DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20211152

Changing trends of maternal mortality with its causes- ten years retrospective study in a peripheral medical college of West Bengal, India

Anjan Dasgupta, Abirbhab Pal, Nikita ., Debanjana Dasgupta, Partha Ghosh

Abstract


Background: The estimates of maternal mortality can only be used as a rough indicator of maternal health situation in any given country. High maternal mortality reflects not only in inadequacy of health care services for mothers, but also a low standard of living and socio economic status of the community. Objective was to assess the maternal mortality ratio (MMR), its probable causes and changing trends.

Methods: The present study conducted at Midnapore Medical College (MMC), West Bengal. Data for analysis were collected from medical college record section and maternal death registrar book after having permission from higher authority of the college during the period from January 2009 to 2018 December. Total sample size for this period was 249. Statistical analysis was done through SPSS software.

Results: Ten years data analysis of 249 subjects showed that total live births from January 2009 to December 2018 was 1,39,126 with MMR 178.97%. Hypertensive disorder of pregnancy (40.56%) was the leading direct cause of maternal death followed by hemorrhage (24.49%) and septicemia (10.84%). Heart disease (6.42%) was the major indirect cause of death followed by anemia (3.6%). Maternal death rate found high among primi gravida (59.43%) mothers and within 20 years age group (46.18%).

Conclusions: Most maternal deaths are preventable by proper antenatal care, early diagnosis of high risk factors, timely referral to tertiary care centre along with community upliftment especially in rural and tribal based population.

 


Keywords


Hypertensive disorder, Maternal mortality ratio, Primigravida

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References


World Health Organization. Regional Office for South-East Asia. (‎2005)‎. Regional Health Forum, Vol. 9, No. 1. WHO Regional Office for South-East Asia. Available from: https://apps.who.int/iris/handle/10665/205800. Accessed on 2 December 2019.

Demography and Family Planning; Delivering the MCH Services. In: Park K, ed. Text book of Preventive and Social Medicine. 25th edn. M/s Banarsidas Bhanot Publishers; 2019:614-615.

WHO, UNICEF, World Bank. Trends in Maternal Mortality; 1990-2008, Estimates developed by WHO, UNICEF, UNFPA and the World Bank. 2010.

Government of India. Special Bulletin on Maternal Mortality in India 2014-16, SRS, Office of Registrar General of India. 2018. Available from: https://censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR%20Bulletin-2014-16.pdf. Accessed on 2 December 2019.

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

Maternal Mortality Ratio (MMR) in India, July18, 2020. NEO IAS Current Affairs Plus. Available from: https://neoiascap.com/2020/07/18/maternal-mortality-ratio-mmr-in-india/social-sector/health/. Accessed on 2 December 2019.

Purandre N, Chandock A, Upadhya S, Sanjanwala SM. Maternal mortality at a referral centre: a five year study. J Obstet Gynecol India. 2007;57:248-50.

Priya N, Verma A, Verma S. Maternal mortality: ten years retrospective study. J Med Educ Res. 2010;12:134-6.

Mootha S, Bathula U. Evaluation of maternal mortality rate (MMR) at a high volume tertiary centre: what are we missing? A study spanning 85404 live births over 9 years. Int J Sci Res. 2013;4(1):302-4.

Vidhyadhar B, Purushottam A, Giri B, Garg RC. Maternal mortality at a tertiary care teaching hospital of rural India, a retrospective study. Int J Biol Med Res. 2011;2(4):1043-6.

Doddamani U, Rampure N, Kaveri, Pooja. A study of maternal mortality in a tertiary care hospital. Int J of Reprod Contracept Obstet Gynecol. 2018;7(6):2446-8.

Sundari KPM, Jayanti RD, Ramaswamy B. Trends in a tertiary care hospital. Int J of Reprod Contracept Obstet Gynecol. 2016;5(11):3659-62.

Taye M, Alam A, Rakshita. Retrospective evaluation of causes and social correlates of maternal deaths at Assam Medical College and Hospital, Dibrugarh, Assam, India. J Evol Med Dent Sci. 2018;5(05):275-9.

Rao PVR, Jayanthi P. Maternal mortality: a retrospective study in a tertiary centre. J Evol Med Dent Sci. 2015;4(14): 2247-54 .

Sarkar M, Basak SK, Das S, Roy D, Mandal J. Maternal mortality associated with eclampsia in an Indian medical college: a four year retrospective study. J Med Sci. 2013;4(10):394-8.

Jadhav CA, Prabhakar G, Shinde MA, Tirankar VR. Maternal mortality: five year experience in tertiary care centre. Indian J Basic Appl Med Res. 2013;7(2):702-9.

Patil VN, Shinde MA, Surve M, Sonone SG. Maternal Mortality A Challenge? JKIMSU. 2013;2(1):58-61.

Zaman S, Begum AA. Maternal mortality at a rural medical college of Assam: a retrospective study. J Obstet Gynecol Barpeta. 2014;1(1):46-51.

Kashyap V, Kumar M, Kumar A, Kanayamkandy J. Trends and causes of maternal mortality in a tertiary care hospital in Jharkhand, India: a five years retrospective study. Int J Community Med Public Health. 2016;3(11):3030-32.