Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years Review

Lilare, Dr Rushali Rajan

doi:10.18535/jmscr/v5i12.87

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…Severe anaemia contributed only 6.6%. These findings were similar with that of many other similar studies [19,20,23,[27][28][29][30].…”

Section: Discussionsupporting

confidence: 93%

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Study of Maternal Mortality in a Tertiary Health Care Centre in Akola District of Maharashtra (India)

M¹,

R²,

R³

2020

SJAMS

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Original Research ArticleBackground: Maternal mortality reflects the quality of obstetric care given to pregnant women in the community. Maternal mortality in India continues to be unacceptably high. This study was conducted to find the maternal mortality ratio in the hospital and to assess some epidemiological aspects and causes of maternal mortality. Material and methods: The present retrospective record based study was conducted in Community Medicine department in collaboration with Obstetrics and Gynaecology department of Government Medical College and hospital, Akola, Maharashtra. Data regarding maternal mortality for year 2018 was collected from Maternal Mortality register. Information regarding age, residence, religion, gestational age, parity, causes of maternal deaths, time interval between admission and death, time of death in relation to pregnancy, etc. was recorded in pre coded proforma. Results: During the study period there occurred 5689 live births and 30 maternal deaths in the hospital. Thus maternal mortality ratio in this hospital was 527.3 per 100000 live births. 86.6% maternal deaths occurred above 20 years of age. Most of these women were from urban area (86.6%). 80% maternal deaths occurred in third trimester or during postpartum period. 53.3% deaths occurred in primipara while 46.7% in multipara. Direct causes of maternal deaths were -haemorrhage (16.7%), Eclampsia (16.7%), sepsis (13.3%) and Rupture ectopic (3.3%). Indirect causes contributing for maternal mortality were severe anaemia (6.6%), hepatitis (16.7%), ARDS (16.7%) and heart disease (10.0%). 56.7% maternal deaths occurred within 24 hours of admission to the hospital. Of these 36.78% deaths occurred within 12 hours of admission. Conclusion: being the tertiary care hospital maternal mortality was found to be on higher side. In present study most of the maternal deaths were due to preventable causes. So emphasis should be made to reduce the maternal mortality by regular ANC and PNC check-ups, identification of high risk pregnancies, strengthening timely referral system to such higher canters.

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“…Severe anaemia contributed only 6.6%. These findings were similar with that of many other similar studies [19,20,23,[27][28][29][30].…”

Section: Discussionsupporting

confidence: 93%

“…High maternal mortality ratio of 632 per lakh live births in a tertiary care hospital of Central India was observed by Lilare R.R. during 2016 [19]. Similar study conducted by Nair A during 2016 in tertiary care hospital in Maharashtra also revealed very high MMR of 410/ 1 lakh live births which is similar to the present study [20].…”

Section: Discussionsupporting

confidence: 88%

Study of Maternal Mortality in a Tertiary Health Care Centre in Akola District of Maharashtra (India)

M¹,

R²,

R³

2020

SJAMS

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“…Main direct obstetric causes were hemorrhage, hypertensive disorders of pregnancy and sepsis. Similar findings were reported by other studies [8][9][10][11][12][13]. In the period during COVID pandemic, there was change in causes of maternal mortality.…”

Section: Discussionsupporting

confidence: 90%

“…About 75.69% mothers were multiparous and 75.13% were not registered for antenatal checkup. Similar demographic profile of study population was reported by other studies [8][9][10][11][12].…”

Section: Discussionsupporting

confidence: 87%

Impact of Covid-19 Pandemic on Maternal Mortality Ratio in a Tertiary Care Hospital of Rajasthan: A Retrospective Analysis

Mehta

Sharma

Jain

2022

Asian J Pharm Clin Res

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Objectives: Pregnancy and delivery are an important risk factor for COVID-19. The present study was carried out to see the impact of COVID 19 on maternal mortality ratio (MMR). Methods: This retrospective study was performed in the Department of Obstetrics and Gynaecology, Mahila Chikitsalya, and SMS Medical College Jaipur from January 2018 to December 2021. Data were collected from the hospital records and MMR was calculated for every year. The causes of death were also recorded and changing trends were noted. Results: In the present study, the MMR for the years 2018, 2019, 2020, and 2021 were 159.03, 112.72, 354.58, and 603, respectively, which reflects enormous increase in MMR during COVID pandemic years (2020 and 2021). Before the pandemic (2018 and 2019), maximum deaths were from direct obstetric causes (77.35%) while 22.64% maternal deaths were from indirect causes. During COVID pandemic a large percentage (53.12%) of maternal deaths were due to indirect obstetric causes, COVID pneumonitis (ARDS) being the most common cause of death. Conclusions: There was 3.59 times increase in MMR during COVID-19 pandemic in our institute. COVID pneumonitis was responsible for significant number of maternal deaths.

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“…Out of all indirect causes of maternal mortality, infectious diseases contribute to maximum percentage. 10 Out of 14 patients, 7 patients had full term normal vaginal deliveries, 7 patients underwent emergency caesarean deliveries and one had early pregnancy failure (Figure 4). 4 out of 7 patients had caesarean under subarachnoid block and 3 patients received general anaesthesia due to low platelet count.…”

Section: Discussionmentioning

confidence: 99%

Thrombocytopenia due to monsoon related illness: as an underestimated cause of maternal mortality and morbidity

Kharat¹,

Borkar

Dalvi

2020

Int J Res Med Sci

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Background: Thrombocytopenia is a second leading cause of blood disorder in pregnancy after anaemia. It is defined as platelet count below 1,50,000/ul. It is a common condition occurring in approximately 7-10% of pregnancies. Gestational thrombocytopenia is physiological and occurs in 70-80% of population having platelet count of 1,30,000/ul-1,50,000/ul with no adverse consequences. Other causes of thrombocytopenia in pregnancy could be immune related like immune thrombocytopenia, thrombotic thrombocytopenia or pregnancy related disorders like hypertensive disorders, eclampsia, HELLP and fatty liver of pregnancy. Besides this, pregnant ladies can have thrombocytopenia associated with fever which is commonly observed in monsoon season. It could be because of various causes like dengue, malaria, leptospirosis or other viral infections. Thrombocytopenia carries a risk of haemorrhage for both mother as well as newborn. It carries a risk of vertical transmission leading to premature birth, neonatal thrombocytopenia, intracranial haemorrhage and foetal death. There is relatively less information regarding importance of diversity of infectious diseases on pregnancy outcome.Methods: 14 pregnant patients were studied on the basis of their history of fever, platelet count below 1,50,000/ul and any history of haemorrhage or petechie during monsoon period from June to September 2019 admitted in gynaecological ward in HBTMC and Dr. R. N. Cooper Hospital, Mumbai. All patients were subjected to fever profile, repeated haemogram for platelet trend and medical reference was done.Results: Out of 14 patients, 9 patients had negative fever profile, 2 were dengue positive, 2 were widal positive and one was leptospira positive patient. All patients had platelet count less than 1,50,000/ul out of which 3 patients received platelet transfusion..Conclusions: Monsoon fever with thrombocytopenia requires early diagnosis and optimal treatment to reduce maternal mortality and to avoid adverse fetal outcome. There is a strong need to create awareness amongst the community.

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Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years Review

Cited by 5 publications

References 2 publications

Study of Maternal Mortality in a Tertiary Health Care Centre in Akola District of Maharashtra (India)

Study of Maternal Mortality in a Tertiary Health Care Centre in Akola District of Maharashtra (India)

Impact of Covid-19 Pandemic on Maternal Mortality Ratio in a Tertiary Care Hospital of Rajasthan: A Retrospective Analysis

Thrombocytopenia due to monsoon related illness: as an underestimated cause of maternal mortality and morbidity

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