A Study on Maternal Mortality in Baba Raghav Das Medical College, Gorakhpur

Abstract

Introduction Prevention of maternal deaths is one of our foremost goals to provide safety to motherhood and to avoid loss to the family, society, and the nation. Maternal mortality ratio (MMR) of Uttar Pradesh is very high as compared to national average. Within the state, there is wide variation in MMR. The explanations and answers to these regional variations are complex. This study was planned with the objectives to explore each and every maternal death that had occurred in Baba Raghav Das Medical College in the last 4 years (2011—2014). Materials and methods In this study, data were collected from records of all maternal deaths that had occurred in the Department of Obstetrics and Gynecology, Baba Raghav Das Medical College, Gorakhpur from March 2011 to December 2014. Records of all maternal deaths during this period were scrutinized for socio-demographic profile, obstetric history, antenatal care history, causes of maternal mortality, time trend, geographical or regional distribution, admission and death interval, condition of patients on admission, outcome of pregnancy, and reasons for delay. Records of number of maternal deaths and live births were also collected for previous 11 years (2004—2014). Results Maternal mortality ratio has dropped almost six times in the last 11 years. Early age at marriage, illiteracy, poor socioeconomic status, and multiparity were found to be important determinants of maternal mortality and can act as risk factors. The pattern of causes of maternal deaths in this institute (preeclampsia) is different from that found in the community (postpartum hemorrhage). Delay in seeking care because of unawareness and illiteracy and ignorance was found to be the major contributing factor for most of the maternal deaths. How to cite this article Shrivastava R, Tiwari HC, Sangal R. A Study on Maternal Mortality in Baba Raghav Das Medical College, Gorakhpur. J South Asian Feder Obst Gynae 2016;8(4):294-298.

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