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Maternal mortality is ascribed usually to complications that generally occur during or around labor and cannot be accurately predicted. The direct causes of maternal mortality, that is, hemorrhage, unsafe abortion, eclampsia, obstructed labor, infection, and others account for about three-fourths of maternal deaths. The remaining ABSTRACT Background: Pregnancy, although being considered a physiological state, carries risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor, or thereafter. The major causes of maternal mortality are mostly preventable through regular antenatal check-up, proper diagnosis, and management of labor complications. Therefore, the factors at different levels affecting the use of these services need to be clearly understood. The aim is to study the incidence of MMR, assess the epidemiological aspects, causes of maternal mortality and avoidable factors that can prevent maternal deaths. Methods: A retrospective hospital-based study was conducted in obstetrics and gynecology department, SLN MCH, a tertiary care referral hospital in a tribal area of southern Odisha over a period of 2 years from April 2017 to March 2019. Results: A total of 108 deaths were analyzed over 2 years period and MMR was calculated to be 1124/1 lakh live births. Most of the maternal deaths occurred in the age group of 20-24 years (35.1%), majority of maternal deaths were observed in multipara (46.3%), 70.3% deaths occurred within 24 hours of admission. Hypertensive disorders in pregnancy (37%) were the leading direct cause followed by hemorrhage (14.8%) and sepsis (11.1%). Among the indirect causes jaundice (7.4%) and anaemia (3.7%) were the leading cause. Conclusions: MMR in our study was very high as compared to national average of 167/1,00,000 live births, being a tertiary care hospital as most of the patients were referred from peripheral centers. Most maternal deaths are preventable by intensive health education, basic obstetric care for all, strengthening referral and communication system and emphasizing on overall safe motherhood.

AUB is the most common complain of reproductive age group women. In this study the causes & findings of AUB were compared by performing hysteroscopy & D & C and their histopathology also compared thoroughly . Materials & Methods: This study was a prospective study carried out in SCB medical college, a tertiary care hospital in Odisha, from Aug 2013 to Aug 2015 for 2 years. 200 cases were selected for this study aging 18 years and above with menstrual irregularities. Hysteroscopy was performed in 100 patients, endometrial biopsy was taken during the procedure & sent for HP study. In another 100 patients, D & C was performed & sent for HP study as control basis. The findings on hysteroscopy and D & C and there HP reports were correlated and compared. Results: On hysteroscopy , out of 100 cases , 32 % came as proliferative , 16 % secretory ,16 cases as sub mucous fibroid , 13 cases as endometrial hyperplasia ,8 cases as endometrial atrophy, 4 cases as endometrial adhesion ,1 case as CuT in situ & 1 case of endometrial carcinoma whereas HP study on same patients came as 43 % as proliferative, 20 % as secretary, 18 % as hyperplasia, 6% as endometrial polyp,4% as atrophic endometritis, 2 % as fibroid polyp, 1% absent endometrium & 1% as endometrial carcinoma . Another 100 patients on whom blind D & C were performed came as 52 % as proliferative, 20 % secretory, 19% as endometrial hyperplasia, 6% as atrophic endometrium and 3 % as endocervical polyp. Conclusion: In patients with AUB, hysteroscopy provides more accurate and detailed diagnosis than dilatation and curettage alone. Especially endometrial cavity lesions are more accurately diagnosed by hysteroscopy and also in similar setting; therapeutic procedures can be performed than the blind D & C procedure.