Maternal mortality at a tertiary care teaching hospital in Dibrugarh district, Assam: a retrospective study

Hazarika, Lima; Phukan, Pranay; Sharma, Anand; Das, Nabajit Kr

doi:10.18203/2394-6040.ijcmph20173842

Cited by 7 publications

(6 citation statements)

References 4 publications

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“…In our study, 89.43% of maternal deaths were occurred in women belonging to rural areas which were very similar to results obtained by Shannon Fernandes et al where 78.6% deaths were from rural areas 9 . In this study 55% deaths were recorded in the tea tribe community but another study conducted in Dibrugarh shows a higher percentage of 66.7% 11 . In the present study 5 4.…”

Section: Discussioncontrasting

confidence: 49%

Epidemiology of maternal death in a tertiary care centre

Tamuli¹,

Sarma²,

Sarkar³

2019

OBGYN

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Objectives: To estimate the maternal mortality rate and to study the related factors responsible for the maternal deaths during the period from 2011 to 2016. Materials and methods: The present study was a retrospective record based study carried out from maternal death registers and Maternal Death Review (MDR) forms. The live birth records were obtained from labour room registers. Results: The institutional MMR was calculated to be 468.18 per 1,00,000 live births. The most common age (mode) of death was seen among women of 20 years; with 92.2% of deaths among women of rural area and 55% deaths were recorded in the tea tribe community alone. Most (54.4%) of the deaths were found amongst the primigravida. It was observed that 36.1% of the deaths occurred due to hypertensive disorder followed by haemorrhage (20.6%) and sepsis (10.6%). Anemia contributed 7.7% to the deaths and 1.7% was due to obstructed labor. Other causes included ruptured ectopic, ARDS, pulmonary embolism, DIC, rupture uterus. Conclusion: In the present study, many deaths have occurred due to hypertension, haemorrhagic and anaemic causes and many of them did not receive adequate antenatal attention.

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Section: Discussioncontrasting

confidence: 49%

Epidemiology of maternal death in a tertiary care centre

Tamuli¹,

Sarma²,

Sarkar³

2019

OBGYN

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“…In the study of Lima Hazarika et al the MD were maximum in the early age group of 15 to 20 years. 3,5 In the present study maternal deaths during post natal care period (PNC) cases were 48%. In the study of Surekha N. Khandale et al it was 53.84% and the study of Khumanthem Pratima Devi et al PNC cases were 70%.…”

Section: Discussionmentioning

confidence: 52%

“…It differs from region to region. 5,6 The causes of maternal mortality can be classified as direct, indirect and coincidental causes. 7 Direct causes are those that are directly related to obstetric complications due to pregnancy, labour or puerperium.…”

Section: Introductionmentioning

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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“…1) where there are structural social problems and migratory states due to forced displacement (rural to urban areas), increasing rates of violence, accidents, and injuries. Maternal deaths are multifactorial and in a large proportion preventable and associated in a large proportion with problems in the social structure, as was observed in the study by Hazarika L & Pukan P [1], where it was identified that follow-up was important for the prevention of maternal deaths of pregnancy at the community or institutional level, promoting prenatal visits, limiting the practices of irrational cultural beliefs, and reducing inequities.…”

Section: Resultsmentioning

confidence: 90%

“…Maternal mortality (MM) is a public health problem that mainly affects developing countries with a family, social and economic impact [1]. Official reports on the behavior of maternal mortality at the level of Cali and the Department of Valle del Cauca, report the behavior of the MM georeferenced by commune without having described the pattern of geographic distribution associated with economic variables and social determinants [2].…”

Section: Introductionmentioning

confidence: 99%

Social Determinants and Ethnic Factors Associated with a New Spatial Distribution of Maternal Mortality for a City of Colombia (2000-2019)

Freire

Carillo

Castillo

et al. 2021

EJMED

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Introduction: Maternal mortality in our region observed a significative reduction, however, it continues to be a a public health problem. In Cali-Colombia was traditionally concentrated in the eastern and hillside areas and with high prevalence of afroamerican patients. Materials and methods: To analyze the behavior of maternal mortality during the last twenty years in the city, an ecological analytical study of spatial correlation was carried out including in the analysis, economic, sociocultural and health care factors. Univariate, bivariate and multivariate analyzes were performed. Results: The spatial analysis showed clusters of maternal mortality in the northern and central areas of the city. As a risk factor for maternal mortality, it was observed that in pregnant women belonging to the mixed ethnic backgrounds and spanic white ethnicity from low socioeconomic income (IRR: 1.13, 95% CI 1.03-1.24). Access to basic education (OR: 0.66, 95% CI 0.53-0.83), attendance at prenatal care (OR: 0.95 95% CI 0.93-0.98) and access to health institutions (OR: 0.96, 95% CI: 0.95-0-97) identified as protective factors for maternal mortality. Conclusion: The clusters for maternal-perinatal mortality in the city during the last two decades had a significant spatial change with a new pattern of risk factors associated to maternal mortality.

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Maternal mortality at a tertiary care teaching hospital in Dibrugarh district, Assam: a retrospective study

Cited by 7 publications

References 4 publications

Epidemiology of maternal death in a tertiary care centre

Epidemiology of maternal death in a tertiary care centre

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

Social Determinants and Ethnic Factors Associated with a New Spatial Distribution of Maternal Mortality for a City of Colombia (2000-2019)

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