scholarly journals ANALYSIS OF MATERNAL MORTALITY: A RETROSPECTIVE STUDY AT TERTIARY CARE CENTRE

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Hetal Prajapati ◽  
Rajni Parikh
Keyword(s):  
Maternal Mortality ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Great Loss ◽  
The Family ◽  
Pregnancy And Delivery ◽  
Review Form ◽  
Maternal Death Review ◽  
The Common

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. Objective: This study was design to evaluate the mortality rate in our hospital, to assess the epidemiological aspects and cause of maternal mortality, types of delay and to suggest recommendations for improvement. Method: was obtained from Sir T hospital record in form of maternal death review form which was filled by Gynec department after every maternal mortality in Sir T Hospital. From Year 2011 to 2020, data were collected and reviewed and exclude those deliveries in which accidental, incidental and non-obstetrics causes were found. Result and conclusion: On basis of this study thus we know the common cause of maternal mortality and with what it may associated, so we can overcome it and reduced the mortality. Keyword: Maternal mortality, Anaemia, Postpartum haemorrhage, Eclampsia.

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

2017 ◽  
Vol 6 (4) ◽  
pp. 1610 ◽  
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.

scholarly journals Maternal mortality-a three-year retrospective study in a rural medical college of India

2021 ◽  
Vol 10 (8) ◽  
pp. 3019
Author(s):  
Jayasree Hansda ◽  
Debobroto Roy ◽  
Krishnapada Das ◽  
Manojit Sarkar ◽  
Rumpa Das ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Demographic Profiles ◽  
Medical College ◽  
Mortality Ratio ◽  
Tragic Event

Background: Maternal mortality is a tragic event as family revolves around a mother. The deadly obstetrical triad of hemorrhage, preeclampsia and infection has accounted for a third of all deaths. This study was conducted to assess maternal mortality ratio, demographic profile and causes of maternal death.Methods: This retrospective longitudinal study was conducted in the department of obstetrics and gynecology for a period of three years from 1st January 2018-31st December, 2020. Total no of death during this period was 134.Records of deaths and demographic profiles were retrieved from the medical record library of aforesaid hospital.Results: There were 134 maternal deaths amongst 56815 live births with MMR 235.85. The majority of deaths were in 20-29 year of age group and most of the deaths seen in multigravida. The 91.79% death was observed within the 24 hours and after 72 hours. Eclampsia, preeclampsia and hemorrhage were leading cause of maternal death seen in the study.Conclusions: Maternal mortality is higher than national MMR. Majority of maternal death were preventable by proper antenatal care, early detection of high-risk pregnancies and their timely referral to tertiary care centre.

scholarly journals A retrospective analysis of maternal mortality in an urban tertiary care hospital

2021 ◽  
Vol 11 (1) ◽  
pp. 197
Author(s):  
Nishu Bhushan ◽  
Aakriti Manhas ◽  
Anju Dogra
Keyword(s):  
Maternal Mortality ◽  
Medical Records ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Mortality Ratio ◽  
Causes Of Deaths

Background: The aims of the study were to generate information regarding causes and complications leading to maternal deaths in an urban tertiary care centre and to find if any of the causes are preventable.Methods: The medical records of all maternal deaths occurring over a period of 4 years between January 2015 and December 2018 were reviewed.Results: Maternal mortality ratio ranged between 127 and 48 per 1, 00,000 births in the study. The causes of deaths were haemorrhage (29.47%), pregnancy-induced hypertension (PIH) (28.42%), anaemia (12.63%), sepsis (9.47%), thromboembolism (6.31%), hepatic causes (5.26%), blood reactions (3.15%), heart diseases (2.10%), central nervous system (CNS) related (1.05%) and others (2.10%). Maximum deaths occurred in women between 21-30 years of age. Mortality was highest in post-natal mothers (70.52%).Conclusions: Overall maternal mortality due to direct obstetric causes was (73.68%), indirect obstetric causes (22.10%) and unrelated causes (4.2%). 

scholarly journals Audit on maternal mortality in a tertiary care centre in India of 6 years, a retrospective analysis

2020 ◽  
Vol 9 (2) ◽  
pp. 499
Author(s):  
Neha Agrawal ◽  
Hemangi K. Chaudhari
Keyword(s):  
Maternal Mortality ◽  
Retrospective Analysis ◽  
Tertiary Care ◽  
Obstetric Care ◽  
Hepatitis E ◽  
Hypertensive Disorder ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Obstetrics And Gynaecology

Background: This study is carried out on 382 cases of maternal deaths from July 2010 to June 2016 at the department of obstetrics and gynaecology of tertiary centre to evaluate causes and risk factor associated with maternal deaths.Methods: Retrospective analysis of all maternal deaths occurred in department of obstetrics and gynaecology of tertiary care hospital from July 2010 to June 2016.Results: The MMR in the study period was 915/100000 live births. Maximum no. of maternal death 42.7% were in age group of 21-25 years, majority of them residing in urban area. 117 patients referred from sub-district/district hospital. 76.4% patients were registered. 60% maternal deaths were seen in postnatal period. In present study majority of maternal deaths 60% were due to indirect cause while 40% patients died due to direct cause. Major causes of maternal deaths were hypertensive disorder 12%, obstetric haemorrhage 11% tuberculosis 11%, hepatitis E 8% and pregnancy related infections 5.6%.Conclusions: High maternal mortality can be due to the fact that the study was conducted in tertiary care referral centre. Referral of moribund cases from rural, sub-district, district and peripheral hospital to our institute have inflated this mortality ratio. All of these being preventable causes of death can be avoided by improving standard of obstetric care, increasing number of health professionals, upgradation of healthcare facilities at first referral units and by making better health policies.

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 EVALUATE THE DIRECT AND INDIRECT ETIOLOGIES OF MATERNAL MORTALITY: A RETROSPECTIVE ANALYSIS.

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Rashmi Kumari ◽  
Usha Kumari ◽  
Krishna Sinha
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Medical College ◽  
Multiparous Women ◽  
Jawaharlal Nehru ◽  
Primiparous Women ◽  
Timely Referral

Aim: prevalence and the various direct and indirect etiologies of maternal mortality. Materials and Methods: The present 1 years retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India Results: A total of 56 deaths were analyzed. The mortality rate in study period was 333 per 1,00,000 live births. Maximum maternal deaths (60.7%) were reported in the age group 21-25 years. More deaths were reported in multiparous women (67.9%) as compared to primiparous women (32.1%). Most of them were unbooked cases (60%). Hemorrhage (30.4%), eclampsia (16.1%), sepsis (12.5%) and embolism (7.1%) were the major direct causes of maternal death. Anemia (16.1%) was the major indirect cause of death. Conclusions: Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis. Anemia continues to be the most common indirect cause. Majority of maternal deaths were preventable by proper antenatal care, early detection of high risk pregnancies and their timely referral to tertiary care centre. Keywords: MMR, Hemorrhage, Sepsis, Anemia

scholarly journals Maternal mortality: a tertiary centre panic

2017 ◽  
Vol 6 (8) ◽  
pp. 3256
Author(s):  
Lalit D. Kapadia ◽  
Aakriti R. Lamba
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Causes Of Death ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Tertiary Centre ◽  
The Family ◽  
Multiparous Women

Background: Maternal death has a serious implication on the family, society and nation. The preventable and avoidable factors have been noted in most of the maternal deaths and these can be reduced by effective and affordable actions. The objective of present study was to evaluate the causes of maternal mortality in a tertiary care hospital, assess its epidemiological aspects and suggest remedial measures to reduce the same.Methods: A retrospective study of all hospital records and death summaries of all maternal deaths over a period of 16 months from April 2015 to July 2016 was carried out and epidemiological factors and causes affecting maternal mortality were assessed.Results: A total of 100 maternal deaths occurred over a period of 15 months out of which unbooked and late referrals constituted 75.55 % of maternal deaths. Most maternal deaths occurred in the age group of 20–30 years, multiparous women (73%) and women from rural areas (71.%). Direct obstetric causes were responsible for 91 maternal deaths whereas 50 maternal deaths were due to indirect causes. Most common cause of death (41) was hemorrhage, followed by pregnancy-induced hypertension including eclampsia (15) and sepsis (21).Conclusions: Hemorrhage, sepsis and hypertension including eclampsia were seen as the direct major causes of death. There is a wide scope of improvement because a large proportion of the observed deaths are preventable.

scholarly journals EVALUATE THE EXISTING MMR AND THE ETIOLOGY OF MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL IN BIHAR: A RETROSPECTIVE ANALYSIS.

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Sweety Rani ◽  
Abha Rani Sinha
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Medical College ◽  
Multiparous Women ◽  
Primiparous Women ◽  
Timely Referral

Aim: to assess the existing MMR and the causes of maternal mortality. Materials and Methods: The present retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Patna Medical College and Hospital, Patna, Bihar from Jan 2017 to march 2018. Results: A total of 56 deaths were analyzed. The mortality rate in study period was 333 per 1,00,000 live births. Maximum maternal deaths (60.7%) were reported in the age group 21-25 years. More deaths were reported in multiparous women (67.9%) as compared to primiparous women (32.1%). Most of them were unbooked cases (60%). Hemorrhage (30.4%), eclampsia (16.1%), sepsis (12.5%) and embolism (7.1%) were the major direct causes of maternal death. Anemia (16.1%) was the major indirect cause of death. Conclusions: Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis. Anemia continues to be the most common indirect cause. Majority of maternal deaths were preventable by proper antenatal care, early detection of high risk pregnancies and their timely referral to tertiary care centre. Keywords: MMR, Hemorrhage, Sepsis, Anemia

scholarly journals Analysis of maternal mortality at a government teaching hospital GMKMCH, Salem, Tamil Nadu, India: a retrospective study

2018 ◽  
Vol 7 (12) ◽  
pp. 5093
Author(s):  
Sridevi G. ◽  
Shanmugavadivu L.
Keyword(s):  
Retrospective Study ◽  
Maternal Mortality ◽  
Cause Of Death ◽  
Maternal Death ◽  
Physiological State ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Great Loss

Background: Mother is the pillar of the family. Maternal death is a great loss to the baby, family, society and country. Pregnancy although being considered as a physiological state carries risk of serious maternal morbidity and mortality . This is due to various complications that may occur during pregnancy, labour or thereafter. Maternal mortality ratio is a very sensitive index that reflects the quality of healthcare provided by the community to the women population.Methods: A retrospective study of 204 maternal deaths over a period of 56 months from July 2013-february 2018. Demographic data were collected from maternal death review form and records. Data studied and analyzed.Results: During the study period, there were 33968 deliveries and 204 maternal deaths with a MMR of 600.5/1,00,000 live births. Eclampsia was the leading direct cause of death. Anemia was the leading indirect cause of death. Most of the women died within 24 hours of admission suggesting that majority of patients reached the tertiary care hospital quite late. Majority of deaths occurred in the age group of 20-30 years and in postpartum period.Conclusions: Most maternal deaths are preventable by optimal utilization of existing MCH facilities, identifying the bottleneck in health delivery system, early identification of high-risk pregnancy and therein timely referral to tertiary care centre.

scholarly journals A study of maternal mortality in a tertiary care hospital

2018 ◽  
Vol 7 (6) ◽  
pp. 2446
Author(s):  
Usha Doddamani ◽  
Nirmala Rampure ◽  
Kaveri . ◽  
Pooja .
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Pregnancy And Childbirth ◽  
Multiparous Women

Background: Maternal mortality is a strong indicator for measuring the health care provided to the women by any society. Motherhood is an event of joy and celebrations for every family. It is tragic that deaths occur during pregnancy and childbirth and most are preventable. The aim is to study the incidence of maternal mortality, assess the epidemiological aspects, causes of maternal mortality and avoidable factors that can prevent maternal deaths.Methods: A retrospective hospital based study was conducted in the Department of OBG, Gulbarga Institute of Medical Sciences, a tertiary level health care referral centre in Kalaburgi, Karnataka, India over a period of 2 years from January, 2016 to December, 2017.Results: A total of 65 deaths were analysed. The mortality rate in study period was 364 per 1,00,000 live births. Maximum maternal deaths were reported in the age group 20-24 years. More deaths were reported in multiparous women (55.8%) as compared to primiparous women (44.2%). Most of them were unbooked cases (60%). The classic triad of haemorrhage (38.4%), hypertensive disorders (29.2%) and sepsis (12%) were the major direct causes of maternal death. Anemia was the major indirect cause of death. Other indirect causes of maternal death were jaundice, heart disease, respiratory disease and epilepsy.Conclusions: Majority of maternal deaths were preventable by proper antenatal care, early detection of high risk pregnancies and their timely referral to tertiary care centre.

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