An analytical study of maternal death at tertiary care hospital

  • Dr K D Goswami Associate Professor, Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujrat, India
  • Dr K M Dudhrejia Associate Professor, Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujrat, India
  • Dr Prakash H. Parmar Assistant Professor, Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujrat, India
  • Dr Arvind Kataria Resident, Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujrat, India
Keywords: Maternal Mortality, Maternal Mortality Ratio, Facility based Maternal Death Review (FBMDR)

Abstract

Background: Maternal mortality is one of the important public health challenges faced by India today. Being a country with highest number of maternal deaths worldwide, i.e. 63, 000 per year and having a Maternal Mortality Ratio of 230/1,00,000 live births, it is a matter of grave concern and high priority.

Objective: To study the MMR and common causes leading to death, so that improving maternal health and reducing maternal mortality rate significantly.

Methods: We have done Retrospective Observational study in Department of Obstetrics & Gynecology, P.D.U. Medical College, Rajkot between 1st August 2012 to 31st July 2014.

Results: There were 30 Maternal Deaths during Study Period of 2 years in the Institute. Maternal Mortality Ratio of the Study Centre was 219 per lakhs live births. Out of 30 maternal deaths 21-30 yrs age group having 77% of maternal death while 67% belongs to lower socio-economical class. Out of 30, 15 (50%) died within 24 hrs of delivery. Hemorrhage was the most common cause in 15(50%) cases while others were Eclampsia (13%), septicemia (11%), ARDS (13%), others (13%).

Conclusions: Maternal Mortality Ratio of the Study Centre was 219 per lakhs live births. Hemorrhage was the most common cause. Early registration, regular antenatal care, early referral are key things in reduction of maternal deaths. Facility based maternal death review (FBMDR) should be done at every institute level to find out the deficit and thus helping in reduction of maternal deaths.

Downloads

Download data is not yet available.

References

1. WHO, UNICEF, UNFPA, The World Bank. Trends in maternal mortality: 1990 to 2008. Geneva, World Health Organization, 2010.

2. Lewis G. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer. Br Med Bull. 2003;67:27-37. [PubMed]

3. India. Ministry of Health and Family Welfare. Annual Report 1999-2000. New Delhi, Government of India, 2001.

4. Alexandre Dumont, Alioune Gaye, Luc de Bernis, Nils Chaillet, Anne Landry, JoannneDelage, Marie Helene Bouvier-Colle. Facility-based maternal death reviews: effects on maternal mortality in a district hospital in Senegal. Bull World Health Organ 2006; 84: 218-24.

5. Brämer GR. International statistical classification of diseases and related health problems. Tenth revision. World Health Stat Q. 1988;41(1):32-6.

6. Sample Registration System (2011). Special Bulletin on Maternal Mortality in India 2007-09. New Delhi:Registrar General of India.

7. Tayade S.Bagde M.Shivkumar P.Tayade A.Bagde N. Maternal Death Review To Know The Determinants Of Maternal Mortality In A District Hospital Of Central India International Journal of Biomedical Research [serial on the Internet]. 2012 April 1; 3(3): Available from: http://www.ssjournals.com/index.php/ijbr/article/view/725

8. Rajaram P, Agrawal A, Swain S. Determinants of maternal mortality: a hospital based study from south India. Indian J Matern Child Health. 1995 Jan-Mar;6(1):7-10. [PubMed]

9. Nomita Bedi, Indra Kambo, B.S. Dhillon, Badri N. Saxena, Padam Singh. Maternal deaths in India – Preventable Tragedies (An ICMR Task Force Study). J Obstet Gynecol Ind Vol.51, No. 2: March/April 2001 Pg. 86-92. [PubMed]

10. Kongnyuy EJ, Mlava G, van den Broek N. Facility-based maternal death review in three districts in the central region of Malawi: an analysis of causes and characteristics of maternal deaths. Womens Health Issues. 2009 Jan-Feb;19(1):14-20. doi: 10.1016/j.whi.2008.09.008. [PubMed]

11. Hill K, Thomas K, AbouZahr C, Walker N, Say L, Inoue M, Suzuki E; Maternal Mortality Working Group. Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data. Lancet. 2007 Oct 13;370(9595):1311-9.

12. Prata N, Graff M, Graves A, Potts M. Avoidable maternal deaths: three ways to help now. Glob Public Health. 2009;4(6):575-87. doi: 10.1080/17441690802184894. [PubMed]

13. NHS Institute for Innovation and Improvement. Reducing avoidable mortality. 2007. Available at: http://www.matrixknowledge.com/wp-content/uploads/reducing-mortality.pdf.Accessed Sep. 30, 2012.Farquhar C, Sadler L, Masson V, et al. Beyond the numbers: classifying contributory factors and potentially avoidable maternal deaths in New Zealand, 2006 –2009. Am J Obstet Gynecol 2011;205:331.e1-8.

14. Sandhu AK, Mustafa FE. Maternal mortality in Bahrain 1987-2004: an audit of causes of avoidable death. East Mediterr Health J. 2008 May-Jun;14(3):720-30.
CITATION
DOI: 10.17511/ijmrr.2015.i9.186
Published: 2015-10-31
How to Cite
1.
Goswami KD, Dudhrejia KM, H. Parmar P, Kataria A. An analytical study of maternal death at tertiary care hospital. Int J Med Res Rev [Internet]. 2015Oct.31 [cited 2024Apr.19];3(9):1008-11. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/359
Section
Original Article