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Category: Volume 05 Issue 12 December 2017
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Title: Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years Review

Authors: Dr Rushali Rajan Lilare, Dr Uday W. Narlawar, Rajat Lillore

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.87

Abstract

The key to the progress of a country lies in reducing it’s maternal morbidity and mortality. The maternal mortality rate has gone down since 1980 however it has still not achieved the target level hence to give a better assessment to the problem of maternal mortality, a retrospective study on maternal mortality ratio and it’s causes has been carried out.

Objective of the study was to find out the maternal mortality ratio and its causes of five years (2012-2016) in a tertiary care hospital situated in Central India.

Methods: A retrospective study done at a tertiary level care centre from January 2012 to December 2016. Data was collected of maternal death from medical record section. Data studied and analysed.

Results: The mean maternal mortality ratio was recorded 555.84 per 100 000 live births. Highest in the year 2016 i.e 632 per 100 000 live births and the lowest maternal mortality ratio was in the year 2013 i.e 404 per 100 000 live births. Maternal mortality was more than 80% among the age group of 20-30 years as compare to the <20 years and > 30 years. About 65.8% of maternal death were due to the direct causes and 34.2% were due to the indirect causes. The leading direct cause was sepsis (34.2%), while indirect (18.35%) leading cause was infectious disease (15.7%).

Conclusion: Being the tertiary care hospital where patients were referred from the periphery the maternal mortality ratio which was record based was found to be on higher side. Direct causes contributes more as compare to indirect causes. So emphasis should be made to reduce the maternal mortality by early registration, regular ANC & PNC visit, early detection of complication & it’s prevention, early identification of high risk pregnancies and timely referral to higher centre.

Keywords: Maternal mortality, sepsis, infectious disease.

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Corresponding Author

Dr Rushali Rajan Lilare

Pl No 16 Gayatri Nagar Baba Farid Nagar Koradi Road Nagpur 440030