Discussion on a 5 Year Retrospective Study of Pattern of Maternal Mortality in a Tertiary Care Hospital in South India

Discussion on a 5 Year Retrospective Study of Pattern of Maternal Mortality in a Tertiary Care Hospital in South India

Introduction: One of the most challenging public health issues in India remains maternal mortality. One mother dies every minute because of complications related to pregnancy and child birth. In developing countries, women are 30 to 40 times more likely to die as a result of pregnancy and childbirth than their counterparts in developed countries. Even today India accounts for 20 per cent of global maternal deaths. In India, the total maternal deaths are around 63,000 per year, approximating one death per minute.

Materials and Methods: A retrospective study of 78 cases of maternal mortality in tertiary care hospitals over a 5-year period from January 2007 to January 2012 was analyzed, with specific focus on parity, cause of death and admission interval. Results: Hemorrhage was 26.92 percent of the leading cause of maternal death, followed by 23.08 percent of sepsis . Pre-eclampsia accounted for 20.51% of maternal deaths. Anemia accounted for 17.95 percent of the deaths. The age group in which most maternal deaths occurred (74.36 percent) was 21-30 years of age. When comparing women’s parity, it was seen that most maternal deaths accounted for more than half of maternal deaths in multi-para (56.41 percent). Most women (62.5 percent) died within 24 hours of admission, followed by several women dying 12.5 percent in the next 24-48 hours.

Conclusion: In India, the rate of maternal mortality at referral hospitals is very high. The precise estimate of maternal mortality is primarily based on a sound system of vital registration and proper reporting of maternal death. The precise estimate of maternal mortality is primarily based on a sound system of vital registration and proper reporting of maternal death. 3Ds are the solutions to the problems: delay in diagnosis, urgent care and decision to move, delay in transport to enter the right hospital and delay in treatment. Most of the deaths in our sample were prevented if adequate antenatal treatment, early detection, prompt intervention, and early referral with well-equipped transport facilities were reported and obtained.

Author (s) Details

Dr. Pravin N. Yerpude
Department of Community Medicine, Chhindwara Institute of Medical Sciences, Chhindwara (M.P.)-480001, Gujarat, India

Dr. Keerti S. Jogdand
Department of Community Medicine, Chhindwara Institute of Medical Sciences, Chhindwara (M.P.)-480001, Gujarat, India

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/323

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