DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184973

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

Sridevi G., Shanmugavadivu L.

Abstract


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.


Keywords


Anaemia, Eclampsia, Maternal death

Full Text:

PDF

References


PARK K, Preventive medicine in Obstetrics, Paediatrics and Geriatrics, Park’s Textbook of preventive and social medicine.

Govt. of India (1962) Report of the Health survey and Planning Committee, Vol. 1, Govt of India, Ministry of Health and Family Welfare (1984) Annual Report 1983-1984.

United Nations Millennium Development Goals Available at www.un.org/milleniumgoals

Mathai M, reviewing maternal death and complication to make pregnancy and child birth safer, Regional Health Forum WHO South East Asia Region 61:214.5.

Pushpanjali Malipatil CV. Maternal mortality at a government teaching hospital: a six-year duration study. Int J Reproduct, Contracep, Obstet Gynecol. 2016;5(3):890-3

Devinder K, Amrirpal K. A retrospective study of maternal mortality in government medical college. J Obstet Gynecol family Welfare. 1999;5:18-22.

Sengupta A. The study of maternal mortality and morbidity in a North Indian Hospital-A 9 years Review. J Obstet Gynec India. 1986: 394-400.

Badrinath M, Karekal SA. Maternal mortality: a retrospective study. Sepsis. 2015;5;10-3.

Purandare N, Singh A, Upadhyae Sa, Saraogi RM. Maternal Mortality at a referral Centre: a five-year study. J. obstetric Gynaecol India2007:57(3):248-50

Das R. Maternal mortality at a Teaching Hospital of Rural India: A retrospective study. Age. 2014;19(79):30-85.

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

Chakraborty S, Sebanti G. Maternal mortality rate and its causes–changing trends in Kolkata, India. IJRRMS. 2012;2(1):16-8.