Causes of Maternal Mortality: Our Scenario

Soni, Monica; Soni, Prasoon; Agrawal, Sudesh; Mehra, Haritasha

doi:10.5005/jp-journals-10006-1236

Cited by 6 publications

(10 citation statements)

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“…12 The trend continues to 2008-2011, but the difference in mortality percentage between multigravidae (51%) and primigravida (42%) lessen. 13 And then, in the following studies and as in the present study there is a transition to increasing primigravida succumbing. 14 Higher order births have higher risk of pregnancy induced morbidities and are managed as high risk pregnancies in referral units.…”

Section: Discussionsupporting

confidence: 68%

The changing trends and tendencies in maternal mortality: a compare and contrast spanning two decades

Arunadevi¹,

Vijayalakshmi²,

Sangeetha³

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Though the maternal mortality ratio has been on the constant decline over two decades we shall strive forward to prevent all preventable maternal deaths and we have a long way to reach the SDG 3.1 goal. So, it becomes imperative to further reduce the mortality rates by continuously reviewing and upgrading our health policies. The aim of the study was to compare the trends in maternal mortality in 2002-2011 to the current predicament in 2017- 2019 in our hospital.Methods: Data was collected for all maternal deaths in the Institute of obstetrics and gynaecology, Egmore, Chennai- a centre of excellence for maternal care in South India, in terms of age at time of death, parity, period of death, mode of delivery, the cause of death and the admission to delivery interval and compared between the time periods of 2002-2011 and 2017-2019 to identify the changing patterns.Results: The maternal mortality ratio has consistently declined over the years from 220 in 2002 to 110 in 2019. The age group of 20-29 years and primigravidae continue to amount for most mortality. The postpartum period remains the most susceptible period. There is a significant increase in the number of caesarean deaths (64% from 46%). Significant transition in the cause of death from haemorrhage (20% to 7%) to hypertensive disease of pregnancy (23% to 35%) as leading cause of maternal mortality has been witnessed.Conclusions: Significant difference in the trends over two decades in maternal mortality lies in the fact that the leading cause of maternal mortality has changed from haemorrhage to hypertensive diseases and sepsis and they have continued to occupy the top spots for the past decade. Preventive measures are the solution to reduce maternal mortality due to either of the causes.

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Section: Discussionsupporting

confidence: 68%

The changing trends and tendencies in maternal mortality: a compare and contrast spanning two decades

Arunadevi¹,

Vijayalakshmi²,

Sangeetha³

2021

Int J Reprod Contracept Obstet Gynecol

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“…Anaemia was found in 21 cases of maternal deaths. Studies done by Monica Soni et al 23 , Surat Zaman et al 21 , Jadhav CA 24 et al showed comparable results.…”

Section: Resultsmentioning

confidence: 70%

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Dsouza¹

2018

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“…PPH also needs special attention because it can lead to death very rapidly in the absence of prompt life-saving care. 16 The time available for intervention being short, demands an efficient medical back-up for all deliveries. Institutional deliveries should be reached to 100%.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of maternal mortality: a paradigm shift from 2010 to 2020

Kempaiah

Urvashi

Mamatha

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal mortality is attributed usually to complications that generally occur during or around labour and these are mostly preventable through proper understanding, diagnosis and management of labour complications. The quality of health services women receive during pregnancy, intranatal and postnatal periods are crucial for the survival and well-being of the mother and her newborn baby. The objective was to analyse the changing trends in maternal mortality occurring over a decade, to assess factors associated with maternal mortality and propose effective interventions in preventing such mortality.Methods: It was a retrospective study to analyse maternal mortality between January 2010 and January 2020 in Ramaiah medical college hospital. Data was collected the institutional medical and delivery records and patient details regarding obstetric history, pre-existing comorbidities, cause of death, interventions done was noted and review of maternal mortality was done.Results: The maternal mortality in the present study was 432.73/1 lakh live births. There were 57 maternal deaths in the study period. Most deaths occurred in the 20-25 age group. 42.10% of deaths occurred ninety six hours after admission. Sepsis (42.1%), hypertensive disorders (12.30%) and haemorrhage (10.5%) are the most common direct causes of maternal death. Post-operative and post abortal sepsis, ARDS, cardiogenic shock, pulmonary embolism and AFLP are the other direct causes. Hypertensive disorders (9.64%) and haemorrhage (19.5) is the two leading indirect causes of maternal deaths.Conclusions: Maternal health services should move beyond the focus on emergency obstetric care, to a broader approach that encompasses preventive and early interventions and integration with existing services. Most of the maternal deaths can be prevented if the high risk antenatal women are identified earlier and referred to the tertiary centre earlier for diagnosis and management.

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Causes of Maternal Mortality: Our Scenario

Cited by 6 publications

References 0 publications

The changing trends and tendencies in maternal mortality: a compare and contrast spanning two decades

The changing trends and tendencies in maternal mortality: a compare and contrast spanning two decades

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Retrospective analysis of maternal mortality: a paradigm shift from 2010 to 2020

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