Maternal mortality and its causes in a tertiary care hospital


  • Goter Doke Department of Obstetrics and Gynecology, TRIHMS, Naharlagun, Arunachal Pradesh, India
  • Jyoti Kamda Department of Obstetrics and Gynecology, TRIHMS, Naharlagun, Arunachal Pradesh, India



Haemorrhage, Hypertensive disorders, Maternal mortality, Sepsis


Background: Maternal mortality is defined as the death of a woman while being pregnant or within 42 completed days of termination of pregnancy. The aim of this study was to study the maternal mortality and analyze the complications leading to maternal deaths.

Methods: A retrospective study of hospital records and death summaries of all maternal deaths over the period of two year from April 2017 to March 2019 was conducted in the Department of Obstetrics and Gynecology, Tomo Riba Institute of Health and Medical Science, a tertiary level healthcare referral center in  Naharlagun, Arunachal Pradesh, India.

Results: There was a total of 6 maternal deaths out of 6311 live births giving maternal mortality ratio (MMR) of 95.07 per 1,00,000 live births. The majority of deaths were reported in the age groups 30-40 years (66.66%). More deaths were reported in multiparous women (83.33%) as compared to primiparous women (16.66%). Most of them were unbooked cases (66.66%). Haemorrhage (33.33) and pregnancy induced hypertension (33.33%) were the major direct cause of maternal deaths.

Conclusions: Haemorrhage and pregnancy induced hypertension were found to be major cause of maternal deaths. In our study, there was no maternal death from anemia and other medical disorder.


Park K. Preventive medicine in obstetric, paediatric and geriatrics: Park’s Text Book of Preventive and Social Medicine. 20th edition. Jabalpur: M/S Banarasi Das Bhanot; 2009;479-483.

The Millennium Development Goals Report, 2015. Available at: _MDG_Report. Accessed on 18 July 2019.

World Health Organization (WHO) and UNICEF. Trends in maternal mortality: 1990 to 2013: Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division: Executive summary, 2014. Available at: Accessed on 18 July 2019.

National Family Health Survey - 4 (2015-16), Ministry of Health and Family Welfare, Government of India. International Institute of Population Science. Available at: NFHS4/India.pdf. Accessed on 19 July 2019.

Sample Registration System, Office of Registrar General, India. Special bulletin on maternal mortality in India 2014-16, May 2018. Available at: Accessed on 12 July 2019.

Sustainable Development Goals, SDG 3: Ensure healthy lives and promote wellbeing for all at all ages. Available at: Accessed on 19 July 2019.

Arunachal Pradesh population 2011. Available at: Accessed on 19 July 2019.

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

Ashok V, Santosh M, Anupa S. A study on maternal mortality. J Obstet Gynecol. 2008;58:226-9.

Nair M, Kurinczuk JJ, Brocklehurst P, Sellers S, Lewis G, Knight M. Factors associated with maternal death from direct pregnancy complications: A UK national case-control study. BJOG. 2015;122:653-62.

Khumathem PD, Chanam MS. Maternal mortality and its causes in a tertiary center. J Obst Gynecol. 2012;62(2):168-71.

Karlsen S, Say L, Souza JP, Hogue CJ, Calles DL, Gülmezoglu AM, et al. The relationship between maternal education and mortality among women giving birth in health care institutions: analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health. BMC Public Health. 2011;11:606.

Awasthi A, Pandey CM, Chauhan RK, Singh U. Disparity in maternal, new-born and child health services in high focus states in India: A district-level cross-sectional analysis. BMJ Open. 2016;6:e009885.

Konar H, Chakraborty AB. Maternal mortality: a FOGSI study (Based on Institutional Data). J Obst Gynecol. 2013;63(2):88-95.

Soni M, Gupta PS, Gupta A. Causes of maternal mortality and changing trends: a retrospective analysis. Int J of Sci Study. 2016;4(7):105-7.

Doddamani U, Rampure N, Kaveri, Pooja. A study of maternal mortality in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2018;7:2446-8.






Original Research Articles