scholarly journals Maternal Deaths in India: A Review of Trends and Programmes

2021 ◽  
Vol 07 (03) ◽  
pp. 17-21
Author(s):  
Cimil Babu ◽  
Keyword(s):  
Maternal Mortality ◽  
Care Facility ◽  
Health Care Facility ◽  
Uttar Pradesh ◽  
Maternal Deaths ◽  
Registration System ◽  
Sample Registration System ◽  
The Government ◽  
Eag States ◽  
Inter State

High-quality services during childbirth in a health care facility reduce maternal morbidity and mortality. High maternal mortality in India is a critical concern. In an attempt to decrease the maternal mortality rate (MMR), the Government of India has launched many programmes. This article discusses the trends in maternal mortality in India with the inter-state disparities. As per Sample Registration System (SRS), MMR in India was estimated to be 556 in 1990, but globally it was only 385 at that time. India has achieved about a 77% reduction in maternal mortality compared to the global average of 43% between 2005 and 2017, but a huge inter-state disparity in maternal death still exists. Approximately 65%-75% of the estimated maternal deaths in India occur in a few states, including the eight Empowered Action Group (EAG) states (Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Odisha, Rajasthan, Uttar Pradesh, and Uttarakhand), and Assam. For instance, the MMR reported for Assam (state which has the highest MMR) was 215 in 2017-18 which is five times higher than that of Kerala (43), which has the least MMR of all states. Most of the maternal deaths are due to direct causes and are largely preventable and treatable. There was a consistent reduction in MMR as a result of a number of interventions and programmes including Janani Suraksha Yojana (JSY) which helped in surging institutional deliveries.

scholarly journals Evaluation of maternal mortality and their factors in GMCH, Aurangabad, India

2018 ◽  
Vol 7 (3) ◽  
pp. 879
Author(s):  
Ganesh Balasaheb Bharaswadkar ◽  
Murlidhar L. Kurtadikar
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Community Education ◽  
Tertiary Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Maternal Deaths ◽  
Infective Hepatitis

Background: Analysing the factors related to maternal mortality is very important as they reflect the socioeconomic status and health care facility availabilities of the country. This study is aimed to analyse the epidemiological aspects and different causes of maternal death and evaluation of preventable factors and unavoidable factors if any causing maternal death.Methods: The retrospective study was carried out at GMCH, Aurangabad during the period from February 2002 to January 2004. All the data related to epidemiological factors and causes of maternal mortality was recorded and analyzed.Results: There were 33 maternal deaths during the study period. The mean maternal mortality rate was 211 per 1,00,000 total births. Maximum maternal deaths were reported at the age group of 26-30 years (36.1%), in primiparous women (46.8%) and from rural areas (78.38%). Most of the deaths (37.5%) were reported within first 24 hours of hospital admission at postpartum stage (87.5%). 84.37% of maternal deaths were due to direct causes. And toxemia of pregnancy (39.5%) was major direct cause. Anaemia and infective hepatitis constitutes for 9.3% each for the indirect causes maternal death.Conclusion: Most maternal deaths can be preventable by multidisciplinary approaches involving mass community education, improving sanitation, early referrals to tertiary care centres and by providing health care facilities in rural areas.

Determinants of Maternal Mortality in Rural China

1996 ◽  
Vol 9 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Q. Li ◽  
M. D. Fottler
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Maternal Care ◽  
Economic Status ◽  
Care Facility ◽  
Health Care Facility ◽  
Mortality Rates ◽  
Future Research ◽  
Socio Economic Status ◽  
On The Road

A case-control study of maternal mortality was conducted in selected rural areas of two provinces in China: Henan province, which has a relatively lower socio-economic status and higher maternal mortality rates, and Jiangsu province with higher socio-economic status and lower maternal mortality rates. The major cause of maternal mortality in the two provinces was postpartum hemorrhage and the largest proportion of deaths occurred on the road between the women's home and the health care facility. Results indicate that the expectant mother's socio-economic status, knowledge of maternal care, and the nature and level of maternal care provided all influence rural maternal death rates. However, socio-economic factors were only significant predictors of mortality in the poorer province. Implications for health policy and future research are discussed.

scholarly journals Maternal mortality in a tertiary care centre in North India: a retrospective study

2017 ◽  
Vol 6 (12) ◽  
pp. 5559
Author(s):  
Prachi Sarin Sethi ◽  
Sujata Sharma ◽  
Indu Chawla
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Rural Areas ◽  
Tertiary Care ◽  
Care Facility ◽  
North India ◽  
World Health ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Maternal Deaths

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.

scholarly journals Maternal mortality assessment in a tertiary care hospital in Uttar Pradesh, India

2020 ◽  
Vol 9 (9) ◽  
pp. 3814
Author(s):  
Urvashi Barman Singh ◽  
Shakti Jain ◽  
Yashi Srivastava ◽  
Manisha Gupta ◽  
Meena Dayal
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Post Partum ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Medical College ◽  
Time Period

Background: Objective of this study was to calculate the maternal mortality rate in our hospital and to assess the epidemiological aspects and causes of maternal mortality to further analyse ways to reduce the maternal mortality rate (MMR).Methods: This was a retrospective analytical study done in the department of obstetrics and gynecology, MLN Medical College and District Women Hospital, Prayagraj over a time period of 10 years i.e., October 2009 to October 2019. Retrospective analysis and evaluation of the medical records and statistics was done to find out and collect specific causes of maternal deaths in the give time period.Results: There were 357 maternal deaths from October 2009 to October 2019. Maternal mortality rate in the study was calculated to be 498.42 per 1 lakh live births. Maximum deaths were in 21-30 years age group with multipara, unbooked and illiterate cases. Majority of the deaths reported were from direct causes of maternal mortality i.e., hemorrhage, hypertensive disorders and sepsis.Conclusions: In the selected hospitals, the mean maternal mortality rate in the study period was 498.42/100000 births. 71.4% had direct cause and 21.56% had indirect cause of maternal mortality several factors like regular antenatal visits, early identification of high-risk cases, timely referral, institutional deliveries, adequate post-partum care and follow-up can contribute to decrease the maternal mortality rate effectively.

scholarly journals A Study on Maternal Mortality in Baba Raghav Das Medical College, Gorakhpur

2016 ◽  
Vol 8 (4) ◽  
pp. 294-298
Author(s):  
Reena Shrivastava ◽  
Harish C Tiwari ◽  
Renu Sangal
Keyword(s):  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Regional Distribution ◽  
Uttar Pradesh ◽  
Study Data ◽  
Maternal Deaths ◽  
Medical College ◽  
Mortality Ratio ◽  
Interval Condition ◽  
Determinants Of Maternal Mortality

ABSTRACT Introduction Prevention of maternal deaths is one of our foremost goals to provide safety to motherhood and to avoid loss to the family, society, and the nation. Maternal mortality ratio (MMR) of Uttar Pradesh is very high as compared to national average. Within the state, there is wide variation in MMR. The explanations and answers to these regional variations are complex. This study was planned with the objectives to explore each and every maternal death that had occurred in Baba Raghav Das Medical College in the last 4 years (2011—2014). Materials and methods In this study, data were collected from records of all maternal deaths that had occurred in the Department of Obstetrics and Gynecology, Baba Raghav Das Medical College, Gorakhpur from March 2011 to December 2014. Records of all maternal deaths during this period were scrutinized for socio-demographic profile, obstetric history, antenatal care history, causes of maternal mortality, time trend, geographical or regional distribution, admission and death interval, condition of patients on admission, outcome of pregnancy, and reasons for delay. Records of number of maternal deaths and live births were also collected for previous 11 years (2004—2014). Results Maternal mortality ratio has dropped almost six times in the last 11 years. Early age at marriage, illiteracy, poor socioeconomic status, and multiparity were found to be important determinants of maternal mortality and can act as risk factors. The pattern of causes of maternal deaths in this institute (preeclampsia) is different from that found in the community (postpartum hemorrhage). Delay in seeking care because of unawareness and illiteracy and ignorance was found to be the major contributing factor for most of the maternal deaths. How to cite this article Shrivastava R, Tiwari HC, Sangal R. A Study on Maternal Mortality in Baba Raghav Das Medical College, Gorakhpur. J South Asian Feder Obst Gynae 2016;8(4):294-298.

scholarly journals Estimates and Correlates of District-Level Maternal Mortality Ratio in India

2021 ◽  
Author(s):  
Srinivas Goli ◽  
Parul Puri ◽  
Pradeep Salve ◽  
Saseendran Pallikadavath ◽  
K.S. James
Keyword(s):  
Maternal Mortality ◽  
Tamil Nadu ◽  
Health Management ◽  
Spatial Clustering ◽  
Local Level ◽  
Maternal Mortality Ratio ◽  
Health Management Information System ◽  
Maternal Deaths ◽  
Registration System ◽  
Mortality Ratio

Despite the progress achieved, approximately one-quarter of all maternal deaths worldwide occur in India. Till now, India monitors maternal mortality in 18 out of its 36 provinces using information from the periodic sample registration system (SRS). The country does not have reliable routine information on maternal deaths for smaller states and districts. And, this has been a major hurdle in local-level health policy and planning to prevent avoidable maternal deaths. For the first time, using triangulation of routine records of maternal deaths under Health Management Information System (HMIS), Census of India, and SRS, we provide Maternal Mortality Ratio (MMR) for all states and districts of India. Also, we examined socio-demographic and health care correlates of MMR using large-sample and robust statistical tools. The findings suggest that 70% of districts (448 out of 640 districts) in India have reported MMR above 70 deaths-a target set under Sustainable Development Goal-3. According to SRS, only Assam shows MMR more than 200, while our assessment based on HMIS suggests that about 6-states (and two union territory) and 128-districts have MMR above 200. Thus, the findings highlight the presence of spatial heterogeneity in MMR across districts in the country, with spatial clustering of high MMR in North-eastern, Eastern, and Central regions and low MMR in the Southern and Western regions. Even the better-off states such as Kerala, Tamil Nadu, Andhra Pradesh, Karnataka, and Gujarat have districts of medium-to-high MMR. In order of their importance, fertility levels, the sex ratio at birth, health infrastructure, years of schooling, post-natal care, maternal age and nutrition, and poor economic status have emerged as the significant correlates of MMR. In conclusion, we show that HMIS is a reliable, cost-effective, and routine source of information for monitoring maternal mortality ratio in India and its states and districts.

scholarly journals Literature Review of Online Registration System Based On SMS Gateway

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Mrs. Oktamianiza ◽  
Deni Maisa Putra ◽  
Yulfa Yulia ◽  
Yulia Fitriani
Keyword(s):  
Literature Review ◽  
User Satisfaction ◽  
Care Facility ◽  
Health Care Facility ◽  
Literature Study ◽  
Quality Of Information ◽  
Registration System ◽  
Advantages And Disadvantages ◽  
Online Registration

Background: Online registration is a patient or patient's family registering to get an examination from a health care facility by utilizing remote technology facilities, for example a patient registering by using telephone, SMS, WhatsApp, web, and others. Because often there are problems with SIMRS which are caused by several factors. The purpose of this study is to describe the SMS gateway-based online outpatient registration systemMethods: This research method was carried out by conducting a literature review. with the literature study method. Sources of data in this study were obtained from several published journals with attention to inclusion and exclusion categories. Meanwhile, data analysis was carried out by paying attention to aspects of similarity, inequality, views, comparisons and summaries.Results: The results obtained are based on a review of several journals with literature studies related to the online registration system, namely the discovery of the advantages and disadvantages of the SIM-RS implementation system in hospitals in terms of online registration, including from the aspect of system users, low user satisfaction, utilization. technology that is still limited and the quality of information is still inaccurate. Besides, the stipulation and implementation of SOPs is not optimal.Conclusions: It is necessary to establish SOP that is more measurable and can be implemented appropriately

scholarly journals The study of eclampsia as a cause of severe acute maternal morbidity

2018 ◽  
Vol 7 (10) ◽  
pp. 4234
Author(s):  
Yoga Lakshmi S. K. ◽  
Suvarna R.
Keyword(s):  
Maternal Morbidity ◽  
Care Facility ◽  
Health Care Facility ◽  
Descriptive Study ◽  
Peripartum Cardiomyopathy ◽  
Near Miss ◽  
Maternal Deaths ◽  
Near Misses ◽  
Review Form

Background: “SAMM” refers to the morbidity a woman actually suffers1. The identification of Eclampsia as a cause of severe maternal morbidity has emerged as a promising complement or alternative to the investigation of maternal deaths. The most common tool used to identify SAMM is by WHO criteria. Incorporation of near-misses into maternal death enquiries would improve the quality of care and its standardization.Methods: A descriptive study of SAMM in the department of OBG in KIMS hospital done between Jan 2013 to June 2014. The total number of deliveries during this period were 2786. There were 43 cases of Eclampsia as a cause of SAMM. Among this, 1 case was admitted in ICU due to peripartum cardiomyopathy, MODS, HELLP syndrome. Data were collected as per Performa (facility based Maternal Near Miss Review Form [MNM-R FORM] and statistical analysis was performed.Results: The cases of near miss have 2 or more factors responsible for it. In this study,23% of SAMM are due to lack of resources and Lack of transport from home to health care facility. 20% due to lack of human resources.11% due to lack of awareness. Other responsible for minor contributory factors.Conclusions: SAMM can be decreased by identifying factors responsible for it and steps taken to resolve them. Step by step improvement to be done as all the factors are modifiable.

Benefits and Drawbacks of Using Hotels as Shelters After a Landslide

2021 ◽  
pp. 1-4
Author(s):  
Shinya Tada ◽  
Kei Jitsuiki ◽  
Hiromichi Ohsaka ◽  
Youichi Yanagawa
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Living Alone ◽  
Medical Assistance ◽  
Medical Problems ◽  
Shizuoka Prefecture ◽  
The Government ◽  
Barrier Free

Abstract Objectives: On July 3, 2021, a landslide occurred in part of Atami City, Shizuoka, Japan. Methods: The government of Shizuoka Prefecture requested the dispatch of Shizuoka Disaster Medical Assistance Teams (S-DMATs). Results: On day 2, the evacuees were evacuated into 2 hotels (A and B). Hotel A accommodated over 570 independent and dependent evacuees. Hotel B accommodated 44 dependent aged individuals, who lived in the same long-term health-care facility, together with their 11 caregivers. The evacuees in hotel B returned to the previous facility on day 10 without any specific medical problems. The evacuees in hotel A were managed in the guest rooms as family units. Individuals requiring care in guest rooms in hotel A became isolated because they could not call for help or walk. Furthermore, hotel guest rooms were not barrier-free. The S-DMATs supported the evacuees. Conclusions: Independent evacuees received the maximum benefits from the use of a hotel as a shelter. In contrast, it was difficult for dependent evacuees to benefit from the hotel as it is as a shelter when living alone in the hotel. Dependent evacuees required appropriate support to eat, walk, use the toilet, and keep themselves clean when using a hotel as a shelter.

scholarly journals URBANIZATION, MULTI-MORBIDITIES AND PREFERENCE FOR HEALTH CARE FACILITY: AN INSIGHT FROM RAJASTHAN, INDIA

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Kshipra JAIN ◽  
Perianaygam AROKIASAMY
Keyword(s):  
Health Care ◽  
Healthcare Providers ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
The Elderly ◽  
Healthcare Needs ◽  
Rapid Pace ◽  
The Government ◽  
Care Demands

India experiences rapid pace of urbanization with increasing elderly population and changing disease profile creating new set of health care demands. The study made a novel attempt by exploring the prevalence of morbidities, multi-morbidities along with preferred healthcare facility substantiated by its reasons among the older adults aged 50+ living in urban Rajasthan based on a primary survey. The higher prevalence of single morbidity compared to multi-morbidity reflects the possibility of future healthcare needs. Poisson regression estimates identified the elderly belonging to the non-SC/ST/OBC group and the non-poor household in the age group of 60+ at higher risk of multi-morbidities. The Government hospitals overall enjoy higher acceptance though the reasons vary from their efficiency to lacuna in other healthcare providers. The study suggests incorporating the factors shaping the preferences to develop a suitable healthcare centre for the elderly and the expansion of government healthcare schemes. Successful ageing can get a boost by adequately addressing their healthcare needs.

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