DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20214641

Analysis of maternal mortality at tertiary care centre

Hemalatha S. V., Manickadevi M. S.

Abstract


Background: The aim of the study was to analyse the causes of maternal mortality at a tertiary care centre and find measures to reduce it.

Methods: A retrospective study of maternal deaths from January 2018 to December 2020 that occurred at Government Vellore Medical College and Hospital, a tertiary care hospital in Tamil Nadu. Data collected from case records and death reviews.

Results: There was total of 71 deaths at the tertiary care hospital during the period January 2018 to December 2020 out of 31407 live births giving Maternal mortality rate of 226/1,00,000 live births. The MMR is high as it is a tertiary hospital catering referral from six districts. Most of the cases were due to late referrals. The majority of the deaths occurred in primigravida (50.7%), in the age group of 21 to 25 years (35.2%) and around term gestational age (49.3%). The most common cause of death in our study was hypertensive disorders of pregnancy (29.5%) followed by PPH (14.08%).

Conclusions: From our study we concluded that the most common causes of maternal death were due to direct obstetric causes like severe pre-eclampsia, eclampsia and post-partum haemorrhage. Early identification of high-risk cases, early identification of GHT, anaemia and its correction, early referral of high-risk cases to tertiary centre can prevent most of the deaths.

 


Keywords


Maternal mortality, High risk, Obstetric causes

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References


Government of India. Special bulletin on maternal mortality in India 2016-18: Sample registration system, 2016. Available at: https://censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR%20Bulletin%202016-18.pdf. Accessed on 12 October 2021.

Singla A, Rajaram S, Mehta S, Radhakrishnan G. A Ten Year Audit of Maternal Mortality: Millennium Development Still a Distant Goal. Indian J Community Med. 2017;42(2):102-6.

WHO. Trends in maternal mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. WHO: Geneva; 2015.

WHO. The global health observatory, 2021. Available at: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/26. Accessed on 12 October 2021.

Government of India. SRS Bulletin-MMR, 2017. Available at: https://censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR-Bulletin2015-2017. Accessed on 12 October 2021.

Ministry of Health and family welfare. Guidelines for maternal death surveillance and response 2017, 2017. Available at: https://nhm.gov.in/images/pdf/programmes/maternal-health/guidelines/Guideline_for_MDSR. Accessed on 12 October 2021.

WHO. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary, 2019. Available at: https://apps.who.int/iris/handle/10665/3. Accessed on 12 October 2021.

Mohana KP, Padma SR, Subathra P. Maternal mortality: analysis of causes and preventable factors. Int J Reprod Contracept Obstet Gynecol. 2016;5(6):1719-21.

Khandale SN, Kedar K. Analysis of maternal mortality: a retrospective study at tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6(4):1610-3.

Government of India. Maternal and adolescent health care annual report 2019-2020, 2020. Available at: https://main.mohfw.gov.in/sites/default/files/Annual%20Report%202019-2020. Accessed on 12 October 2021.

Sivakumar S, Xavarina SG, Srianand A. Maternal death audit at tertiary care centre: changing trends. Int J Reprod Contracept Obstet Gynecol. 2012;10(3):915-9.

Ballu AS, Asha MB. A comprehensive study on maternal mortality at a tertiary care hospital. Indian J Obstet Gynaecol Res. 2019;6(3):259-62.