A five-year retrospective study of maternal mortality in a tertiary referral centre

Sarmalkar, Meenal; Nayak, Arun; Faisal, Shameel; Abhakumari, .

doi:10.18203/2320-1770.ijrcog20211515

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…The global MMR has declined from 342 in 2000 to 211 in 2017, representing a 38% reduction since 2000. [22][23][24] For further reduction if MMR the United Nations has set a goal of reducing the global MMR to less than 70/100,000 live births by 2030 as part of its Sustainable Development Agenda, Goal 3 (SDG 3). [25][26][27] It is encouraging that the maternal mortality ratio in India has declined over the years to 97 in 2018-20 from 103 in 2017-19 and 130 in 2014-2016.…”

Section: Discussionmentioning

confidence: 99%

Patterns and causes of maternal mortality in tertiary care hospital in Maharashtra, India: a 10-year retrospective study

et al. 2023

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Background: Maternal death is a catastrophe, as death of a mother can the entire family. The aim of present study is to find out major patterns, reasons and complications leading to maternal deaths. Methods: A retrospective study was conducted for last 10 years from January 2013 to December 2022 by studying the records of a tertiary care hospital to study the maternal mortalities and complications leading to death. Maternal deaths were analyzed by considering different facets, such as age at death, gravida, locality of residence, admission death interval and direct and indirect cause/s of death, etc. Results: During the study period, total of 107753 live births and 202 maternal deaths have been recorded. The average maternal mortality rate of last ten years was 187.46/100000 live births. Age wise maternal mortality during the study period was high in the age 19 to 25. Major direct cause of maternal mortality was postpartum hemorrhage, (23%) and major indirect cause observed was anemia (43%). Admission to death interval time indicates that delay in provision of treatment and referral to tertiary care hospital might be the reason responsible for high maternal deaths. Conclusions: Maternal deaths can be prevented by improving the health care facilities, ensuring skilled attendants and required basic medication. This is high time to mobilize universal, national, regional, and community-based commitment to decrease maternal mortalities.

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Section: Discussionmentioning

confidence: 99%

Patterns and causes of maternal mortality in tertiary care hospital in Maharashtra, India: a 10-year retrospective study

et al. 2023

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Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

Alipour,

Payandeh,

Karimi

2023

BMC Pregnancy Childbirth

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Background Maternal mortality is a universal public health challenge. ICD-Maternal Mortality (ICD-MM) was introduced in 2012 to facilitate the gathering, analysis, and interpretation of data on maternal deaths worldwide. The present study aimed to estimate the global prevalence of maternal death causes through a systematic review and meta-analysis. Methods A systematic literature search was conducted using various databases, including Web of Science, PubMed, Scopus, ScienceDirect, Cochrane Library, as well as Persian databases such as MagIran and Scientific Information Database (SID). The search encompassed articles published until August 21, 2022. Thirty-four eligible articles were included in the final analysis. Analysis was performed using a meta-analysis approach. The exact Clopper-Pearson confidence intervals, heterogeneity assessment, and random effects models with Mantel-Haenszel methods were employed using the STATA software version 14.2. Results The most prevalent causes of maternal deaths, listed in descending order from highest to lowest prevalence, were non-obstetric complications (48.32%), obstetric hemorrhage (17.63%), hypertensive disorders of pregnancy, childbirth, and the puerperium (14.01%), other obstetric complications (7.11%), pregnancy with abortive outcome (5.41%), pregnancy-related infection (5.26%), unanticipated complications of management (2.25%), unknown/undetermined causes (2.01%), and coincidental causes (1.59%), respectively. Conclusion Non-obstetric complications, obstetric hemorrhage, and hypertensive disorders of pregnancy, childbirth, and puerperium were the most common causes of maternal deaths. To reduce the burden of maternal mortality causes, increasing awareness and promoting self-care management among women of reproductive age, and implementing effective screening mechanisms for high-risk mothers during pregnancy, childbirth, and the puerperium can play a significant role. ICD-MM enables the uniform collection and comparison of maternal death information at different levels (local, national, and international) by facilitating the consistent collection, analysis, and interpretation of data on maternal deaths. Our findings can be utilized by policymakers and managers at various levels to facilitate necessary planning aimed at reducing the burden of maternal mortality causes.

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Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

Alipour

Payandeh

Karimi

2023

Preprint

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Background Maternal mortality is a universal public health challenge. The present study was conducted to estimate the global prevalence of maternal death causes through a systematic review and meta-analysis. Methods A systematic literature search was conducted using various databases, including Web of Science, PubMed, Scopus, ScienceDirect, Cochrane Library, as well as Persian databases such as MagIran and SID. The search encompassed articles published until August 21, 2022. Thirty-four eligible articles were included in the final analysis. Analysis was performed using a meta-analysis approach. The exact Clopper-Pearson confidence intervals, heterogeneity assessment, and random effects models with Mantel-Haenszel methods were employed using the STATA software version 14.2. Results The most prevalent causes of maternal deaths, listed in descending order from highest to lowest prevalence, were non-obstetric complications (48.32%), obstetric hemorrhage (17.63%), hypertensive disorders of pregnancy, childbirth, and the puerperium (14.01%), other obstetric complications (7.11%), pregnancy with abortive outcome (5.41%), pregnancy-related infection (5.26%), unanticipated complications of management (2.25%), unknown/undetermined causes (2.01%), and coincidental causes (1.59%), respectively. Conclusion Accurate and timely diagnosis and treatment of conditions complicating pregnancy, childbirth, and the puerperium continue to pose a significant gap in high-quality care for pregnant women worldwide, particularly in developing countries where the incidence is higher. To reduce the burden of maternal mortality causes, it is crucial to implement effective screening mechanisms for high-risk mothers during pregnancy, childbirth, and the puerperium. Additionally, increasing awareness and promoting self-care management among women of reproductive age can play a significant role. Our findings offer comprehensive and standardized information on the prevalence of maternal mortality causes using the ICD-MM classification. This information can be utilized by policymakers and managers at various levels to facilitate necessary planning aimed at reducing the burden of maternal mortality causes.

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A five-year retrospective study of maternal mortality in a tertiary referral centre

Cited by 3 publications

References 10 publications

Patterns and causes of maternal mortality in tertiary care hospital in Maharashtra, India: a 10-year retrospective study

Patterns and causes of maternal mortality in tertiary care hospital in Maharashtra, India: a 10-year retrospective study

Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

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