Maternal mortality: a retrospective analysis of 6 years in a tertiary care centre

Parmar, Monika; Shriastava, Sushruta; Kanhere, Anjali; Patel, Suprava

doi:10.18203/2320-1770.ijrcog20175850

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…The present study shows reduction in proportion of deaths due to direct causes. Deaths due to indirect and direct causes were 59.67 % and 40 % respectively, which was similar to the study done by Parmar et al 13 In the study by Parmar et al, 40% of maternal deaths were due to direct causes which were less than the indirect causes.…”

Section: Analysis Of Causes Of Deathsupporting

confidence: 88%

A five-year retrospective study of maternal mortality in a tertiary referral centre

Sarmalkar

Nayak

Faisal

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: The objectives of this study were to calculate the maternal mortality ratio (MMR) and the causes of maternal deaths in an urban tertiary care institution.Methods: A retrospective study of 305 maternal deaths over the period from January 2014 to December 2018 was carried out. Data was analysed using frequency and percentage with the help of Microsoft Excel 2019.Results: The MMR during the study period was 666.75per 100,000 live births. Majority of maternal deaths (130, 42.62%) occurred in age group 21-25 years. Maximum number of women (288, 94.1%) came from urban area. Majority of maternal deaths occurred in referred cases (238, 78.03%) to our institution. Majority were registered cases (235, 77.0%). Maximum women (201, 62%) died in the postnatal period. Majority of maternal deaths (222, 72.79%) occurred within 7 days of admission. Direct and indirect causes contributed to 40% and 59.67% of maternal deaths. Among the direct causes of maternal deaths, haemorrhage (45, 14.75%)) was the leading causes for death followed by hypertensive disorders (42, 13.77%) and sepsis (11, 9.02%). Tuberculosis (34, 18.68%) was the most common indirect cause of maternal mortality in our study followed by hepatitis (30, 16.48%) and respiratory conditions (25, 9.02%).Conclusions: Adequate surveillance of tuberculosis in the antenatal period, health education of pregnant women, proper antenatal, intranatal and emergency obstetric care in the first referral unit with proper blood banking facilities and timely referral to the tertiary care institute will help to lower the high death rate.

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Section: Analysis Of Causes Of Deathsupporting

confidence: 88%

A five-year retrospective study of maternal mortality in a tertiary referral centre

Sarmalkar

Nayak

Faisal

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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“…1,2,10,11 Maternal death is defined as death of a lady occurring while pregnant or within 42 days of termination of pregnancy, regardless of the duration and site of pregnancy, occurring from any cause related to or aggravated by pregnancy or its management but not from accidental or incidental causes. 1,9,[12][13][14] The catastrophe of the mother dying during child birth extends beyond her own death. The death of the mother is disastrous for the infant, other children in the family, community and the nation as a whole.…”

Section: Discussionmentioning

confidence: 99%

Pathological Study of Maternal Deaths - Experience from a Tertiary Care Centre in Central India

Poflee¹,

Patil²,

Raut³

2020

IJCMR

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Introduction: Maternal death (MD) is defined as death of a woman occurring while pregnant or within 42 days of termination of pregnancy irrespective of the duration or its management. Accidental or incidental causes are not included. Maternal mortality rate (MMR) of the region indicates the quality of maternal health care, availability of health care facilities and overall socio-economical status of the population in general. It is essential to know the exact cause responsible for maternal death which is possible by detailed autopsy and careful pathological study under expert guidance. Material and Methods: Autopsy study was performed in 100 consecutive cases of maternal deaths, over a period of 22 months. Detailed gross and microscopic examination of the visceral organs that included uterus, placenta was carried out in all cases of maternal deaths. Analysis of pathological findings was done in the light of available clinical data. Results: Out of the 100 cases of maternal deaths 87% belonged to age group of 21 to 30 years. There were 52% deaths in antenatal period. Direct causes were responsible for maternal deaths in 52% cases, indirect causes in 43% cases and in 5% cases the causes were coincidental. Conclusion: Direct causes of MD were more frequent than indirect causes in the present study. Haemorrhage being the most common direct cause of MD. Lesser accessibility to health care facilities at peripheral health centres for the prospective mothers is highlighted by the present study.

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Maternal mortality: a retrospective analysis of 6 years in a tertiary care centre

Cited by 2 publications

References 4 publications

A five-year retrospective study of maternal mortality in a tertiary referral centre

A five-year retrospective study of maternal mortality in a tertiary referral centre

Pathological Study of Maternal Deaths - Experience from a Tertiary Care Centre in Central India

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