Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

Patel, Darshna M.; Patel, Mahesh M.; Salat, Vandita K.

doi:10.18203/2320-1770.ijrcog20182336

Cited by 5 publications

(11 citation statements)

References 3 publications

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“…[5][6][7][8][9][10][11][12] Low MMR was found in Shobha et al study (234.6), Patel et al (413.3), Boro RC et al (464) and Dayal et al (441) as compared to our study. 5,9,11,12 Higher MMR was found in the study by Tadru et al (940) and Sundari et al (802). 8,10 The maternal mortality ratio was quite high in our institution which was well above the national and state figures.…”

Section: Maternal Mortality Ratiosupporting

confidence: 43%

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: Maternal Mortality Ratiosupporting

confidence: 43%

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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“…7,11,16,17 Mothers from rural areas and of low socio economic group succumbed to death more than that from urban areas in the present study which agrees with many other Indian studies. 11,[17][18][19] Majority of the cases (85.1%) were referred from first referral units after identification of complications as observed also in Salem and Imphal. 15,19 In the present study no illiterate or unbooked patient were there.…”

Section: Discussionmentioning

confidence: 96%

“…Similar observation was seen from New Delhi. 8 More deaths occurred among multi parous women in studies conducted by Murthy BK et al, Garg P et al 17 , Patel DM et al and Khamathem PD et al 11,16,18,20 Indirect causes predominated and amounted to 50.49% while direct causes accounted for 42.57% deaths. This is another major difference from studies conducted in other Indian states where in almost all studies direct causes constituted the major chunk.…”

Section: Discussionmentioning

confidence: 97%

“…This was a major difference from many other Indian studies where majority of maternal deaths were among un booked patients. 8,11,[16][17][18][19] There were no grand multi gravida among the maternal mortality group and primigravidae comprised more than half (50.49%). Similar observation was seen from New Delhi.…”

Section: Discussionmentioning

confidence: 98%

“…This is another major difference from studies conducted in other Indian states where in almost all studies direct causes constituted the major chunk. 7,11,[15][16][17][18][19][20][21] Although this can be counted as a progress towards attaining health standards of developed nations, authors still have the triad of hemorrhage, hypertensive disorders and sepsis in significant proportions and as leading direct causes. As far as direct causes are concerned, similar to what has been pointed out from one study from Bangladesh, they are still important contributing factors.…”

Section: Discussionmentioning

confidence: 99%

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Trends in causes of maternal mortality in a tertiary care centre in Kerala, India

Sreekumari

Nair

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Kerala has the lowest maternal mortality ratio compared to other Indian states. But when compared to developed countries Kerala has still a long way to go. The present study aimed to analyse the causes of maternal deaths that occurred in the study setting for a period of seven years (2011-2017).Methods: Retrospective study which was conducted at SAT hospital, Govt. Medical College, Thiruvananthapuram. All maternal deaths that occurred in the study setting from January 2011 to December 2017 were found out from registers. The baseline socio demographic characteristics, gravidity, parity, cause of death were recorded using structured proforma and analyzed using SPSS software.Results: Total maternal deaths during the time period was 101. There were 66441 live births. Maternal mortality ratio for the seven-year period was 152. Majority were primigravidae (50.49%), of low socio-economic status (79.2%), rural population (81.1%) and referred from periphery after identifying complication (85.1%). Caessarean section was the commonest mode of delivery among them (43.56%). Regarding cause of death, indirect maternal deaths were more than direct deaths (50.49% versus 42.57%). Cardiac disorder was the leading indirect cause (12.87%), Post-partum hemorrhage (13.86%), Hypertensive disorders (8.91%) and Sepsis (7.9%) were the leading direct causes.Conclusions: Early referral protocols, increasing blood and blood component availability in the periphery should be reinforced. Regarding indirect causes medical boards should be constituted in tertiary care centres for prompt and efficient multidisciplinary care.

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Investigating the causes of maternal mortality in Razavi Khorasan based on forensic medical records during the years 2015 to 2022

Fathi Najafi,

Dashti,

Naghsh

et al. 2024

Arch Public Health

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Background Maternal mortality is among the main indicators of health in nations. Identifying the causes of maternal mortality is crucial in designing preventive interventions. Therefore, this study aimed to evaluate the causes of maternal mortality during 8 years. Methods This descriptive-analytical study was conducted on the archived cases of maternal mortality in the Forensic Medicine Department of the Khorasan Razavi Province between March 2013 and March 2022, but as no data was available for the first two years, maternal mortality data for 8 years was evaluated. Demographic characteristics, midwifery data, pregnancy care method, pregnancy care and delivery agent, insurance type, and confirmed cause of death were compared between the first and last five-year periods of the study. Results Overall, 250 cases of maternal mortality were identified in the study period. The prevalence of indirect and unrelated causes of maternal mortality was significantly higher in the last four-year period compared to the first four-year period ( p < 0.001). The most common direct causes of maternal mortality in both periods were postpartum hemorrhage, eclampsia and gestational hypertension complications; and postpartum infection. Coronavirus disease 2019 (COVID-19) was the most common cause of maternal mortality in the last four-year period but the other common indirect causes of maternal mortality (cardiovascular disease and pulmonary embolism) were similar between the two periods. The most common unrelated cause of maternal mortality was accidents. Conclusions Postpartum maternal mortality was higher than intrapartum period. Bleeding was still the main cause of maternal mortality. Despite the progress in prenatal care, it is necessary to improve intrapartum and postpartum quality of care.

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Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

Cited by 5 publications

References 3 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

Trends in causes of maternal mortality in a tertiary care centre in Kerala, India

Investigating the causes of maternal mortality in Razavi Khorasan based on forensic medical records during the years 2015 to 2022

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