Causes of maternal deaths at Tezpur medical college and hospital, Tezpur, Assam, India: a retrospective study

Make every mother and child count: a retrospective analysis of maternal mortality at medical college tertiary care hospital, Tamilnadu, India

“…Previous study in India and abroad have reported that the extramural maternal death range from 31.2 to 76.4% whereas in our study it is 65.6%. [8][9][10][11] More higher mortality ratios had been found in the various studies [12][13][14][15][16][17] The majority of deaths in our study were in the age group 20 to 29 -64.3% which is in accordance with the age distribution of maternal death in India -MMR Bulletin of India 2011 to 2013 -where it is 68% in the age group 20 to 29 years. 18 The majority of maternal deaths were from the lower socio economic strata 75.7% and 69.1% of these mothers were multi gravida with spacing less than 3 years especially the unbooked mothers who were nomadic and illiterate who not only have resource constraint but are also not self-empowered to take their own decisions or to understand the seriousness of their situation.…”

“…3 Similar results had been found in various studies such as Arpita N et al has a 31.9% of deaths due to haemorrhage, Vidyadhar et al has a 21.05% of deaths due to haemorrhage, Verma A et al has a 21.8% of maternal death due to haemorrhage, Boro et al has 25% of maternal death due to haemorrhage. 12,14,24 Bhaskar et al had an equal incidence of 26.66% of maternal deaths due to haemorrhage and toxaemia. 13 Goswamy KD et al has a 50% of maternal deaths due to haemorrhages.…”

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

“…[5][6][7][8][9][10][11][12] Low MMR was found in Shobha et al study (234.6), Patel et al (413.3), Boro RC et al (464) and Dayal et al (441) as compared to our study. 5,9,11,12 Higher MMR was found in the study by Tadru et al (940) and Sundari et al (802). 8,10 The maternal mortality ratio was quite high in our institution which was well above the national and state figures.…”

“…Maximum maternal deaths in multiparous women were also found in studies by Nair et al (52.20%), Patel et al (59.62%) and Sundari et al (48.2%). 7,9,10 However in a study Shobha et al, primipara accounted for 73.77% of deaths. 5 This shows that both multiparas and primiparas are at equal risk of having maternal mortality.…”

“…This was consistent with the studies by Boro et al and Sundari et al where the registered cases were 78.8% and 98.2% respectively. 9,10 This shows that even though there were antenatal registrations, detection of high-risk factors, appropriate treatment and timely referral at each centre are very important to decrease maternal morbidity and mortality. In our study, only 42 cases were actually registered at our institute out of which 28 cases had more than 3 visits and 14 had less than 3 visits.…”