A retrospective study of maternal mortality in a tertiary care hospital in Western Maharashtra, India

Authors

  • Nandkishore B. Gaikwad Department of Obstetrics and Gynecology, Government Medical College, Miraj, Maharashtra, India
  • Poornima M. Department of Obstetrics and Gynecology, Government Medical College, Miraj, Maharashtra, India
  • Reshma M. Lad Department of Obstetrics and Gynecology, Government Medical College, Miraj, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20201930

Keywords:

First referral unit, Maternal mortality, Pre-eclampsia, Sepsis

Abstract

Background: Maternal mortality is a vital index of the effectiveness of obstetric services prevailing in a country. The key to progress of a country lies in reducing its maternal morbidity and mortality, hence to give a better assessment of the problem a retrospective study on maternal mortality was carried out. An objective of the study was to find the cause and epidemiological factors for maternal mortality in a tertiary care hospital in western Maharashtra from January 2018 to August 2019.

Methods: A retrospective, descriptive study done at tertiary care hospital in western Maharashtra from January 2018 to august 2019. Data was collected from medical records department and the study was conducted by reviewing the records of maternal death and scrutinizing for various aspects likely to be related to maternal death such as age, locality of residence, antenatal care, admission death time interval and cause of death.

Results: during the study period 63 maternal deaths occurred and 75302 live births, Maternal Mortality Ratio were 83.66 per 1 lakh live birth. 46% of maternal deaths were in age group of 21-25 years, 87% of patients belonged to rural area, 74% belonged to lower socioeconomic status. 43%  were unregistered patients, 43% had vaginal delivery, 73% had no free transportation, 68% were referred patients, 60% were referred from private hospitals, 48% of maternal death occurred <24 hours, 73% of maternal death were due to direct cause, 28% of maternal deaths were due to pre-eclampsia and its complications, 15.8% due to sepsis and 12.6% due to Postpartum hemorrhage.

Conclusions: Being a tertiary care hospital, where patients are referred from periphery maternal mortality was found to be on higher side. Proper implementation of government policies with community participation along with strengthening of First Referral Unit (FRU) and Primary Health Centres can help to reduce maternal mortality.

References

World Health Organisation. Maternal mortality ratio (per 100000 live births), 2020. Available at: http://www.who.int/healthinfo/statistics/indmaternalmortality/en/. Accessed 6th March 2020.

Maternal Mortality UNICEF DATA, September 2019. Available at: http://data.unicef.org/topic/maternal-health/maternal-mortality/. Accessed 6th March 2020.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014 Jun 1;2(6):e323-33.

WHO, Maternal mortality, 2019. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed 19th September 2019.

Konar H, Chakraborty AB. Maternal mortality: a FOGSI study (based on institutional data). J Obstetr Gynecol Ind. 2013 Apr 1;63(2):88-95.

Murthy BK, Murthy MB, Prabhu PM. Maternal mortality in a tertiary care hospital: a 10-year review. Int J Prevent Medi. 2013 Jan;4(1):105-9.

Mahala U, Prakash O, Mehta S, Sharma M. Maternal mortality at tertiary care hospital in Rajasthan: a 10-year review. IOSR J Dent Medi Scie (IOSR-JDMS). 2017;16(6):89-92.

Hazarika L, Phukan P, Sharma A, Das NK. Maternal mortality at a tertiary care teaching hospital in Dibrugarh district, Assam: a retrospective study. Int J Community Med Public Health. 2017 Sep;4(9):3342-46.

Bano N, Chaudhri R, Yasmeen L, Shafi F, Ejaz L. A study of maternal mortality in 8 principal hospitals in Pakistan in 2009. Int J Gynecol Obstetr. 2011 Sep 1;114(3):255-9.

Kittur S. A study of maternal mortality at the teaching hospital, Hubli, Karnatka. Int J Reproduct Contracept, Obst Gynecol. 2013 Mar;2(1):74-9.

Dsouza QS. Maternal mortality in tertiary care teaching hospital in Goa, India, A 10 year retrospective study. Age. 2018;6(9):83-90.

Press Information Bureau, Government Of India, Ministry Of Health And Family Welfare, 2018. Available at: http://pib.gov.in/newsite/printrelease.aspx?relid=179837. Accessed 6 June 2018.

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Published

2020-04-27

How to Cite

Gaikwad, N. B., M., P., & Lad, R. M. (2020). A retrospective study of maternal mortality in a tertiary care hospital in Western Maharashtra, India. International Journal of Research in Medical Sciences, 8(5), 1796–1801. https://doi.org/10.18203/2320-6012.ijrms20201930

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Section

Original Research Articles