Ind J OBGYN. 2016; 2(2):1104

Atrash HK., Alexander S., Berg CJ. Maternal mor-tality in developed countries: not just a concern of the past. Obstet Gynecol. 1995;86(4):700-5.