Risk factors for maternal mortality in Delhi slums: A community-based case-control study

Aggarwal, Abha; Pandey, Arvind; Bhattacharya, Bhaswar B.

doi:10.4103/0019-5359.34521

Cited by 19 publications

(17 citation statements)

References 9 publications

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“…Hypertension or eclampsia related deaths accounted for 10.48 percent which was comparable with other studies [8,12].Use of magnesium sulfate and early termination of pregnancy with medications have led to better outcome in cases of severe pre-eclampsia and eclampsia. Amniotic fluid and pulmonary embolism were responsible for 2.83% and 1.13% each.…”

Section: Discussionsupporting

confidence: 84%

Maternal mortality: A hospital based study in thirty nine years

Devi¹,

Singh²,

Singh³

et al. 2014

IOSRJDMS

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Section: Discussionsupporting

confidence: 84%

Maternal mortality: A hospital based study in thirty nine years

Devi¹,

Singh²,

Singh³

et al. 2014

IOSRJDMS

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“…4 Most of the maternal deaths were in unbooked cases and was consistent with Verma Ashok et al (2008) 5 and Abha Aggarwal et al (2007). 6 Regular ANCs reduce MMR.…”

Section: Discussionsupporting

confidence: 67%

“…This finding is consistent with the result reported by Abha Aggarwal et al (2007). 6 Many of these girls have not matured properly and have smaller pelvices. Therefore the incidence of malnutrition, anaemia, pre-eclampsia, fetal mal presentations, cephalopelvic disproportion, prolonged and dystocic labours ending up in obstructed labours is higher.…”

Section: Discussionmentioning

confidence: 99%

A study of maternal mortality at the teaching hospital, Hubli, Karnataka

Kittur

2013

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal mortality continues to be a major public health problem in the developing world. Maternal mortality is a vital index of the effectiveness of obstetric services prevailing in a country. The present study was conducted at Karnataka Institute of Medical Sciences, Hubli, which caters to 250 PHC’s/CHC’s and is a major referral centre for 4 districts with an average of 800-1000 deliveries per month. Methods: Data on the maternal deaths at KIMS, Hubli from October 2010 to March 20011 during pregnancy and within 42 days of delivery of any cause, irrespective of the duration and site of pregnancy were collected. Results: The maternal mortality ratio for the study period was per 1,00,000 live births. Among the 40 maternal deaths, 7 deaths (17.5%) occurred in primigravida, 14 deaths (35%) had occurred in primipara, 4 deaths (10%) in gravida 2 and above, 7 deaths (17.5%) in para 2, 5 deaths (12.5%) in para 3 and 3 deaths (7.5%) had occurred in para 4 and above. During the study period, 8 deaths (20%) occurred within 1 hour of admission, 5 deaths (12.5%) within 1-6 hours of admission, 7 deaths (17.5%) between 7-12 hours of admission, 6 deaths (15%) between 13-24 hours, 8 deaths (20%) between 1-2 days and 6 deaths occurred after 2 days of admission. Maternal deaths had occurred mostly in delivered women (75%) compared to undelivered women (25%). During the study period, among the 40 maternal deaths, 34 deaths (85%) occurred due to direct obstetric causes and 6 deaths (15%) due to indirect causes. Among the direct obstetric causes, haemorrhage (30%) and hypertensive disorders of pregnancy (30%) were the leading causes. Pulmonary embolism (10%), rupture uterus (5%), chorioamnionitis (5%), septic abortion (2.5%) and acute inversion of uterus (2.5%) were the other direct causes of maternal deaths. Among the indirect obstetric causes, 4 deaths (10%) occurred due to anaemia which was the leading cause. One death (2.5%) occurred due to cardiac disease and 1 death (2.5%) due to hepatic failure. Conclusions: Reviewing the maternal deaths that occurred in our hospital, there is an urgent need to address the issue of obstetric haemorrhages and early intervention in PIH. Much needs to be done for maternal health care in rural areas as most of the deaths reported from urban institutions are referrals from peripheral centres. Rapid transport facilities should be made available to all remote rural areas with easy accessibility. It is necessary even in urban areas to channel the working of emergency obstetric care. This prevents early intervention and adequate emergency obstetric care. The essential obstetric care for all and early detection of complications and management of emergency obstetric care services need to be seriously looked into. Most maternal deaths are preventable by health education of masses, adequate health care in the community and transport facilities. [Int J Reprod Contracept Obstet Gynecol 2013; 2(1.000): 74-79

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“…(11) A community-based case control study in Delhi slums has also reported that most deliveries were conducted at home by untrained dais. (13) The rate of births attended by untrained birth attendants is comparatively lower in the present study (40.3%).…”

Section: Discussioncontrasting

confidence: 67%

“…Delaying of the first feed (22.6%) and discarding of colostrums (26.1%) were other customs that have been reported in similar earlier studies. (13–17)…”

Section: Discussionmentioning

confidence: 99%

Poor perinatal care practices in urban slums: Possible role of social mobilization networks

Khan

Mehnaz

Khalique

et al. 2009

Indian J Community Med

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Background:Making perinatal care accessible to women in marginalized periurban areas poses a public health problem. Many women do not utilize institutional care in spite of physical accessibility. Home-based care by traditional birth attendants (TBA) is hazardous. Inappropriate early neonatal feeding practices are common. Many barriers to perinatal care can be overcome by social mobilization and capacity building at the community level.Objectives:To determine the existing perinatal practices in an urban slum and to identify barriers to utilization of health services by mothers.Study Design:This is a cross-sectional descriptive study.Setting and Participants:The high-risk periurban areas of Nabi Nagar, Aligarh has a population of 40,000 living in 5,480 households. Mothers delivering babies in September 2007 were identified from records of social mobilization workers (Community Mobilization Coordinators or CMCs) already working in an NGO in the area. A total of 92 mothers were interviewed at home. Current perinatal practices and reasons for utilizing or not utilizing health services were the topics of inquiry.Statistical Analysis:Data was tabulated and analyzed using SPSS 12.Results:Analyses revealed that 80.4% of mothers had received antenatal care. However, this did not translate into safe delivery practices as more than 60% of the women had home deliveries conducted by traditional untrained or trained birth attendants. Reasons for preferring home deliveries were mostly tradition (41.9%) or related to economics (30.7%). A total of 56% of the deliveries were conducted in the squatting position and in 25% of the cases, the umbilical cord was cut using the edge of a broken cup. Although breast-feeding was universal, inappropriate early neonatal feeding practices were common. Prelacteal feeds were given to nearly 50% of the babies and feeding was delayed beyond 24 hours in 8% of the cases. Several mothers had breastfeeding problems.Conclusion:Barriers to utilization of available services leads to hazardous perinatal practices in urban slums.

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Risk factors for maternal mortality in Delhi slums: A community-based case-control study

Abstract: Pregnancy complications and childbirth-related complications are the major causes of death among women in their reproductive ages.

Cited by 19 publications

References 9 publications

Maternal mortality: A hospital based study in thirty nine years

Maternal mortality: A hospital based study in thirty nine years

A study of maternal mortality at the teaching hospital, Hubli, Karnataka

Poor perinatal care practices in urban slums: Possible role of social mobilization networks

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