Background: Every day thousands women died due to complications of pregnancy and child birth globally. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. Maternal mortality is a health indicator that shows very wide gaps between rich and poor, urban and rural areas, both between countries and within them. The present study was carried out with view to determine factors causing maternal deaths, causes of maternal deaths and utility of autopsy with autopsy record as a useful and adjunct data source for ascertainment of maternal deaths.Methods: Total 95 cases of maternal deaths which were brought for postmortem were studied during period of August 2012 to July 2014.Results: Maximum number of maternal deaths were seen in age group of 21 to 25 years comprising 38 (40.0%) and with maximum cases from low socioeconomic strata. Analyzing the pregnancy outcome, live birth to child were given by 66 (69.5%) against negative outcome in 29 (30.5%) of cases. Post-partum hemorrhage remains the leading cause followed by sepsis 13 (13.7%) in direct causes of maternal deaths. In indirect causes hepatitis leads the list with 4 (4.2%) cases.Conclusions: Despite the improved methodology, global database on maternal mortality remains weak. Hence forensic pathologist plays important role in identifying these cases with appropriate cause of death. Review of autopsy findings along with hospital records can prove to be one of the useful sources to identify pregnancy related deaths and elucidating the emerging trends.

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Background: With the increasing numbers legal suits against the practicing doctors now a day, it’s important to addressed sudden and unexpected death of young female during pregnancy or birth which leads to severe strain and anguish to family members. If this is not adequately resolved, healing cannot occur. It is then that the family may pursue the legal process to help obtain answers about what happened and, more importantly, why it happened to their loved one.Methods: Total 95 cases of maternal deaths which were brought for postmortem were studied during period of August 2012 to July 2014.Results: Maximum cases of deaths occurs after normal delivery 44 (46.3%) and deaths in hospital were 72 (75.8%). In 7 (7.4%) cases death was occurred during transport to medical facility. Post-partum hemorrhage remains the leading cause followed by sepsis 13 (13.7%) in direct causes of maternal deaths.Conclusions: The present study was carried out with view to determine various factors and causes of maternal deaths, utility of medicolegal autopsy and autopsy record as a useful and adjunct data source for ascertainment of maternal deaths and elucidating the emerging trends. Some special cases are discussed with the help of medicolegal knowledge, which point out fallacies while treating these cases such as proper use drugs, surgical procedures while dealing with cases of abortion and ectopic gestation, sterilization operations etc.