Autopsy study of maternal death in a tertiary care centre

Background: The World Health Organization (WHO) estimates that, of 536,000 maternal deaths occurring globally each year, 136,000 take places in India. Maternal death has serious implications to the family, the society and the nation. It deprives the surviving infant of mother's care. This study was done to assess maternal mortality in a tertiary care centre in north India where large numbers of patients are referred from the peripheral centers and the rural parts. This study was done to assess the causes of maternal mortality and suggest remedial measures to reduce the same. Objective of present study was to assess the causes of maternal death over a period of one year at G.M.C Amritsar, India.Methods: A retrospective hospital based study of 22 maternal deaths over a period of 1 year from June 2012 to June 2013. The information regarding demographic profile and reproductive parameters were collected and results were analyzed.Results: Over the study period, there were 22 deaths and 7272 live births (Majority were referral from other districts all over Punjab). Most common direct cause of maternal mortality was haemorrhage and anemia was the most common indirect cause. Most maternal deaths were seen in patients from rural areas, unbooked, illiterate patients and patients from low socioeconomic status.Conclusions: Proper health education should be given to the women; early registration of antenatal cases should be done which allows for rapid diagnosis and treatment of high risk cases. Also constructing a well equipped health care facility with trained staff and prompt transport facilities for early referral can bring down the maternal mortality rate in our country.

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To Study ICD-10 MM Classification of Causes of Maternal Death in Tertiary Care Centre, South Gujarat Over a Period of 2 Years

Indian Journal of Obstetrics and Gynecology ◽

10.21088/ijog.2321.1636.6218.14 ◽

2018 ◽

Vol 6 (2) ◽

pp. 161-165

Author(s):

Ritesh Sondawale ◽

◽

Jagruti Anavadia ◽

Dhwani Desai ◽

Tulshi Kalathiya ◽

...

Keyword(s):

Maternal Death ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Icd 10

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AN ANALYSIS OF MATERNAL DEATH IN A TERTIARY CARE CENTRE AT CHENNAI

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2016/732 ◽

2016 ◽

Vol 3 (62) ◽

pp. 3395-3399

Author(s):

Meena T.S ◽

Nalina S

Keyword(s):

Maternal Death ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre

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Evaluation of the Service Provision of Emergency Obstetric Care in a Tertiary Care Centre: A Clinical Audit

Borneo Journal of Medical Sciences (BJMS) ◽

10.51200/bjms.vi.2316 ◽

2020 ◽

pp. 5

Author(s):

Francis Paul ◽

Kent Kong Kian Keong ◽

Jennifer Tan ◽

Anna Lee En Moi ◽

Alen Lim Chung Chieh

Keyword(s):

Maternal Death ◽

Service Provision ◽

Clinical Audit ◽

Tertiary Care ◽

Emergency Obstetric Care ◽

Obstetric Care ◽

Health Indicator ◽

Care Centre ◽

Tertiary Care Centre ◽

Obstetric Emergency

Introduction: Maternal death is a sensitive health indicator being monitored closely by the Ministry of Health. Obstetric emergency (OE) protocol is introduced to manage OE and to improve maternal outcome. However, there is no national OE guideline available and the OE protocol varies among different institutions. The current audit aims to evaluate the service quality during OE in Duchess of Kent Hospital (DOKH) in accordance with OE protocol DOKH revision-2017.

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Analysis of maternal mortality: a retrospective study at tertiary care centre

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171437 ◽

2017 ◽

Vol 6 (4) ◽

pp. 1610 ◽

Cited By ~ 3

Author(s):

Surekha N. Khandale ◽

Kshama Kedar

Keyword(s):

Retrospective Study ◽

High Risk ◽

Maternal Mortality ◽

Maternal Death ◽

District Hospital ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Maternal Deaths ◽

Great Loss

Background: Mother is the pillar of the family and maternal deaths during pregnancy and delivery are great loss to baby, family, society and country too. Epidemiological data pertaining to maternal mortality is valuable in each set-up to design interventional programs to reduce the ratio favourably. This study was design to evaluate the mortality rate in our hospital, to assess the epidemiological aspects and causes of maternal mortality, types of delay, and to suggest recommendations for improvement. Aim of the study was to analyse the causes of maternal death at tertiary care centre. Objective of the study was to analyse causes of maternal death and type of delay, and to suggest measures to reduce it.Methods: A retrospective study done at a tertiary level care centre from January 2011 to June15. Demographic data and other data were collected from maternal death review forms and case records. Data studied and analysed.Results: Most maternal deaths were due to obstetric causes like eclampsia (16.66%), preeclampsia (11.53%), anaemia (14.10%)and haemorrhage (10.25%). Associated co-morbid medical conditions hepatitis (6.41%) and heart disease (5.12%) were in the top list. Majority women were from rural area (69.23%), belonged to below poverty line (76.92%), had less than three visits (64.09%), received care at periphery below the level of specialist sub-district hospital. 94.87%were referred, and travelled more than 4 hours to reach hospital (88.44%). In majority cases Type 1 delay was most common (85.89%) comparatively to Type 2 and 3 delay.Conclusions: High risk cases should be identified. Early referral, easy transport, continued skill based training, monitoring of health services can reduce maternal mortality. Special training should be conducted for ASHA workers and ANM who generally works at grass root level in our country. Continued medical training is required for medical officers who are working at PHC and sub district hospital for early recognition of high risk women and their referral in time to higher centers to avoid maternal near miss or death.

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