A six year retrospective study of maternal mortality at a tertiary teaching institute in Uttarpradesh

Mukherjee, Shobha; Mukherjee, Sujoy; Sarkar, Reena

doi:10.5455/ijmsph.2014.220820142

Cited by 12 publications

(14 citation statements)

References 5 publications

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“…In this study, we included only those cases which were given some kind of resuscitative measure in intensive care unit or in labor ward. Similar studies from [8][9][10] other tertiary institutions from different states in India in past 15 years reported MMR ranged between 270 and 974 per 1,00,000 live births (Table 4). 1,[6][7][8][9][10] Mukherjee et al 10 reported MMR of 1108, at a hospital in Bareilly, Uttar Pradesh, during their study period of 5 years.…”

Section: Discussionsupporting

confidence: 77%

Maternal Mortality Trends in Rural Uttar Pradesh, India: A 6-year Retrospective Study at a Tertiary Care Institution

Kanti¹,

Sharma²,

Seth³

2017

JSAFOG

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Objective: To assess maternal mortality ratio (MMR), trends and causes of maternal mortality in rural Uttar Pradesh, India, and suggest ways to reduce it. Materials and methods: Retrospective review of all maternal deaths that occurred at a tertiary care hospital in rural India for a time period of 2008 to 2013. Results: Extremely high MMR of 1,083.09 per 100,000 live births was observed in this period. Out of total maternal deaths, 95.36% were from rural areas, 98.1% were unbooked for delivery, and 66.88% were in 21-to 30-year age group. Hemorrhage (26.14%) was the commonest direct cause followed by eclampsia (13.9%), and anemia (24.83%) was the most common indirect cause of death. Conclusion: There is a scope for reducing the MMR as majority of the causes are preventable and curable.

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Section: Discussionsupporting

confidence: 77%

Maternal Mortality Trends in Rural Uttar Pradesh, India: A 6-year Retrospective Study at a Tertiary Care Institution

Kanti¹,

Sharma²,

Seth³

2017

JSAFOG

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“…9 Death of pregnant lady during transport to the higher center for specialty treatment has always been a matter of concern and it concludes that there is a shortage of wellequipped transport facility and trained personnel. 9,11,13,14,18,22 The present study was carried out at a higher tertiary care center and teaching institute which shears maximum burden of complicated referred cases from other hospitals.…”

Section: While Das R Et Al Singh R Et Al Palmentioning

confidence: 99%

Analysis of maternal deaths: autopsy study at tertiary health care center

Kuralkar¹,

Kumar

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Every day thousands women died due to complications of pregnancy and child birth globally. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. Maternal mortality is a health indicator that shows very wide gaps between rich and poor, urban and rural areas, both between countries and within them. The present study was carried out with view to determine factors causing maternal deaths, causes of maternal deaths and utility of autopsy with autopsy record as a useful and adjunct data source for ascertainment of maternal deaths.Methods: Total 95 cases of maternal deaths which were brought for postmortem were studied during period of August 2012 to July 2014.Results: Maximum number of maternal deaths were seen in age group of 21 to 25 years comprising 38 (40.0%) and with maximum cases from low socioeconomic strata. Analyzing the pregnancy outcome, live birth to child were given by 66 (69.5%) against negative outcome in 29 (30.5%) of cases. Post-partum hemorrhage remains the leading cause followed by sepsis 13 (13.7%) in direct causes of maternal deaths. In indirect causes hepatitis leads the list with 4 (4.2%) cases.Conclusions: Despite the improved methodology, global database on maternal mortality remains weak. Hence forensic pathologist plays important role in identifying these cases with appropriate cause of death. Review of autopsy findings along with hospital records can prove to be one of the useful sources to identify pregnancy related deaths and elucidating the emerging trends.

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“…[5] Maternal mortality is an indicator of the quality of obstetric care in a community, directly reflecting the utilization of healthcare services available. [6] One of the most important goals of the MDGs is to reduce the maternal mortality. It was in this context, this study was conducted with the objectives to assess the existing MMR and the causes of maternal mortality over a period of 3 years in a tertiary care hospital in Maharashtra.…”

Section: Introductionmentioning

confidence: 99%

Study of maternal mortality in a tertiary care hospital in a district of Maharashtra

Nair¹,

Doibale²,

Gujrathi³

et al. 2016

Int J Med Sci Public Health

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Background: Pregnancy, although being considered a physiological state, carries risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor, or thereafter. The major causes of maternal mortality are mostly preventable through regular antenatal checkup, proper diagnosis, and management of labor complications. Therefore, the factors at different levels affecting the use of these services need to be clearly understood. Objective: To assess the maternal mortality ratio (MMR) and the causes of maternal mortality over a period of 3 years in a tertiary care hospital in Maharashtra. Materials and Methods: A hospital record-based study of maternal deaths over a period of 3 years from January 2012 to December 2014. The information regarding demographic profile and reproductive parameters were collected and results were analyzed using percentage and proportion with the help of Microsoft Excel 2007. Result: Average of MMR over 3 years study period (January 2012 to December 2014) was observed to be 410/1,00,000 live births. Most of the maternal deaths occurred in age group of 19-24 years (43.4%). Majority of maternal deaths was observed in multipara (52.2%) and women coming from rural area (52.9%). 44.9% of maternal deaths occurred within 24 h of admission. Hemorrhage was the leading direct cause of maternal deaths (33.8%) followed by eclampsia (10.3%) and sepsis (8.1%). Among indirect causes of maternal deaths anemia (14.7%) was the leading cause. Conclusion: MMR in our study was very high as compared to national average of 167/1,00,000 live births, being a tertiary care hospital as most of the patients were referred from peripheral centers. Most maternal deaths are preventable by intensive health education, basic obstetric care for all, strengthening referral and communication system and emphasizing on overall safe motherhood.

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A six year retrospective study of maternal mortality at a tertiary teaching institute in Uttarpradesh

Cited by 12 publications

References 5 publications

Maternal Mortality Trends in Rural Uttar Pradesh, India: A 6-year Retrospective Study at a Tertiary Care Institution

Maternal Mortality Trends in Rural Uttar Pradesh, India: A 6-year Retrospective Study at a Tertiary Care Institution

Analysis of maternal deaths: autopsy study at tertiary health care center

Study of maternal mortality in a tertiary care hospital in a district of Maharashtra

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