Background: Objective of this study was to calculate the maternal mortality rate in our hospital and to assess the epidemiological aspects and causes of maternal mortality to further analyse ways to reduce the maternal mortality rate (MMR).Methods: This was a retrospective analytical study done in the department of obstetrics and gynecology, MLN Medical College and District Women Hospital, Prayagraj over a time period of 10 years i.e., October 2009 to October 2019. Retrospective analysis and evaluation of the medical records and statistics was done to find out and collect specific causes of maternal deaths in the give time period.Results: There were 357 maternal deaths from October 2009 to October 2019. Maternal mortality rate in the study was calculated to be 498.42 per 1 lakh live births. Maximum deaths were in 21-30 years age group with multipara, unbooked and illiterate cases. Majority of the deaths reported were from direct causes of maternal mortality i.e., hemorrhage, hypertensive disorders and sepsis.Conclusions: In the selected hospitals, the mean maternal mortality rate in the study period was 498.42/100000 births. 71.4% had direct cause and 21.56% had indirect cause of maternal mortality several factors like regular antenatal visits, early identification of high-risk cases, timely referral, institutional deliveries, adequate post-partum care and follow-up can contribute to decrease the maternal mortality rate effectively.
Background: Pre term labour (PTL) is responsible for 75-80% of admission to intensive care neonatal units. Causes of
PTL have not been established but several risk factors are associated with it
Aim: The aim of this study is to nd association of genitourinary tract infections in aetiopathogenesis of preterm labour.
Subject and methods: This was case control study conducted over one year.100 pregnant women having PTL without risk factors with intact
membrane were compared with 100 pregnant women having labour at > 37 weeks. The two groups were screened for urinary and vaginal
infections. At delivery further swabs were taken from foetal surface of placenta.
Conclusion: Our study demonstrated that genitourinary tract infection is the major factor in aetiopathogenesis of preterm labour. Therefore
screening for genitourinary tract infection is strongly recommended to be included in prenatal care.
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