DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20160850

Causes of maternal deaths at Tezpur medical college & hospital, Tezpur, Assam, India: a retrospective study

Rumen Chandra Boro, Purashree Sarma, Partha Sarathi Acharjee

Abstract


Background: The present study was undertaken to find out the causes of maternal deaths in O&G Department, TMCH, Tezpur, Assam.

Methods: Data for the study was collected from all maternal deaths, in patients attending both OPD as well as Emergency, occurred from March ‘2014 to February ’2016 at TMCH, Tezpur.

Results: Out of total 52 maternal deaths; 28.85% are due to anaemia, 25% are due to Haemorrhage, 19.23% are due to Toxaemia. Obstructed labor and sepsis accounts for 9.61% of maternal deaths, each; unsafe abortion and other categories accounts for 3.84 % of maternal deaths, each. Out of total maternal deaths, 86.5 % belonged to rural areas, 21.2% are unbooked cases, 73.1% are poor literates and 67.3% are from poor socioeconomic groups. Out of 52 deaths, 50 cases died within 24 hrs.

Conclusions: In our study it is observed that anaemia, haemorrhage and toxaemia are the three major causes of maternal deaths in TMCH, Tezpur. Obstructed labour, sepsis, unsafe abortions, etc. are the causes of the rest of the maternal deaths. It is seen from the study that illiteracy, ignorance, unawareness, poor socioeconomic conditions, lack of antenatal checkups, non-availability of quality care set ups, and drawbacks in referral systems were the major causative factors.

Keywords


Maternal deaths, Haemorrhage, Tertiary care

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References


Govt. Of India (Sample Registration System). Maternal Mortality in India 2011-2013. New Delhi: Registrar General, India. 2013.

Bhuyan R, Deka G, Das GC, Baruah RR, Majumdar M. The impact of health care system on maternal mortality- a tertiary hospital based study. The New Indian Journal of OBGYN. 2016;2(2):110-4.

Goswami A, Kalita H: Maternal Mortality at Guwahati Medical College & Hospital. J Obs Gyn India. 1996;46(6):785-90.

Bera SK, Sengupta A. Evaluation of etiological factors of Maternal Mortality. J of Obs Gyn India. 1991:182-88.

Bhattacharjee S. Maternal Mortality, 10 year review, a decade of safe motherhood. J of Obs Gyn India. 2001;51(3):108-10.

Roy S, Singh A, Pandey A, Roy H, Roy S, Roy S. Maternal Mortality in Apex Hospital, Bihar. J Obs Gyn India. 2002;52(1):100-4.

Devi KP, Singh CM, Devi SR. Maternal Mortality and its causes in tertiary centre. J Obs Gyn India. 2012;62(2):168-71.

Mukherjee S, Theengh C, Bhattacharya S, Maru L. Maternal mortality at a tertiary care institute of central India. Asian Journal of Obst & Gynae practice. 2010;4:23-7.

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

Arpita N. A retrospective and prospective study of maternal mortality in a rural tertiary care hospital of Central India. Indian Journal of community Health. 2013;25,1.

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.

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

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